Sport Participation Positively Associated with Balance Confidence and Well-being in Transtibial Amputees

Transtibial amputation (TTA) is the removal of the lower leg often resulting in pain, mental health issues, and a more sedentary lifestyle that lacks physical activity (PA). Low balance confidence and other factors related to the physical and psychosocial adaptation to amputation could contribute to why people with TTA actively avoid PA. Studies have investigated lower extremity amputations and barriers to PA in general, but none have focused solely on transtibial amputation and its relationship with PA participation and avoidance habits. To address this issue, 21 participants with TTA (14 male, 6 female, and 1 non-binary) shared their experiences through an online survey. Relationships between variables were examined with Spearman and Pearson correlations. Results revealed a positive relationship, with a moderate effect size between balance confidence and the sport index scale and multiple other correlations between the physical and psychosocial adaptation to TTA and PA participation and avoidance. Those who participate in sport following TTA seem to show a positive association with social adjustment and balance confidence. In addition, adaptations such as adjusting to new limitations and activity restrictions, as well as satisfaction with the function of the prosthesis, are also related to PA participation and avoidance. This study supports the premise that participating in PA, specifically sport, has physical and psychosocial benefits that cannot be undervalued. Insights drawn from this study lend support to evidence-based practices of rehabilitation programs for people with TTA that focus on balance confidence training. If those with TTA are interested in sports, balance confidence training via sport-specific training could further facilitate a positive adaptation following TTA.