PSYCHO-EMOTIONAL AND FUNCTIONAL STATE OF PATIENTS WITH TRANSTIBIAL AMPUTATION DURING THE PREPARATION PERIOD FOR PROSTHETIC FITTING
DOI:
https://doi.org/10.32782/2221-1217-2026-1-05Keywords:
amputation, endurance, anxiety, depression, balance, painAbstract
After amputation, patients face numerous physical and psychological challenges. Physical therapy helps them adapt to new living conditions, restore functioning, and return to an active life.
Purpose of the study: to determine the characteristics of the psycho-emotional and functional state of patients with transtibial amputation during the period of preparation for prosthetic fitting. Methods. The study applied theoretical research methods, including analysis, comparison, induction, deduction, and systematization, as well as empirical methods and methods of mathematical statistics. The study involved 60 male patients aged 30–40 years in the period of preparation for prosthetic fitting who had undergone traumatic transtibial amputation. Using random sampling, the participants were divided into a main group and a comparison group, with 30 patients in each group.
Results. Objective assessment of functional status and functioning of patients with transtibial amputation is a cornerstone for planning targeted and individualized rehabilitation interventions. In patients of both groups, a profound deficit of postural control was identified, resulting in a high risk of falls. Berg Balance Scale scores, according to which patients in the main group scored only 22.93±0.34 points and those in the comparison group 22.76±0.33 points, the Timed Up and Go test (20.70±0.41 s and 20.50±0.38 s, respectively), and the Four Square Step Test (20.03±0.35 s and 20.10±0.35 s in the respective groups) consistently demonstrated impairments in static and dynamic balance. Patients in both groups exhibited moderate pain syndrome and knee flexion contracture, which constituted a biomechanical barrier to achieving full knee extension required for prosthetic fitting.
Conclusions. The set of baseline rehabilitation assessment results indicates that patients with transtibial amputation at the stage of preparation for prosthetic fitting are characterized by a combination of significant impairments in dynamic balance, low endurance, limited mobility, the presence of pain syndrome, and reduced range of motion in the knee joint.
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