Social and community participation following traumatic lower limb amputation: an exploratory qualitative study

PurposeTo explore barriers and facilitators to social and community participation experienced by people following traumatic lower limb amputation (LLA).MethodsAn exploratory qualitative study was conducted with nine adults with traumatic LLA in Victoria, Australia. Participants were a minimum of 18 months post amputation. Interview data was analysed using thematic analysis.ResultsParticipants referenced the inaccessibility of the built environment and physical challenges associated with prosthetic mobility as barriers to participation. Chronic and complex health concerns due to their injuries resulted in physical and emotional distress for some, further limiting their social and community engagement. Participants highlighted the benefit of peer-support networks and the value of supportive community groups in assisting the transition to their pre-amputation family, work and social roles. Participants also felt that a strong, positive attitude and being self-motivated were important to aid in their return to social and community participation.ConclusionPeople following traumatic LLA experience a number of physical, psychological and environmental challenges to participation. The role of peer-support networks, community groups and personal attitudes are important facilitators to assist a return to family, work and life roles. The findings of this study have informed the development of recommendations to guide clinical practice.

Automated summary

People following traumatic lower limb amputation face various challenges in social and community participation, including physical, psychological, and environmental barriers. Peer-support networks, community groups, and personal attitudes play important roles in facilitating the return to family, work, and life roles.