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

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Technical Report,15 Sep 2015,14 Sep 2016

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Modus Health, LLC Washington United States

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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 and data collection is on track in this study. A total of 52 subjects have enrolled in the study Veteran subjects n34 and University of Utah subjects n18. 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.

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  • Medicine and Medical Research

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