Can a Novel Beam-Walking Test Improve Fall Risk Assessment in Service Members, Veterans, and Civilians Who Use Lower-Limb Prostheses?

Abstract

The purpose of the proposed research is to improve the assessment of fall risk among unilateral lower limb prosthesis (LLP) users. The scope of the proposed research includes establishing the validity and reproducibility of contemporary clinical balance test, including the Narrowing-Beam Walking Test (NBWT). This is to be accomplished by administering the NBWT and four contemporary performance-based balance tests to 60 lower limb prosthesis users, who are then followed prospectively for 6 months to identify fall events. We have completed recruitment and enrollment of study participants at both study sites (UIC and UW), all prospective data collection, and all data analyses. Dissemination efforts have resulted in nine manuscripts (5 published, 2 in review, 2 in prep), five invited talks or symposia, and seven posters or podium presentations. Our Narrowing Beam Walking Test has also been adopted and implemented by a prosthetic manufacturer (Ohio Willow Wood), and several academic/clinical sites (e.g., Minneapolis VA, Center for the Intrepid, Seattle VA, Delft University, and Emory University). Our research was also featured in the CDMRP FY19 Annual Report. Our principal finding is that a model combining performance-based balance tests and the number of falls recalled over the past year can predict the number of future falls in established, unilateral LLP users. This is the first study to develop a model that clinicians can use to predict future falls in established unilateral LLP users.

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Document Details

Document Type
Technical Report
Publication Date
Jan 01, 2021
Accession Number
AD1126322

Entities

People

  • Andrew Sawers
  • Brian J Hafner

Organizations

  • University of Illinois Urbana–Champaign

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Accuracy
  • Amputees
  • Assistive Technologies
  • Data Analysis
  • Data Mining
  • Data Science
  • Databases
  • Health Services
  • Information Science
  • Institutional Review Board
  • Knowledge Management
  • Lower Limb Amputations
  • Lower Limb Amputees
  • Lower Limb Prostheses
  • Medical Personnel
  • Prostheses And Implants
  • Prosthetics
  • Residual Limbs
  • Surgical Amputations
  • Surveys

Fields of Study

  • Medicine

Readers

  • Academic Conference Management
  • Clinical Trial Research.
  • Rehabilitation and Prosthetic Care for Military Service Members and Veterans with Limb Loss or Disability.