A systematic review identified 6 studies that reviewed the relationship between participation in regular physical activity or sport and self-esteem . Self-esteem was found to be higher amongst those engaging in regular sport or physical activity. This may be due to a number of factors, such as an increased number of social contacts, an acceptance of their disability, improved motor function and an increased knowledge and understanding of how they can maintain regular activity. A greater proportion of participants in these studies had undergone a traumatic amputation that would be expected in the general population.
Quality of evidence
Strength of recommendation
Regular physical activity is likely to improve self-esteem in lower limb amputees.
Lower limb amputations are performed for a number of clinical indications. Although most evidence around physical activity relates to prosthetic users and for dysvascular amputees, the benefits of physical activity are not exclusive to these groups and should be shared with all lower limb amputees. Lower limb amputees wishing to increase their physical activity levels should be encouraged to do so.
- Bragaru M, Dekker R, Geertzen JHB, et al. Amputees and Sports A Systematic Review. Sports Medicine 2011;41(9):721-40. doi: 10.2165/11590420-000000000-00000