# Experiences of coping and adjusting to lower limb prosthesis use in the Eastern Cape province

## TL;DR

This study explores how people in South Africa's Eastern Cape cope with using lower limb prostheses, highlighting emotional, social, and practical challenges.

## Contribution

The study provides new qualitative insights into the lived experiences of prosthesis users in a rural South African context.

## Key findings

- Participants experienced psychological and identity adjustments, including shock and happiness.
- Stigma and societal perceptions significantly influenced their prosthesis use experience.
- Support from family and community played a key role in coping and adaptation.

## Abstract

Lower limb amputation is the surgical removal of a limb, typically because of trauma or chronic illness. A prosthesis can aid recovery, but in South Africa’s Eastern Cape, access to prosthetic rehabilitation services remains limited.

The aim of this study was to describe and explore experiences of lower limb prosthetic users in coping and adjusting to prosthesis use in the OR Tambo District.

Using interpretative phenomenological analysis, this qualitative study purposefully sampled five lower limb prosthesis users. Data were collected through semi-structured face-to-face interviews conducted in participants’ homes. The interviews were transcribed and analysed using interpretive phenomenological analysis, allowing for an in-depth exploration of themes related to adaptation and coping.

Three themes emerged: (1) facing psychological and identity adjustments, participants reported a range of emotions from shock to happiness, (2) navigating daily societal realities and perceptions, emphasising the influence of stigma and support on prosthesis user experience, and (3) learning to cope and receive support, focusing on adaptive coping strategies and support systems, including family and the community.

The findings underscore the need for comprehensive and accessible rehabilitation services that address physical, emotional and social challenges. Tailored prosthesis designs for rural environments and community education programmes to reduce stigma are essential for improving user outcomes.

This study advocates for holistic prosthetic care, emphasising ongoing support and proactive engagement with users’ experiences to improve quality of life and promote independence.