Objective To identify factors that may predict community participation among adults with lower-limb amputation (LLA). Design This study is a secondary analysis of a cross-sectional dataset, including 126 community-dwelling adults, ≥1 year after unilateral transfemoral- (n = 44; mean age = 59 ± 14 years) or transtibial-level amputation (n = 82; mean age = 59 ± 14 years) seen in an outpatient limb loss clinic. Participation was assessed with the Community Integration Questionnaire (CIQ). Factors, i.e., demographics, comorbidities, prosthesis-use per the Houghton Scale, Socket Comfort Score, assistive device use, falls history, and activity level per General Practice Physical Activity Questionnaire were evaluated. Moreover, balance-confidence per the Activities-Specific Balance Confidence Scale, mobility per the Locomotor Capabilities Index, fast and self-selected gait speed per 10-meter Walk Tests, and functional mobility via Timed Up and Go, were also included. Results Community participation was correlated with several factors (p ≤ 0.050). Stepwise regression of correlated factors found absence of peripheral neuropathy and greater self-reported physical activity, balance-confidence, and prosthesis use, as the strongest correlates, collectively explaining 50.1% of the variance in community participation post-LLA. Conclusions Findings identify key modifiable factors for consideration in future prospective research seeking to enhance community reintegration and participation among adults living with a unilateral transfemoral- or transtibial-level amputation. Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
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