The Arabic Version of Trinity Amputation and Prosthetic Experience Scale - Revised (TAPES-R) for Lower Limb Amputees: Reliability and Validity

Reem Massarweh, Mohammad M D Sobuh


Purpose: Despite the importance of the evaluation process in lower limb prosthetic rehabilitation, prostheses are rarely evaluated properly in the Arab world. This is partly due to the absence of any suitable Arabic evaluative tool. The aim of this study is to translate TAPES-R (a standardised evaluative questionnaire) into Arabic and to investigate its psychometric properties on lower limb amputees. Such a tool would ultimately be of benefit for clinical follow-up and research purposes.

Method: International standards were followed for the forward- and back-translation of the TAPES-R questionnaire. A sample of 111 Arabic-speaking volunteers with lower limb amputation completed the translated version of the questionnaire. The responses were then statistically analysed using factor analysis and Cronbach’s α to assess the content and construct validity, and internal consistency (reliability) respectively.

Results: Factor analysis showed that the questionnaire’s items (included in the analysis) can be divided into three distinct dimensions as was originally suggested. The distribution of the items within the three dimensions is comparable with the original questionnaire. All three parts of TAPES-R showed high reliability; where Cronbach’s α were .892, .894, and .873 respectively.

Conclusion: This study found that the Arabic version of TAPES-R represents a valid and reliable tool.

Limitations: The questionnaire is designed to be emailed or posted, but the majority of the amputee population in Jordan did not have these services, so direct contact with each participant was necessary.


Quality of life; TAPES; amputation; rehabilitation

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Atherton R, Robertson N (2006). Psychological adjustment to lower limb amputation amongst prosthesis users. Disability Rehabilitation; 28(19): 2101-2109. PMid:17005481

Bakhsh H, Franchignoni F, Bravini E, Ferriero G, Giordano A, Foti C (2014). Validation of the Arabic version of the client satisfaction with device module of the “orthotics and prosthetics users” survey. Ann Saudi Med 34(4): 320-327. PMid:25811205 PMCid:PMC6152569.

Bowling A (2009). Research methods in health: Investigating health and health services. 2nd Edition. London, UK: McGraw-Hill Education.

Calmels P, Béthoux F, Le-Quang B, Chagnon P, Rigal F (2001). Functional assessment scales and lower limb amputation. Ann Readapt Med Phys; 44(8): 499-507.

Courtney M , Gordon M (2013). Determining the number of factors to retain in EFA: Using the SPSS R-Menu v2. 0 to make more judicious estimations. Pract Asses Res Eval; 18(8): 1-14.

Day H (1981). The assessment and description of amputee activity. Prosthet and Orthot Int; 5(1): 23-28.

Day S, Buis A (2012). Cross cultural equivalence testing of the prosthetic evaluation questionnaire (PEQ) for an Arabic speaking population. Prosthet and Orthot Int; 38(2): 173-180. PMid:22312011

Deans S, McFadyen A, Rowe P (2008). Physical activity and quality of life: A study of a lower-limb amputee population. Prosthet and Orthot Int; 32(2): 186-200. PMid:18569887

Devlin M, Pauley T, Head K, Garfinkel S (2004). Houghton scale of prosthetic use in people with lower-extremity amputations: Reliability, validity, and responsiveness to change. Arch Phys Med Rehabil; 85(8): 1339-1344. PMid:15295762

Field A (2009). Discovering statistics using SPSS. 3 ed Edition. London, UK.

Gallagher P (2000). Development and psychometric evaluation of the trinity amputation and prosthesis experience scales (TAPES). Rehab Psych; 45(2): 130-154.

Gallagher P, MacLachlan M (1999). Psychological adjustment and coping in adults with prosthetic limbs. Behav Med; 25(3): 117-124. PMid:10640225

Gallagher P, MacLachlan M (2004). The trinity amputation and prosthesis experience scales and quality of life in people with lower-limb amputation. Arch Phys Med Rehabil; 85(5): 730-736. PMid:15129396

Gallagher P, Franchignoni F, Giordano A, MacLachlan M (2010). Trinity amputation and prosthesis experience scales: A psychometric assessment using classical test theory and rasch analysis. Am J Phys Med Rehabil; 89(6): 487-496. PMid:20489393

Guillemin F, Bombardier C, Beaton D (1993). Cross-cultural adaptation of health-related quality of life measures: Literature review and proposed guidelines. J Clin Epidemiol; 46(12): 1417-1432.

Larsson B, Andersson I, Atroshi I (2009). The locomotor capabilities index; validity and reliability of the Swedish version in adults with lower limb amputation. Health Qual Life Outcomes; 7(44): 1-9. PMid:19463185 PMCid:PMC2696440

Legro M, Reiber G, Smith D, del Aguila M, Larsen J, Boone D (1998). Prosthesis evaluation questionnaire for persons with lower limb amputations: Assessing prosthesis-related quality of life. Arch Phys Med Rehabil; 79(8): 931-938.

Mazaheri M, Fardipour S, Salavati M, Hadadi M, Negahban H, Bahramizadeh M, Khosrozadeh F (2011). The Persian version of trinity amputation and prosthetics experience scale: translation, factor structure, reliability and validity. Disabil Rehabil; 33(19-20): 1737-1745. PMid:21184630

Miller W, Deathe A, Speechley M (2001). Lower extremity prosthetic mobility: A comparison of 3 self-report scales. Arch Phys Med Rehabil; 82(10): 1432-1440. PMid:11588750

Nunnally J (1978). Psychometric theory. New York, USA: McGraw-Hill Education.

O'Connor B (2000). SPSS and SAS programs for determining the number of components using parallel analysis and Velicer's MAP test. Behav Res Methods Instrum Comput; 32(3): 396-402.

Rushton P, Miller W (2002). Goal attainment scaling in the rehabilitation of patients with lower-extremity amputations: A pilot study. Arch Phys Med Rehabil; 83(6): 771-775. PMid:12048654

Skevington S, Lofty M, O'Connell K (2004). The World Health Organisation's WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial, A Report from the WHOQOL Group. Qual Life Res; 13(2): 299-310. PMid:15085902

Topuz S, Ülger Ö, Yakut Y, Gül Şener F (2011). Reliability and construct validity of the Turkish version of the trinity amputation and prosthetic experience scales (TAPES) in lower limb amputees. Prosthet and Orthot Int; 35(2): 201-206. PMid:21697202

Zidarov D, Swaine B, Gauthier-Gagnon C (2009). Quality of life of persons with lower-limb amputation during rehabilitation and at 3-month follow-up. Arch Phys Med Rehabil; 90(4): 634-645. PMid:19345780


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