Visser Adri I, Swanepoel Mariette, Cockeran Marike, Kriel Cindy
Research unit: Physical Activity, Sport and Recreation (PhASRec), Faculty of Health Sciences, North-West University, Potchefstroom, South Africa.
Research unit: Medicine Usage in South Africa (MUSA), Faculty Health Sciences, North-West University, Potchefstroom, South Africa.
Afr J Disabil. 2025 Apr 29;14:1585. doi: 10.4102/ajod.v14i0.1585. eCollection 2025.
Individuals with lower-limb amputations (LLAs) face unique challenges that affect their leisure participation and overall quality of life (QoL).
This study examines the relationships between leisure participation, leisure constraints and QoL among South Africans with LLAs ( = 50, mean age 46.2 ± 11.63 years).
A cross-sectional quantitative design was used, collecting data via the Trinity Amputation and Prosthesis Experience Scale-Revised (TAPES-R), Constraints to Participation, the World Health Organization Quality of Life Brief (WHOQOL-BREF), and the World Health Organization Quality of Life Disability Module (WHOQOL-DIS) questionnaires.
Weak to moderate relationships were found between leisure participation and constraints (interpersonal: τb = -0.01, = 0.402; structural: τb = -0.21, = 0.072). Moderate positive associations emerged between leisure participation and QoL in the disability module (τb = 0.21, = 0.073), physical domain (τb = 0.20, = 0.088) and environment domain (τb = 0.20, = 0.091). Medium-negative correlations were observed between QoL and constraints in the physical domain (intrapersonal: = -0.33, = 0.021; interpersonal: = -0.32, = 0.021). Significant negative relationships were found between QoL (social domain) and both intrapersonal ( = -0.33, = 0.020) and interpersonal constraints ( = -0.36, = 0.010).
This is the first study to explore these relationships in South Africans with LLAs. Intrapersonal and interpersonal constraints significantly impact physical and social QoL. Addressing these barriers may improve overall QoL in this population.
This study provides novel insights into the interplay between leisure participation, constraints, and QoL among South Africans with LLAs. By identifying the significant impact of intrapersonal and interpersonal constraints on physical and social QoL, these findings highlight the need for targeted interventions to reduce barriers and enhance leisure engagement.
下肢截肢者面临着影响其休闲参与和整体生活质量（QoL）的独特挑战。
本研究调查了南非下肢截肢者（n = 50，平均年龄46.2±11.63岁）的休闲参与、休闲限制与生活质量之间的关系。
采用横断面定量设计，通过修订后的三位一体截肢与假肢体验量表（TAPES-R）、参与限制、世界卫生组织生活质量简表（WHOQOL-BREF）以及世界卫生组织生活质量残疾模块（WHOQOL-DIS）问卷收集数据。
休闲参与与限制之间存在弱到中等程度的关系（人际方面：τb = -0.01，p = 0.402；结构方面：τb = -0.21，p = 0.072）。在残疾模块（τb = 0.21，p = 0.073）、身体领域（τb = 0.20，p = 0.088）和环境领域（τb = 0.20，p = 0.091），休闲参与与生活质量之间呈现中等程度的正相关。在身体领域，生活质量与限制之间观察到中等程度的负相关（个人内部：r = -0.33，p = 0.021；人际方面：r = -0.32，p = 0.021）。在生活质量（社会领域）与个人内部（r = -0.33，p = 0.020）和人际限制（r = -0.36，p = 0.010）之间发现了显著的负相关。
这是第一项探索南非下肢截肢者这些关系的研究。个人内部和人际限制对身体和社会生活质量有显著影响。解决这些障碍可能会改善该人群的整体生活质量。
本研究为南非下肢截肢者的休闲参与、限制和生活质量之间的相互作用提供了新的见解。通过确定个人内部和人际限制对身体和社会生活质量的重大影响，这些发现凸显了针对性干预措施以减少障碍并增强休闲参与的必要性。
