The biopsychosocial effects of transtibial amputation: A South African perspective

Background: A myriad of physical, psychosocial and environmental sequelae are associated with limb loss. However, there is a paucity of empirical South African data, which focusses on these sequelae, how they interface with the amputee’s quality of life as well as the challenges they experience foll...

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Main Authors: Riyona Chetty, Raisuyah Bhagwan, Nalini Govender
Format: Article
Language:English
Published: AOSIS 2025-04-01
Series:African Journal of Disability
Subjects:
Online Access:https://ajod.org/index.php/ajod/article/view/1404
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author Riyona Chetty
Raisuyah Bhagwan
Nalini Govender
author_facet Riyona Chetty
Raisuyah Bhagwan
Nalini Govender
author_sort Riyona Chetty
collection DOAJ
description Background: A myriad of physical, psychosocial and environmental sequelae are associated with limb loss. However, there is a paucity of empirical South African data, which focusses on these sequelae, how they interface with the amputee’s quality of life as well as the challenges they experience following amputation. Objectives: This study sought to explore the biopsychosocial effects of amputation and how it affected the quality of life of transtibial amputees. Method: A qualitative approach guided this study. Data were collected using one-on-one interviews with 14 unilateral transtibial amputees. Data were analysed thematically. Results: Five broad themes emerged from the inquiry, which captured amputees’ experiences of phantom limb pain, body image disturbances and their challenges related to adapting to daily activities. Participants also expressed the salience of familial support as well as the importance of psychological interventions to cope. Conclusion: The findings suggested that support networks and professional psychological intervention are imperative in facilitating successful adjustment to the amputation experience. Raising awareness of limb loss, in both rural and urban settings, may help reduce the stigma attached to it. Contribution: Quality of life comprises several domains, namely physical, psychological, environmental and social. However, limited local and international data exists regarding the environmental and social effects. This study brought to the fore the positive and negative effects of amputation in each domain, as well as various strategies, which facilitate successful adjustment to amputation.
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series African Journal of Disability
spelling doaj-art-3c5e6b27afd34693aad49bfa9d55dc102025-08-20T02:27:35ZengAOSISAfrican Journal of Disability2223-91702226-72202025-04-01140e1e1310.4102/ajod.v14i0.1404452The biopsychosocial effects of transtibial amputation: A South African perspectiveRiyona Chetty0Raisuyah Bhagwan1Nalini Govender2Department of Medical Orthotics and Prosthetics, Faculty of Health Sciences, Durban University of Technology, DurbanDepartment of Community Health Studies, Faculty of Health Sciences, Durban University of Technology, DurbanDepartment of Basic Medical Sciences, Faculty of Health Sciences, Durban University of Technology, DurbanBackground: A myriad of physical, psychosocial and environmental sequelae are associated with limb loss. However, there is a paucity of empirical South African data, which focusses on these sequelae, how they interface with the amputee’s quality of life as well as the challenges they experience following amputation. Objectives: This study sought to explore the biopsychosocial effects of amputation and how it affected the quality of life of transtibial amputees. Method: A qualitative approach guided this study. Data were collected using one-on-one interviews with 14 unilateral transtibial amputees. Data were analysed thematically. Results: Five broad themes emerged from the inquiry, which captured amputees’ experiences of phantom limb pain, body image disturbances and their challenges related to adapting to daily activities. Participants also expressed the salience of familial support as well as the importance of psychological interventions to cope. Conclusion: The findings suggested that support networks and professional psychological intervention are imperative in facilitating successful adjustment to the amputation experience. Raising awareness of limb loss, in both rural and urban settings, may help reduce the stigma attached to it. Contribution: Quality of life comprises several domains, namely physical, psychological, environmental and social. However, limited local and international data exists regarding the environmental and social effects. This study brought to the fore the positive and negative effects of amputation in each domain, as well as various strategies, which facilitate successful adjustment to amputation.https://ajod.org/index.php/ajod/article/view/1404amputationquality of lifebiopsychosocialphantom limb painsupportfeelingsbody image
spellingShingle Riyona Chetty
Raisuyah Bhagwan
Nalini Govender
The biopsychosocial effects of transtibial amputation: A South African perspective
African Journal of Disability
amputation
quality of life
biopsychosocial
phantom limb pain
support
feelings
body image
title The biopsychosocial effects of transtibial amputation: A South African perspective
title_full The biopsychosocial effects of transtibial amputation: A South African perspective
title_fullStr The biopsychosocial effects of transtibial amputation: A South African perspective
title_full_unstemmed The biopsychosocial effects of transtibial amputation: A South African perspective
title_short The biopsychosocial effects of transtibial amputation: A South African perspective
title_sort biopsychosocial effects of transtibial amputation a south african perspective
topic amputation
quality of life
biopsychosocial
phantom limb pain
support
feelings
body image
url https://ajod.org/index.php/ajod/article/view/1404
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