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The Effect of a Powered Ankle Foot Orthosis (PAFO) on Function, Safety, and Quality of Life in Military ServiceMembers and Veterans Who Wear a Prescribed Orthosis

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[Technical Report, Annual Report]

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This project is a 2-arm, parallel, randomized, controlled clinical trial designed to determine if a powered ankle foot orthosisPAFO, that assists with toe clearance and provides push-off power when taking a step, will translate into enhanced function inindividuals who walks with a prescribed AFO. We will assess these outcomes in 64 veterans who walk with a prescribed AFO byrandomizing participants, in a 11 ratio, into an intervention and a comparison group. Participants in both groups will receive newshoes to be worn with their orthosis to eliminate any confounding variables presented by worn or inadequate shoes. Participantsin the intervention group will be provided enhanced training opportunities to use a PAFO while the comparison group will continuewith their currently prescribed orthosis. All participants will be followed with weekly contact over a 7-month period of time andreceive physical therapy training. All outcome measures will be evaluated three times during the 7-month study period.Recruitment resources via Partner Orthotic clinics, Regional DAV, Memphis VAMC, local area health care agencies and physicianpractices have been identified and approval to contact potential study volunteers is currently in progress. Recruitment,enrollmentrandomization, intervention is in progress and follow-up assessments will take place during in the comingquartersyear.


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[A, Approved For Public Release]