{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:16:43Z","timestamp":1790727403526,"version":"4.1.0"},"reference-count":32,"publisher":"MDPI AG","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,3]]},"abstract":"\n Background:<\/jats:bold>\n There are various factors affecting the use of prostheses. This study was aimed to examine satisfaction, psychological state, quality of life, and the factors affecting these in individuals who use prostheses because of lower-extremity amputation.\n <\/jats:p>\n \n Methods:<\/jats:bold>\n Sixty-three patients were included in this study. Demographic data and features related amputation and prosthesis were recorded. Quality of life was evaluated with the Nottingham Health Profile (NHP), anxiety and depression levels were evaluated with the Hospital Anxiety Depression Scale (HADS), body image was evaluated by the Amputee Body Image Scale (ABIS), prosthesis satisfaction was evaluated with the Prosthesis Satisfaction Questionnaire (PSQ), and the relationship between them was examined.\n <\/jats:p>\n \n Results:<\/jats:bold>\n There was a positive correlation between all HADS scores, NHP-emotional reactions, NHP-sleep, NHP-social isolation, NHP-total, and ABIS (\n P<\/jats:italic>\n < .05). A negative correlation was found between HADS-anxiety and PSQ results (\n r<\/jats:italic>\n = \u20130.394,\n P<\/jats:italic>\n = .003). A positive correlation was found between HADS-depression scores and NHP-pain, NHP-emotional reactions, NHP-social isolation, NHP-total, and ABIS (\n P<\/jats:italic>\n < .05); and a negative correlation was found with PSQ questionnaire scores (\n r<\/jats:italic>\n = \u20130.427,\n P<\/jats:italic>\n = .001). There was a positive correlation between HADS-total scores and all parameters except NHP-energy level and ABIS (\n P<\/jats:italic>\n < .05). A positive correlation was found between ABIS and all parameters except NHP-energy level (\n P<\/jats:italic>\n < .05). A negative correlation was found between PSQ and NHP-social isolation, NHP-physical activity, and NHP-total scores (\n r<\/jats:italic>\n = \u20130.312,\n P<\/jats:italic>\n = 0.019;\n r<\/jats:italic>\n = \u20130.312,\n P<\/jats:italic>\n = .019; and\n r<\/jats:italic>\n = \u20130.277,\n P<\/jats:italic>\n = .039, respectively). The presence of residual extremity pain was found to be an effective factor on the psychological state (\u03b2 = 0.429,\n P<\/jats:italic>\n = .001). The presence of residual limb pain and phantom pain were found to be effective factors on the prosthesis satisfaction (\u03b2 = \u20130.41,\n P<\/jats:italic>\n = .001; and \u03b2 = \u20130.406,\n P<\/jats:italic>\n = .001, respectively). The presence of residual extremity pain and anxiety level were found independent risk factors on the NHP (\u03b2 = \u20130.401,\n P<\/jats:italic>\n = .006; and \u03b2 = \u20130.445,\n P<\/jats:italic>\n = .006, respectively).\n <\/jats:p>\n \n Conclusions:<\/jats:bold>\n Individuals using prostheses because of lower-extremity amputation should be examined in detail from various perspectives.\n <\/jats:p>","DOI":"10.7547\/22-154","type":"journal-article","created":{"date-parts":[[2024,5,16]],"date-time":"2024-05-16T12:35:15Z","timestamp":1715862915000},"source":"Crossref","is-referenced-by-count":3,"title":["Evaluation of Prosthesis Satisfaction, Psychological Status, and Quality of Life in Lower-Extremity Amputee Patients: A Pilot Study"],"prefix":"10.3390","volume":"114","author":[{"given":"Zeynep Kirac","family":"Unal","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Health Sciences University Diskapi Yildirim Beyazit Education and Research Hospital, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Damla","family":"Cankurtaran","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Health Sciences University Diskapi Yildirim Beyazit Education and Research Hospital, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ece Unlu","family":"Akyuz","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Health Sciences University Diskapi Yildirim Beyazit Education and Research Hospital, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"B1","series-title":"Agri","first-page":"183,","article-title":"The effect of postamputation pain and phantom sensations on prosthesis use, body image, and quality of life in patients with lower-extremity amputation","volume":"33","author":"Ayd\u0131n T","year":"2021","unstructured":"Ayd\u0131n T, \u015een E\u0130, Kesiktas N, et al: The effect of postamputation pain and phantom sensations on prosthesis use, body image, and quality of life in patients with lower-extremity amputation. Agri 33: 183, 2021."