{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T13:05:03Z","timestamp":1785416703925,"version":"3.56.0"},"reference-count":50,"publisher":"AOSIS","issue":"0","license":[{"start":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T00:00:00Z","timestamp":1745884800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background:\u00a0Individuals with lower-limb amputations (LLAs) face unique challenges that affect their leisure participation and overall quality of life (QoL).\n\nObjectives:\u00a0This study examines the relationships between leisure participation, leisure constraints and QoL among South Africans with LLAs (N\u00a0= 50, mean age 46.2 \u00b1 11.63 years).\n\nMethod:\u00a0A cross-sectional quantitative design was used, collecting data via the Trinity Amputation and Prosthesis Experience Scale-Revised (TAPES-R), Constraints to Participation, the World Health Organization Quality of Life Brief (WHOQOL-BREF), and the World Health Organization Quality of Life Disability Module (WHOQOL-DIS) questionnaires.\n\nResults:\u00a0Weak to moderate relationships were found between leisure participation and constraints (interpersonal: \u03c4b = \u20130.01,\u00a0p\u00a0= 0.402; structural: \u03c4b = \u20130.21,\u00a0p\u00a0= 0.072). Moderate positive associations emerged between leisure participation and QoL in the disability module (\u03c4b = 0.21,\u00a0p\u00a0= 0.073), physical domain (\u03c4b = 0.20,\u00a0p\u00a0= 0.088) and environment domain (\u03c4b = 0.20,\u00a0p\u00a0= 0.091). Medium-negative correlations were observed between QoL and constraints in the physical domain (intrapersonal:\u00a0r\u00a0= \u20130.33,\u00a0p\u00a0= 0.021; interpersonal:\u00a0r\u00a0= \u20130.32,\u00a0p\u00a0= 0.021). Significant negative relationships were found between QoL (social domain) and both intrapersonal (r\u00a0= \u20130.33,\u00a0p\u00a0= 0.020) and interpersonal constraints (r\u00a0= \u20130.36,\u00a0p\u00a0= 0.010).\n\nConclusion:\u00a0This is the first study to explore these relationships in South Africans with LLAs. Intrapersonal and interpersonal constraints significantly impact physical and social QoL. Addressing these barriers may improve overall QoL in this population.\n\nContribution:\u00a0This study provides novel insights into the interplay between leisure participation, constraints, and QoL among South Africans with LLAs. By identifying the significant impact of intrapersonal and interpersonal constraints on physical and social QoL, these findings highlight the need for targeted interventions to reduce barriers and enhance leisure engagement.<\/jats:p>","DOI":"10.4102\/ajod.v14i0.1585","type":"journal-article","created":{"date-parts":[[2025,4,26]],"date-time":"2025-04-26T09:29:13Z","timestamp":1745659753000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Relationships between leisure participation, leisure constraints, and quality of life among individuals with lower-limb amputations in South Africa"],"prefix":"10.4102","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2547-8866","authenticated-orcid":false,"given":"Adri","family":"Visser","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/010f1sq29","id-type":"ROR","asserted-by":"publisher"}],"name":"North-West University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4038-9466","authenticated-orcid":false,"given":"Mariette","family":"Swanepoel","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/010f1sq29","id-type":"ROR","asserted-by":"publisher"}],"name":"North-West University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3990-8345","authenticated-orcid":false,"given":"Marike","family":"Cockeran","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/010f1sq29","id-type":"ROR","asserted-by":"publisher"}],"name":"North-West University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3173-8553","authenticated-orcid":false,"given":"Cindy","family":"Kriel","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/010f1sq29","id-type":"ROR","asserted-by":"publisher"}],"name":"North-West University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2025,4,29]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Albrecht, G.L. & Devlieger, P.J., 1999, \u2018The disability paradox: High quality of life against all odds\u2019, Social Science & Medicine 48(8), 977\u2013988. https:\/\/doi.org\/10.1016\/S0277-9536(98)00411-0","DOI":"10.1016\/S0277-9536(98)00411-0"},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Asano, M., Rushton, P., Miller, W.C. & Deathe, B.A., 2008, \u2018Predictors of quality of life among individuals who have a lower limb amputation\u2019, Prosthetics and Orthotics International 32(2), 231\u2013243. https:\/\/doi.org\/10.1080\/03093640802024955","DOI":"10.1080\/03093640802024955"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Badia, M., Orgaz, M.B., Verdugo, M.\u00c1., Ull\u00e1n, A.M. & Mart\u00ednez, M., 2013, \u2018Relationships between leisure participation and quality of life of people with developmental disabilities\u2019, Journal of Applied Research in Intellectual Disabilities 26(6), 533\u2013545. https:\/\/doi.org\/10.1111\/jar.12052","DOI":"10.1111\/jar.12052"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Baker, D.A. & Palmer, R.J., 2006, \u2018Examining the effects of perceptions of community and recreation participation on quality of life\u2019, Social Indicators Research 75(3), 395\u2013418. https:\/\/doi.org\/10.1007\/s11205-004-5298-1","DOI":"10.1007\/s11205-004-5298-1"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Bragaru, M., Dekker, R., Geertzen, J.H. & Dijkstra, P.U., 2011, \u2018Amputees and sports: A systematic review\u2019, Sports Medicine 41(9), 721\u2013740. https:\/\/doi.org\/10.2165\/11590420-000000000-00000","DOI":"10.2165\/11590420-000000000-00000"},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"Burger, H. & Marin\u010dek, C., 1997, \u2018The lifestyle of young persons after lower limb amputation caused by injury\u2019, Prosthetics and Orthotics International 21(1), 35\u201339. https:\/\/doi.org\/10.3109\/03093649709164528","DOI":"10.3109\/03093649709164528"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"Calabrese, L., Maffoni, M., Torlaschi, V. & Pierobon, A., 2023, \u2018What is hidden behind amputation? 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