Targeting Balance Confidence as a Strategy to Increase Integration and Improve Outcomes in Users of Lower-Limb Prostheses

Abstract

The purpose of this project is to test whether a novel, multicomponent, subject-specific intervention that simultaneously addresses both the physical and psychological factors underlying low balance confidence, can improve balance confidence and in turn increase community participation in persons who use lower limb prostheses. To date the majority of effort has been dedicated to finalizing the intervention protocol and engaging in participant recruitment. As part of protocol development, we conducted the 8-week intervention on a case subject, and observed a marked increase in the primary study outcome of balance confidence quantified using the Activity Specific Balance Confidence (ABC)scale. The ABC score increased from 48.5/100 prior to the start of the intervention to 91.9 at one-month following the completion of the intervention, and there was a concomitant increase in community participation. The number of steps outside of the home per hour increased from 150.7 plus or minus 87.6 outdoor-steps/hour at baseline to 294.2 plus or minus 73.5 outdoor-steps/hour at one-month follow-up.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2018
Accession Number
AD1094975

Entities

People

  • Noah J. Rosenblatt

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Amputees
  • Assistive Technologies
  • Health Services
  • Lower Limb Amputations
  • Lower Limb Prostheses
  • Medical Personnel
  • Prostheses And Implants
  • Prosthetics
  • Psychology
  • Residual Limbs
  • Students
  • Surgical Amputations
  • Therapy
  • Traumatic Stress Disorder

Readers

  • Mathematics or Statistics
  • Psychological Intervention/Treatment for Stress, Anxiety, PTSD, and Related Emotional and Cognitive Health Symptoms.
  • Rehabilitation and Prosthetic Care for Military Service Members and Veterans with Limb Loss or Disability.