ArticleProsthetics and orthotics international2020
Financial difficulty in community-dwelling persons with lower limb loss is associated with reduced self-perceived health and wellbeing.
Article in Prosthetics and orthotics international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Financial strain measures and associations with adult health: A systematic literature review.Social science & medicine (1982) · 2025Pooled it
- Recovery After Nontraumatic Lower Limb Amputation: A Scoping Review of Longitudinal Research Studies.Archives of rehabilitation research and clinical translation · 2026Review
- Health-Related Quality of Life and Psychological Impact on Patients Post-Amputation Due to Diabetic Foot Ulcer.Cureus · 2026Article
- Space flight missions over 6 months significantly increase the risk of shoulder pathology and rotator cuff tears.JSES international · 2025Article
- "After Cutting It, Things Have Never Remained the Same": A Qualitative Study of the Perspectives of Amputees and Their Caregivers.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Lower Extremity Osseointegration Postoperative Rehabilitation Protocols: A Scoping Review.Physical therapy · 2025Article
- Experiences of coping and adjusting to lower limb prosthesis use in the Eastern Cape province.African journal of disability · 2025Article
- Association of Race, Ethnicity, and Gender to Disparities in Functional Recovery and Social Health After Major Lower Limb Amputation: A Cross-sectional Pilot Study.Archives of physical medicine and rehabilitation · 2024Article
- Disparities in functional recovery after dysvascular lower limb amputation are associated with employment status and self-efficacy.Disability and rehabilitation · 2023Article
- The importance of socio-economic determinants of health in the care of patients with peripheral artery disease: A narrative review from VAS.Vascular medicine (London, England) · 2023Review
- Lack of Social Support and Its Role on Self-Perceived Health in a Representative Sample of Spanish Adults. Another Aspect of Gender Inequality.Journal of clinical medicine · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundSocioeconomic status has been shown to be an important factor in the disparate prevalence and selected treatment of limb loss, but how personal financial difficulty affects patients' health outcomes is currently unclear.
objectiveExamining how presence and experience of personal financial difficulty affects perceived health and wellbeing in individuals with lower limb loss. STUDY
designCross-sectional study.
methodsA total of 90 participants (68 males, mean age 58.7 ± 16.7 years) were recruited from local physical therapy and prosthetic and orthotic clinics, rehabilitation hospitals, and a regional amputee patient support group. All participants were community-dwelling, non-military adults with amputation involving at least one major lower limb joint. Participants were interviewed, and each completed a survey that included basic demographic/medical information, self-reported health and wellbeing (Short-Form Health Survey, SF-36v2), and a question to determine their financial situation after limb loss. Multiple regression analyses were used to examine the effect of financial difficulty on the eight subscales of SF-36v2 while accounting for age, gender, and amputation level.
resultsExperiencing financial difficulty significantly and negatively affected Role-Physical and Role-Emotional subscale scores (
conclusionExperiencing financial difficulty is a significant predictor for diminished work or daily activity participation due to physical and emotional stresses. Clinicians and health policy makers need to understand how socioeconomic factors may prevent individuals with lower limb loss from achieving higher levels of functional recovery and community re-integration after amputation. CLINICAL RELEVANCE: Our findings showed that presence or experience of financial difficulty was significantly associated with diminished community re-integration in community-dwelling, non-military adults with lower limb loss. It affects both physical and emotional aspects of wellbeing. Clinicians should be aware how socioeconomic factors may affect social re-integration after amputation.
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