Journal article
Predictors of long-term pain and function in individuals who received a custom dynamic orthosis and device-centric care pathway
Prosthetics and orthotics international, Vol.48(4), pp.372-379
08/2024
DOI: 10.1097/PXR.0000000000000290
PMID: 37934175
Abstract
Introduction: Carbon fiber custom dynamic orthoses (CDOs) have been shown to effectively reduce pain and improve function in military service members with lower-limb impairment, but data are limited for civilians. Objectives: To evaluate the long-term outcomes of individuals who completed a CDO-centric care pathway in a civilian clinic by comparing baseline pain, mobility, and function with outcomes at long-term follow-up. To identify baseline characteristics and postintervention outcomes predictive of outcomes at long-term follow-up. Methods: Records of 131 adult patients who received a CDO and CDO-centric training were reviewed. Patient-reported measures of pain and physical function and timed assessment of walking and agility collected during routine clinical care were extracted. These patients were contacted on average 4 (±1) years postintervention to complete a survey including measures of pain and physical function. Results: The 63 participants who responded reported improved or greatly improved function, maximum pain, and typical pain on average, irrespective of age or sex ( P < 0.001). Change in function from baseline to long-term follow-up was predicted by short-term change in function (35.1% of the variance; P < 0.001). Change in pain from baseline to long-term follow-up was predicted by baseline typical pain and change in four square step test time (63% of variance; P < 0.001). Conclusions: Most survey respondents reported positive outcomes. Long-term pain reduction and improved function were predicted by baseline status and by short-term changes associated with receiving a CDO and completing an intensive training program.
Details
- Title: Subtitle
- Predictors of long-term pain and function in individuals who received a custom dynamic orthosis and device-centric care pathway
- Creators
- Jared N. Williamson - Rocky Mountain University of Health ProfessionsMegan M. Grunst - University of IowaJeffrey Lynn - Slippery Rock UniversityGary A. Williamson - Protein MetricsRyan V. Blanck - MultiCare Gig Harbor Medical ParkJason M. Wilken - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Prosthetics and orthotics international, Vol.48(4), pp.372-379
- DOI
- 10.1097/PXR.0000000000000290
- PMID
- 37934175
- ISSN
- 0309-3646
- eISSN
- 1746-1553
- Grant note
- DOI: 10.13039/100000090, name: Congressionally Directed Medical Research Programs, award: W81XWH-18-2-0073
- Language
- English
- Electronic publication date
- 11/06/2023
- Date published
- 08/2024
- Academic Unit
- Physical Therapy and Rehabilitation Science
- Record Identifier
- 9984507158202771
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