},{"key":"B2","series-title":"Orv Hetil","first-page":"1563","article-title":"Psychological adjustment following lower limb amputation [in Hungarian]","volume":"156","author":"Panyi LK","year":"2015","unstructured":"Panyi LK, L\u00e1badi B: Psychological adjustment following lower limb amputation [in Hungarian]. Orv Hetil 156: 1563, 2015."},{"key":"B3","series-title":"Trauma Mon","first-page":"126,","article-title":"Amputation: a ten-year survey","volume":"18","author":"Sarvestani AS","year":"2013","unstructured":"Sarvestani AS, Azam AT: Amputation: a ten-year survey. Trauma Mon 18: 126, 2013."},{"key":"B4","series-title":"Disabil Rehabil","first-page":"3236","article-title":"Mobility with a lower limb prosthesis: experiences of users with high levels of functional ability","volume":"44","author":"Morgan SJ","year":"2022","unstructured":"Morgan SJ, Liljenquist KS, Kajlich A, et al: Mobility with a lower limb prosthesis: experiences of users with high levels of functional ability. Disabil Rehabil 44: 3236, 2022."},{"key":"B5","series-title":"Disabil Rehabil Assist Technol","first-page":"556","article-title":"Functional capacity of elderly with lower-limb amputation after prosthesis rehabilitation: a longitudinal study","volume":"16","author":"Silva AM","year":"2021","unstructured":"Silva AM, Furtado G, Dos Santos IP, et al: Functional capacity of elderly with lower-limb amputation after prosthesis rehabilitation: a longitudinal study. Disabil Rehabil Assist Technol 16: 556, 2021."},{"key":"B6","series-title":"Scand J Pain","first-page":"578","article-title":"Adults with unilateral lower-limb amputation: greater spatial extent of pain is associated with worse adjustment, greater activity restrictions, and less prosthesis satisfaction","volume":"22","author":"Sions JM","year":"2022","unstructured":"Sions JM, Beisheim-Ryan EH, Pohlig RT, et al: Adults with unilateral lower-limb amputation: greater spatial extent of pain is associated with worse adjustment, greater activity restrictions, and less prosthesis satisfaction. Scand J Pain 22: 578, 2022."},{"key":"B7","series-title":"Prosthet Orthot Int","first-page":"231","article-title":"Predictors of quality of life among individuals who have a lower limb amputation","volume":"32","author":"Asano M","year":"2008","unstructured":"Asano M, Rushton P, Miller WC, et al: Predictors of quality of life among individuals who have a lower limb amputation. Prosthet Orthot Int 32: 231, 2008."},{"issue":"suppl 3","key":"B8","series-title":"Biomed Eng Online","first-page":"143,","article-title":"Theoretical implementation of prior knowledge in the design of a multi-scale prosthesis satisfaction questionnaire","volume":"15","author":"Sch\u00fcrmann T","year":"2016","unstructured":"Sch\u00fcrmann T, Beckerle P, Preller J, et al: Theoretical implementation of prior knowledge in the design of a multi-scale prosthesis satisfaction questionnaire. Biomed Eng Online 15\u2009(suppl 3): 143, 2016."},{"key":"B9","series-title":"J Int Soc Res","first-page":"428","article-title":"The Determination of Body Image and Life Satisfaction of Disabled Women","volume":"10","author":"Purut\u00e7uo\u011flu E","year":"2017","unstructured":"Purut\u00e7uo\u011flu E, Aksel C: The Determination of Body Image and Life Satisfaction of Disabled Women. J Int Soc Res 10: 428, 2017."},{"key":"B10","series-title":"Klinik Psikiyatri Dergisi","first-page":"45","article-title":"Coping Skills of People with Amputation: Case Presentation","volume":"19","author":"\u00d6zsoy \u0130","year":"2016","unstructured":"\u00d6zsoy \u0130, Okyayuz \u00dcH: Coping Skills of People with Amputation: Case Presentation. Klinik Psikiyatri Dergisi 19: 45, 2016."},{"key":"B11","series-title":"J PMR Sci","first-page":"53","article-title":"The effect of the level of amputation on depression, body image perception and locomotor capacity in patients using lower-extremity prosthesis","volume":"22","author":"G\u00f6k\u015feno\u011flu G","year":"2019","unstructured":"G\u00f6k\u015feno\u011flu G, Y\u0131ld\u0131r\u0131m MA: The effect of the level of amputation on depression, body image perception and locomotor capacity in patients using lower-extremity prosthesis. J PMR Sci 22: 53, 2019."},{"key":"B12","series-title":"J DEU Med","first-page":"213","article-title":"Functional restriction and satisfaction with prosthesis in lower limb amputee patients","volume":"32","author":"Engin O","year":"2018","unstructured":"Engin O, Dilek B, G\u00f6kmen HM, et al: Functional restriction and satisfaction with prosthesis in lower limb amputee patients. J DEU Med 32: 213, 2018."