Quality of Life, Physical Activity Participation, and Perceptions of Physical Rehabilitation Among Community-Reintegrated Veterans With Lower Limb Amputation in Sri Lanka: Convergent Parallel Mixed Methods Study.

This was a cross-sectional survey and interviews, so it cannot show that lack of community rehabilitation caused lower quality of life or physical activity. It did not test a community rehabilitation program, so the preferences reported by veterans are not evidence that such a program works. Participants were all male Sri Lankan veterans with war-related unilateral lower limb amputation living in military villages, so findings may not apply to civilians, women, people with bilateral amputation, vascular amputation, or other countries. Physical activity and quality of life were self reported, and the physical activity analysis used 79 veterans and 82 controls, not the full 85 in each group. The paper does not explain why fewer participants were analysed for physical activity. Qualitative interviews included 25 veterans selected purposively, so they describe these participants' views rather than all veterans.

Do not read the lower quality of life and physical activity in veterans as proof that a community rehabilitation program would improve them. This study did not test an intervention; it described current status and preferences.