Lower Limb Trauma
Conditions
Brief summary
The purpose of this study is to find out if an advance balance perturbation training program can enhance the rehabilitation process by increasing weight-bearing strategies on the prosthetic or injured limb, and, help reduce stumbles and falls.
Interventions
Patient reported physical function outcomes
Performance based measure assessing general physical function and balance ability.
Subjects attempt to walk along 4 progressively narrower beam segments with their arms crossed over their chest.
Survey on confidence, stumbles and falls.
Sponsors
Study design
Eligibility
Inclusion criteria
* Research participants will be eligible active duty service members and retired veterans. * Having lower limb trauma (transtibial and transfemoral amputations, bilateral amputations, and limb salvage). * Are enrolled in conventional rehabilitation at the participating military treatment centers. * Subjects with dysvascular disease will be excluded because compromised lower limb somatosensation and circulation are independently linked with poor postural stability and a history of frequent falls. * For subjects with amputations, the individual must be a community ambulator (i.e., K-Level 3 or 4). * For subjects with limb salvage, they will need to have an IDEO and be entered into the Return-to-Run training program.
Exclusion criteria
\- Subjects must not have excessive pain or other neuromuscular problems that preclude them from performing the test protocol.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Prosthesis Evaluation Questionnaire-Addendum (PEQ-A) | 0, 6 months | Fall incidence change between baseline and 6 months |
Countries
United States
Contacts
Mayo Clinic