Brief ReportAssociation Between Changes in Subjective and Objective Measures of Mobility in People With Lower Limb Amputations After Inpatient RehabilitationCieslak, Gabrielle HBSc; Omana, Humberto MSc; Madou, Edward MSc; Frengopoulos, Courtney MSc; Viana, Ricardo OT, MD; Payne, Michael W. MSc, MD; Hunter, Susan W. PT, PhDAuthor Information From the Faculty of Health Sciences, University of Western Ontario, London, Ontario, Canada (GC, HO, EM, CF, SWH); Department of Physical Medicine & Rehabilitation, Parkwood Institute, London, Ontario, Canada (RV, MWP); Department of Physical Medicine & Rehabilitation, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ontario, Canada (RV, MWP, SWH); and School of Physical Therapy, University of Western Ontario, London, Ontario, Canada (SWH). All correspondence should be addressed to: Susan W. Hunter, PT, PhD, University of Western Ontario, School of Physical Therapy, Elborn College, London, ON, Canada N6G 1H1. This study was supported by the St. Joseph’s Healthcare Foundation Cognitive Vitality and Brain Health Seed Funding Opportunity in London, Ontario, Canada. A preliminary version of the present study was presented as a poster at the 67th Annual Canadian Association of Physical Medicine & Rehabilitation (CAPM&R) Scientific Meeting. Gabrielle Cieslak, Humberto Omana, and Courtney Frengopoulos are in training. Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article. Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (www.ajpmr.com). American Journal of Physical Medicine & Rehabilitation: November 2020 - Volume 99 - Issue 11 - p 1067-1071 doi: 10.1097/PHM.0000000000001490 Buy SDC Metrics Abstract Functional recovery for people with lower limb amputations is quantified using objective or subjective measures of performance. In this brief report, the prospective relationship between objective and subjective mobility after rehabilitation was evaluated in people with lower limb amputations. Adults undergoing inpatient prosthetic rehabilitation for a first unilateral transtibial or transfemoral level lower limb amputation were recruited. Assessment times: discharge and 4-mo follow-up. Gait velocity and the L Test under single- and dual-task conditions measured objective mobility. The Prosthetic Evaluation Questionnaire (section 4 and question 5b) measured subjective mobility. Paired t tests and Pearson correlation analysis evaluated change over time and the association between mobility types, respectively. Twenty-one people with lower limb amputations (61.6 ± 8.2 yrs) participated. Gait velocity significantly improved (single- and dual-task: P < 0.001). L Test significantly improved for single-task (P = 0.002) but not dual-task conditions. No statistically significant Prosthetic Evaluation Questionnaire changes were observed. One subjective mobility question (sidewalk walking) correlated with objective mobility at follow-up (L Test single- and dual-task: r = −0.77; P < 0.001). Objective mobility improved after discharge; however, subjective reporting had no change. Lack of association may represent a mismatch between quantitative outcomes and subjective self-assessment. Both subjective and objective measures of mobility should be collected to provide a holistic picture of clinical and patient-relevant outcomes in people with lower limb amputations. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.