Effects of a Powered Ankle-Foot Prosthesis and Device-Specific Physical Therapy on Function and Pain for Individuals Living with Transfemoral Limb Loss

Abstract

Lower limb prosthetic technology has evolved into advanced powered devices that can better replicate the gastroc-soleus complex for individuals with a lower extremity amputation. However, the current state of prosthetic research appears to favor the evaluation of prosthetic componentry on gait mechanics and rarely incorporates any device-specific physical therapy (PT) program. This study proposes to measure the biomechanical and functional response of participants with transfemoral amputation (TFA) to an advanced prosthetic and rehabilitative intervention. This investigation is a 2-site, 8-week, randomized, clinical trial. Individuals living with TFA will be fit with a powered ankle-foot prosthesis and randomized to receive either device-specific PT or the current standard of care. At baseline (utilizing their current passive prosthesis), and again 4- and 8-weeks later utilizing the powered device, all subjects will undergo a full gait analysis, as well as functional, neurocognitive, cognitive, and pain assessments. Results from this investigation will drive prosthetic and PT prescriptions for use of powered devices in this population.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2019
Accession Number
AD1105435

Entities

People

  • Bradford Hendershot
  • Jason Maikos

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Amputees
  • Biomechanical Phenomena
  • Biomechanics
  • Biomedical Research
  • Clinical Trials
  • Lower Extremity
  • Lower Limb Amputations
  • Lower Limb Prostheses
  • Medical Personnel
  • Mental Processes
  • Military Medicine
  • Physical Therapy
  • Prostheses And Implants
  • Prosthetics
  • Residual Limbs
  • Standards
  • Surgical Amputations

Fields of Study

  • Medicine

Readers

  • Psychological Intervention/Treatment for Stress, Anxiety, PTSD, and Related Emotional and Cognitive Health Symptoms.
  • Robotics and Automation.
  • Trauma Surgery or Emergency Medicine.