{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T21:47:19Z","timestamp":1790113639953,"version":"4.0.1"},"reference-count":33,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:p>People with lower limb loss often experience psychological concerns related to falling. A concern for falling (CFF) includes four subdomains: fear of falling, self-efficacy, consequences of falling, and perceptions of falls. Limited research exists on how these subdomains are influenced by clinical factors and falls history. This cross-sectional online survey evaluated: (1) associations among CFF outcome measures; (2) relationships between falls history and outcome measures; and (3) clinical and demographic factors related with outcome measures. Inclusion criteria: \u226518\u2005years old, unilateral transtibial amputation and ambulating with a prosthesis. Eight measures assessed CFF: visual analog scale fear of falling, Modified Survey of Activities and Fear of Falling in the Elderly (mSAFFE), Activities-specific Balance Confidence (ABC), Falls Efficacy Scale International (FES-I), Prosthetic Limb Users Survey \u2013 Mobility (PLUS-M), Locomotor Capabilities Index, Consequences of Falling Scale, and Perceived Ability to Manage Falls. Pearson bivariate correlation analysis assessed associations among outcome measures. T tests evaluated the association of falls status on outcome scores. Multiple linear regression modelled the clinical and demographic factors related to each measure. Sixty-eight adults (mean 61.8\u2005\u00b1\u200512.0) participated. Moderate statistically significant (<jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.001) correlations were found across most outcome measures, with the strongest between PLUS-M and mSAFFE (<jats:italic toggle=\"yes\">r<\/jats:italic>\u2005=\u2005\u22120.841), and ABC and FES-I (<jats:italic toggle=\"yes\">r<\/jats:italic>\u2005=\u2005\u22120.821). Faller status was not associated with any measure (<jats:italic toggle=\"yes\">P<\/jats:italic>\u2005&gt;\u20050.05). Quality of life was associated with fear of falling, activity avoidance, self-efficacy, and certainty to managing falls (<jats:italic toggle=\"yes\">R<\/jats:italic>\n                           <jats:sup>2<\/jats:sup> ranged from 0.27 to 0.47). CFF should be evaluated independently of falls history.<\/jats:p>","DOI":"10.1097\/mrr.0000000000000647","type":"journal-article","created":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T16:09:16Z","timestamp":1728403756000},"page":"268-275","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Understanding the multidimensionality of a concern for falling in people with unilateral transtibial amputation: a cross-sectional study"],"prefix":"10.1097","volume":"47","author":[{"given":"Kristin","family":"Nugent","sequence":"first","affiliation":[{"name":"Faculty of Health and Rehabilitation Sciences, School of Physical Therapy, University of Western Ontario"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricardo","family":"Viana","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine & Rehabilitation, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael W.","family":"Payne","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine & Rehabilitation, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janelle","family":"Unger","sequence":"additional","affiliation":[{"name":"Faculty of Health and Rehabilitation Sciences, School of Physical Therapy, University of Western Ontario"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan W.","family":"Hunter","sequence":"additional","affiliation":[{"name":"Faculty of Health and Rehabilitation Sciences, School of Physical Therapy, University of Western 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