},{"key":"B13","series-title":"Nobel Medicus","first-page":"9,","article-title":"Reliability and validity of satisfaction with prothesis (SATPRO) questionnaire in patient with lower limb amputation","volume":"6","author":"Ismail S","year":"2010","unstructured":"Ismail S, Y\u0131lmaz B, G\u00f6ktepe AS, et al: Reliability and validity of satisfaction with prothesis (SATPRO) questionnaire in patient with lower limb amputation. Nobel Medicus 6: 9, 2010."},{"key":"B14","series-title":"Can J Occup Ther","first-page":"23","article-title":"Questionnaire on the satisfaction of persons with lower-limb amputations towards their prosthesis: development and validation [in French]","volume":"66","author":"Bilodeau S","year":"1999","unstructured":"Bilodeau S, H\u00e9bert R, Desrosiers J: Questionnaire on the satisfaction of persons with lower-limb amputations towards their prosthesis: development and validation [in French]. Can J Occup Ther 66: 23, 1999."},{"key":"B15","article-title":"Construct Validity and Reliability of the Lower Extremity Prosthetic Limb Users Survey of Mobility","author":"Yosmaoglu S","year":"2019","unstructured":"Yosmaoglu S: Construct Validity and Reliability of the Lower Extremity Prosthetic Limb Users Survey of Mobility. Hacettepe University Institute of Health Sciences, Prosthetics - Orthotics and Biomechanics Program, Master Thesis Ankara, 2019."},{"key":"B16","series-title":"Arch Phys Med Rehabil","first-page":"613","article-title":"The amputee mobility predictor: an instrument to assess determinants of the lower-limb amputee\u2019s ability to ambulate","volume":"83","author":"Gailey RS","year":"2002","unstructured":"Gailey RS, Roach KE, Applegate EB, et al: The amputee mobility predictor: an instrument to assess determinants of the lower-limb amputee\u2019s ability to ambulate. Arch Phys Med Rehabil 83: 613, 2002."},{"key":"B17","series-title":"JPO J Prosthet Orthot","first-page":"58,","article-title":"Body image: the lower-limb amputee","volume":"9","author":"Breakey JW","year":"1997","unstructured":"Breakey JW: Body image: the lower-limb amputee. JPO J Prosthet Orthot 9: 58, 1997."},{"key":"B18","series-title":"J Back Musculoskelet Rehabil","first-page":"11","article-title":"Cross cultural adaptation and reliability of the Turkish version of Amputee Body Image Scale (ABIS)","volume":"22","author":"Bumin G","year":"2009","unstructured":"Bumin G, Bayramlar K, Yakut Y, et al: Cross cultural adaptation and reliability of the Turkish version of Amputee Body Image Scale (ABIS). J Back Musculoskelet Rehabil 22: 11, 2009."},{"key":"B19","series-title":"Turk J Psychiatry","first-page":"280,","article-title":"Validity and reliability of Turkish version of hospital anxiety and depression scale","volume":"8","author":"Aydemir O","year":"1997","unstructured":"Aydemir O, Guvenir T: Validity and reliability of Turkish version of hospital anxiety and depression scale. Turk J Psychiatry 8: 280, 1997."},{"key":"B20","series-title":"Acta Psychiatr Scand","first-page":"361","article-title":"The hospital anxiety and depression scale","volume":"67","author":"Zigmond AS","year":"1993","unstructured":"Zigmond AS, Snaith RP: The hospital anxiety and depression scale. Acta Psychiatr Scand 67: 361, 1993."},{"key":"B21","series-title":"Int J Rehabil Res","first-page":"31","article-title":"The development and psychometric assessment of the Turkish version of the Nottingham Health Profile","volume":"23","author":"K\u00fc\u00e7\u00fckdeveci AA","year":"2000","unstructured":"K\u00fc\u00e7\u00fckdeveci AA, Kutlay \u015e, G\u00fcrsel YK, et al: The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. Int J Rehabil Res 23: 31, 2000."},{"key":"B22","series-title":"Turk J Physiother Rehabil","first-page":"298","article-title":"An investigation of quality of life related to prosthesis in Syrian refugee lower-extremity amputees","volume":"31","author":"Kablan N","year":"2020","unstructured":"Kablan N, Tatar Y: An investigation of quality of life related to prosthesis in Syrian refugee lower-extremity amputees. Turk J Physiother Rehabil 31: 298, 2020."},{"key":"B23","series-title":"Disabil Rehabil Assist Technol","first-page":"868","article-title":"Case study: survey of patient satisfaction with prosthesis quality and design among below-knee prosthetic leg socket users","volume":"12","author":"Hawari NM","year":"2017","unstructured":"Hawari NM, Jawaid M, Tahir PM, et al: Case study: survey of patient satisfaction with prosthesis quality and design among below-knee prosthetic leg socket users. Disabil Rehabil Assist Technol 12: 868, 2017."