Patient Response to an Integrated Orthotic and Rehabilitation Initiative for Traumatic Injuries for the Military Treatment Facilities (PRIORITI-MTF)

Abstract

The Intrepid Dynamic Exoskeletal Orthosis (IDEO(trademark)) is a custom, energy-storing carbon fiber ankle-foot orthosis developed for lower extremity trauma patients. Studies conducted at one military treatment facility (MTF) where the IDEO(trademark) was developed demonstrated benefits of the IDEO(trademark) when used with the Return to Run physical therapy program (RTR PT). The PRIORITI-MTF study was designed to see if these results could be replicated at other MTFs and examine whether early performance gains translate into longer term improvements in patient-reported functional outcomes. Methods. Study participants included service members at least 1 year after a traumatic unilateral lower extremity injury at or below the knee with functional deficits interfering with daily activities. Participants were evaluated before receiving the IDEO(trademark), immediately following completion of PT, and at 6 and 12 months. Agility, strength/power and speed were assessed using well-established performance tests. Self-reported function was measured using the Short Form Musculoskeletal Assessment (SMFA). The Orthotics and Prosthetics Users Survey was administered to assess satisfaction with the IDEO(trademark). Of 87 participants with complete baseline data, 6 did not complete any PT and were excluded from analysis. Follow-up rates immediately following completion of the RTR PT and at 6 and 12 months were 88 percent, 75 percent and 79 percent. Results. Compared to baseline, improvement at completion of RTR PT was observed in all but 1 performance test. SMFA scores for all domains except Arm/Hand Function were lower (improved function) at 6 and 12 months. Satisfaction with the IDEO(trademark) was high following completion of RTR PT with some attenuation at follow-up. Conclusion. This study adds to the evidence supporting the efficacy of the IDEO(trademark) coupled with RTR PT.

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Document Details

Document Type
Technical Report
Publication Date
Mar 01, 2018
Accession Number
AD1094034

Entities

People

  • Ellen J. MacKenzie

Organizations

  • Johns Hopkins University

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Amputees
  • Bone Fractures
  • Carbon Fibers
  • Department Of Defense
  • Health Services
  • Institutional Review Board
  • Leg Injuries
  • Lower Extremity
  • Military Medicine
  • Performance Tests
  • Physical Therapy
  • Prosthetics
  • Public Health
  • Quality Of Life
  • Test And Evaluation
  • Therapy
  • Wounds And Injuries

Fields of Study

  • Medicine

Readers

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