Health-related quality of life and the ability to perform activities of daily living: a cross-sectional study on 1079 war veterans with ankle-foot disorders

Mostafa Allami; Amir Yavari; Amir Karimi; Mehdi Masoumi; Mohammadreza Soroush; Elahe Faraji

doi:10.1186/s40779-017-0146-1

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Health-related quality of life and the ability to perform activities of daily living: a cross-sectional study on 1079 war veterans with ankle-foot disorders

RESEARCH | Updated：2026-03-12

- Health-related quality of life and the ability to perform activities of daily living: a cross-sectional study on 1079 war veterans with ankle-foot disorders
- Military Medical Research Vol. 5, Issue 2, Pages: 103-110(2018)
- Affiliations：
  
  Janbazan Medical and Engineering Research Center (JMERC), NO.17, Farrokh St., Moghaddas Ardebily Ave., Chamran Highway, Tehran, Iran
- Author bio：
  
  *: faraji_1383@yahoo.com
- Funds：
- DOI：10.1186/s40779-017-0146-1
  CLC：
- Published：2018-06
- Accepted：
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Allami et al.: Health-related quality of life and the ability to perform activities of daily living: a cross-sectional study on 1079 war veterans with ankle-foot disorders. Mil Med Res, 2017, 4: 37
DOI：

Allami et al.: Health-related quality of life and the ability to perform activities of daily living: a cross-sectional study on 1079 war veterans with ankle-foot disorders. Mil Med Res, 2017, 4: 37 DOI： 10.1186/s40779-017-0146-1.

摘要

Abstract

Background:

The ankle-foot injuries are among the war-related injuries that cause many serious secondary problems for a lifetime. This nationwide study aimed to assess health-related quality of life and the ability to perform activities of daily living in veterans with ankle-foot injuries due to the Iran-Iraq war.

Methods:

A total of 1079 veterans with ankle-foot injuries were enrolled in a cross-sectional study from 2014 to 2016. Demographic characteristics

including age

gender

marital status

disability percent

educational level

employment and additional injuries

were collected. The ability to perform daily activities was assessed using the Barthel activities of daily living (ADL) and Lawton instrumental activities of daily living (IADL) Indexes. Physical and mental health-related quality of life (HRQOL) data were measured

via

the SF-36 subscales. The data were compared with those of bilateral lower limb amputees (BLLAs) and of the general Iranian population. Statistical analyses

including Pearson’s correlation coefficient

one-sample t-test and analysis of variance (ANOVA)

were performed using SPSS16.0. A multiple linear regression model was used to determine the contribution of independent variables to the Physical Component Summary (PCS) and Mental Component Summary (MCS).

Results:

The highest and lowest scores were observed for mental health (48.93±20.69) and bodily pain (28.16±21.74)

respectively. The mean scores of veterans with ankle-foot injuries on the SF-36 were significantly lower on all eight measures than those of the general Iranian male population and of the bilateral lower limb amputees (

0.001). The mean scores of ADLs and IADLs were 83.9±16.3 and 5.3±2.0

respectively. The higher dependency in ADLs (

0.001) and IADLs (

0.001)

the higher disability rate (

0.001) and additional injury (

0.001) were significant determinants of the PCS. ADL (

0.001) and IADL (

0.001) limitations

additional injury (

0.001)

history of hospitalization in the year preceding the study (

=0.007) and employment (

=0.001) were reported as determinants of the MCS.

Conclusion:

The results strongly suggest that veterans with ankle-foot injuries suffer from critically poor health-related quality of life. The main predicting factors of HRQOL were the disability to perform ADLs/IADLs

suffering two or more injuries

a history of hospitalization in the year preceding the study and unemployment.

关键词

Keywords

references

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