Accession Number : AD1043831


Title :   Determining Clinically Relevant Changes in Community Walking Metrics to Be Tracked by the VA as Part of Routine Care in Lower Limb Amputee Veterans


Descriptive Note : Technical Report,15 Sep 2016,14 Sep 2017


Corporate Author : Modus Health, LLC Edmonds United States


Personal Author(s) : Chou, Teri


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/1043831.pdf


Report Date : 01 Oct 2017


Pagination or Media Count : 8


Abstract : The objective of this study is to define clinically meaningful change in the walking function of lower limb prosthetic users in order to more easily assess whether a patient is improving or declining in function over time. However, little is known about the natural fluctuations in walking metrics from week to week when walking function is stable versus clinically relevant changes in walking function. Therefore, it will be important to define meaningful change in walking function when interpreting the impact of prosthetic components, rehabilitation, and other treatments on real world walking. Recruitment has been completed and data collection is near completed. A total of 100 subjects have enrolled in the study: Veteran subjects n=55 and University of Utah subjects n=45. Preliminary analysis indicates that daily steps and distance walked may track most closely to perceived change in walking function. However, data collection is on-going and necessary before cut points that represent meaningful change is recommended.


Descriptors :   WALKING , LOWER LIMB PROSTHESES , veterans (military personnel) , METRICS


Subject Categories : Medicine and Medical Research
      Anatomy and Physiology


Distribution Statement : APPROVED FOR PUBLIC RELEASE