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 intervention that addresses both the physical and psychological factors underlying low balance confidence, can increase community participation in persons who use lower limb prostheses. To date we have recruited a total of 17 participants (including 2 who failed initial screening) that have been randomized to either a sham-control group (home-based seated exercises) or an intervention group, which includes eight on-site sessions with a physical therapist and psychologist. The primary study outcome of balance confidence, i.e., Activity Specific Balance Confidence (ABC) scale, as well as other measures of community participation are captured at baseline (week 0) and again at week 8 (post-intervention), week 16 and week 24. To date we have recruited 22 participants, of whom 19 have been randomized (10 intervention). Mixed model analysis indicates a significant group x time interaction on gait self-efficacy, but not ABC score.

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Document Details

Document Type
Technical Report
Publication Date
Jan 01, 2023
Accession Number
AD1202731

Entities

People

  • Noah J. Rosenblatt

Organizations

  • Rosalind Franklin University of Medicine and Science

Tags

DTIC Thesaurus Topics

  • Amputees
  • Assistive Technologies
  • Health Services
  • Information Science
  • Lower Limb Amputations
  • Lower Limb Amputees
  • Lower Limb Prostheses
  • Medical Personnel
  • Pain
  • Parkinson'S Disease
  • Prostheses And Implants
  • Prosthesis Fitting
  • Prosthetics
  • Psychology
  • Reliability
  • Residual Limbs
  • Surgical Amputations

Fields of Study

  • Psychology

Readers

  • 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.