An investigation of circumstances surrounding prosthetic users’ fall and fear of falling : A Cross-Sectional Survey

University essay from Jönköping University/Hälsohögskolan; Jönköping University/HHJ. Ortopedteknisk plattform

Abstract: SummaryBackground Prosthetic users face significant challenges both physically and psychologically. Falling poses a significant risk for the individual, and a consequence of this is gaining a fear of falling and self-imposed restrictions. These consequences can have a major impact on the individuals’ health and quality of life. However, the research in this area is limited.   Objectives  This study aims to investigate prosthetic users’ fear of falling and the circumstances surrounding falls among individuals with a lower-limb amputation in England and Sweden.   Method  In April 2022 a cross-sectional survey was conducted in England and Sweden. 11 participants were recruited. The survey was aimed at the population of lower-limb amputated individuals at the age of 18 or above in the two countries. The survey consists of 111 items with mostly closed-ended questions. Descriptive and inferential statistical methods were used for the analysis of the data.       Results  The study showed that 8 (72.7%) out of 11 participants had not experienced a fall within the last 30 days and the most common frequency of falls was every six months (54,5%). 2 (18.2%) participants had a fall once every three months which was the highest frequency of falls reported in the survey. This is seen as low frequency, however, 7 (63,3%) out of 11 participants had a fear of falling. A correlation between Falls Efficacy Scale-International (FES-I), Activities-specific Balance Confidence Scale (ABC) and Gait-Specific Attentional Profile instruments (G-SAP) was performed using a Pearson’s product-moment correlation which showed there was a strong relationship between the three instruments. The correlation between the FES-I and G-SAP is 0,800, FES-I and ABC are -,853 and the correlation between ABC and G-SAP is -, 821.   Conclusion  A strong relationship was found between the Falls Efficacy Scale-International, Activities-specific Balance Confidence Scale and the Gait-Specific Attentional Profile. Regardless of having fallen within the past 30 days, a high concern of fear of falling was found, and the most common reason for falls was uneven surfaces such as gardens.

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