{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T06:10:54Z","timestamp":1791267054766,"version":"4.1.0"},"reference-count":27,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T00:00:00Z","timestamp":1716422400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Lower limb amputation can have profound physical, psychological, and social effects on individuals. Assistive aids like prosthetic lower limbs can help an individual regain mobility and thereby affect their self\u2010esteem and quality of life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess self\u2010esteem and quality of life in patients with transtibial amputations who are using a transtibial prosthesis and explore the association between sociodemographic and amputation\u2010related factors with self\u2010esteem and prosthesis\u2010related quality of life measures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A cross\u2010sectional study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>An orthotics and prosthetics center (Bhagwan Mahaveer Viklang Sahayata Samiti) in Jaipur, Rajasthan.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participant<jats:bold>s<\/jats:bold><\/jats:title><jats:p>Patients with transtibial amputations using exoskeletal prostheses between July and September 2022, in Jaipur, Rajasthan.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>The study used Rosenberg self\u2010esteem questionnaire and Prosthesis Evaluation Questionnaire (PEQ) for self\u2010esteem and quality of life assessment, respectively. Descriptive analysis was used to present the demographic details, and nonparametric tests examined the relationship between PEQ dimensions and sociodemographic variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study included 138 participants, primarily &lt;40\u2009years old (45.7%) and mostly engaged in high\u2010activity occupations. Self\u2010esteem mean score (SD) was 19.9 (3.9), with 89.1% exhibiting normal self\u2010esteem. Prosthesis\u2010related quality of life, showed high satisfaction across various domains, including ambulation, appearance, frustration, perceived response, residual limb health, social burden, sounds, utility, and well\u2010being. No significant associations were found between sociodemographic factors, amputation\u2010related variables, and self\u2010esteem. However, PEQ scales showed associations with gender, age, occupation, type of amputation, and years of prosthesis use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>These results highlight the potential advantages of exoskeletal prostheses in improving the standard of living for people with transtibial amputations. Further research is essential to develop targeted interventions for improving their overall quality of life.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pmrj.13191","type":"journal-article","created":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T10:16:09Z","timestamp":1716459369000},"page":"37-44","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Assessment of self\u2010esteem and quality of life in patients with transtibial amputations using an exoskeletal prosthesis"],"prefix":"10.1002","volume":"17","author":[{"given":"S.","family":"Varuni","sequence":"first","affiliation":[{"name":"All India Institute of Medical Sciences (AIIMS)  Gorakhpur India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sridevi","family":"Gnanasekaran","sequence":"additional","affiliation":[{"name":"Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences (AIIMS)  Gorakhpur India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravi","family":"Gaur","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, All India Institute of Medical Sciences (AIIMS)  Jodhpur India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6156-7903","authenticated-orcid":false,"given":"Akhil Dhanesh","family":"Goel","sequence":"additional","affiliation":[{"name":"Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences (AIIMS)  Jodhpur India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pankaj","family":"Bhardwaj","sequence":"additional","affiliation":[{"name":"Department of Community Medicine and Family Medicine, Academic Head of School of Public Health, All India Institute of Medical Sciences (AIIMS)  Jodhpur India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akshay","family":"Chavan","sequence":"additional","affiliation":[{"name":"Clinical Prosthetist and Orthotist  Mumbai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9813-9072","authenticated-orcid":false,"given":"Vinoth","family":"Rajendran","sequence":"additional","affiliation":[{"name":"Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences (AIIMS)  Gorakhpur India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,5,23]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638280701427386"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0309364620972258"},{"issue":"1","key":"e_1_2_9_4_1","first-page":"16","article-title":"A report on amputees in India","volume":"40","author":"Mohan D","year":"1986","journal-title":"Orthot Prosthet"},{"key":"e_1_2_9_5_1","unstructured":"India.pdf [Internet]. 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