},{"key":"B24","series-title":"Int J Orthop Sci","first-page":"368","article-title":"Satisfaction of patients with amputated lower limb wearing external prostheses","volume":"4","author":"Handy Eone D","year":"2018","unstructured":"Handy Eone D, Nseme Etouckey E, Essi MJ, et al: Satisfaction of patients with amputated lower limb wearing external prostheses. Int J Orthop Sci 4: 368, 2018."},{"key":"B25","series-title":"Sci Rep","first-page":"12559,","article-title":"Quality of life, body image and self-esteem in patients with unilateral transtibial amputations","volume":"11","author":"Sarroca N","year":"2021","unstructured":"Sarroca N, Valero JB, Deus J, et al: Quality of life, body image and self-esteem in patients with unilateral transtibial amputations. Sci Rep 11: 12559, 2021."},{"key":"B26","series-title":"Turk J Physiother Rehabil","first-page":"93,","article-title":"Investigation of the Relationship of Reintegration Process to Normal Living after Amputation with Quality of Life and Functional Level","volume":"25","author":"Demirdel S","year":"2014","unstructured":"Demirdel S, Bayramlar K: Investigation of the Relationship of Reintegration Process to Normal Living after Amputation with Quality of Life and Functional Level. Turk J Physiother Rehabil 25: 93, 2014."},{"key":"B27","series-title":"J Pain Symptom Manage","first-page":"362","article-title":"Affective distress and amputation-related pain among older men with long-term, traumatic limb amputations","volume":"31","author":"Desmond DM","year":"2006","unstructured":"Desmond DM, MacLachlan M: Affective distress and amputation-related pain among older men with long-term, traumatic limb amputations. J Pain Symptom Manage 31: 362, 2006."},{"key":"B28","series-title":"Prosthet Orthot Int","first-page":"244","article-title":"Pain and psychosocial adjustment to lower limb amputation amongst prosthesis users","volume":"32","author":"Desmond D","year":"2008","unstructured":"Desmond D, Gallagher P, Henderson-Slater D, et al: Pain and psychosocial adjustment to lower limb amputation amongst prosthesis users. Prosthet Orthot Int 32: 244, 2008."},{"key":"B29","series-title":"Compr Psychiatry","first-page":"45","article-title":"The relationship between prosthesis use, phantom pain and psychiatric symptoms in male traumatic limb amputees","volume":"59","author":"Durmus D","year":"2015","unstructured":"Durmus D, Safaz I, Ad\u0131g\u00fczel E, et al: The relationship between prosthesis use, phantom pain and psychiatric symptoms in male traumatic limb amputees. Compr Psychiatry 59: 45, 2015."},{"key":"B30","series-title":"Prosthet Orthot Int","first-page":"115","article-title":"Adjustments to amputation and an artificial limb in lower limb amputees","volume":"38","author":"Sinha R","year":"2014","unstructured":"Sinha R, Van Den Heuvel WJA, Arokiasamy P: Adjustments to amputation and an artificial limb in lower limb amputees. Prosthet Orthot Int 38: 115, 2014."},{"key":"B31","series-title":"Medicine (Baltimore","first-page":"e12296","article-title":"Prosthesis satisfaction in lower limb amputees: a systematic review of associated factors and questionnaires","volume":"97","author":"Baars EC","year":"2018","unstructured":"Baars EC, Schrier E, Dijkstra PU, et al: Prosthesis satisfaction in lower limb amputees: a systematic review of associated factors and questionnaires. Medicine (Baltimore) 97: e12296, 2018."},{"key":"B32","series-title":"Prosthet Orthot Int","first-page":"231","article-title":"Predictors of quality of life among individuals who have a lower limb amputation","volume":"32","author":"Asano M","year":"2008","unstructured":"Asano M, Rushton P, Miller WC, et al: Predictors of quality of life among individuals who have a lower limb amputation. Prosthet Orthot Int 32: 231, 2008."}],"container-title":["Journal of the American Podiatric Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/japmaonline.org\/view\/journals\/apms\/114\/2\/22-154.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/114\/2\/22-154.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/114\/2\/22-154.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T10:19:37Z","timestamp":1783505977000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1930-8264\/114\/2\/22154"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3]]},"references-count":32,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.7547\/22-154","relation":{},"ISSN":["8750-7315"],"issn-type":[{"value":"8750-7315","type":"print"}],"subject":[],"published":{"date-parts":[[2024,3]]}}}