Targeting Balance Confidence as a Strategy to Increase Integration and Improve Outcomes in Users of Lower-Limb Prostheses
Technical Report,30 Sep 2017,29 Sep 2018
Rosalind Franklin University of Medicine North Chicago United States
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The purpose of this project is to test whether a novel, multicomponent, subject-specific intervention that simultaneously addresses both the physical and psychological factors underlying low balance confidence, can improve balance confidence and in turn increase community participation in persons who use lower limb prostheses. To date the majority of effort has been dedicated to finalizing the intervention protocol and engaging in participant recruitment. As part of protocol development, we conducted the 8-week intervention on a case subject, and observed a marked increase in the primary study outcome of balance confidence quantified using the Activity Specific Balance Confidence ABCscale. The ABC score increased from 48.5100 prior to the start of the intervention to 91.9 at one-month following the completion of the intervention, and there was a concomitant increase in community participation. The number of steps outside of the home per hour increased from 150.7 plus or minus 87.6 outdoor-stepshour at baseline to 294.2 plus or minus 73.5 outdoor-stepshour at one-month follow-up.
- Medicine and Medical Research