TY - JOUR
T1 - High-level performance after the return to run clinical pathway in patients using the intrepid dynamic exoskeletal orthosis
AU - Mazzone, Brittney
AU - Farrokhi, Shawn
AU - Depratti, Andrew
AU - Stewart, Julianne
AU - Rowe, Kimberly
AU - Wyatt, Marilynn
N1 - Funding Information:
1Department of Defense-Veterans Affairs Extremity Trauma and Amputation Center of Excellence, San Diego, CA. 2Naval Medical Center San Diego, San Diego, CA. 3General Dynamics Information Technology, Fairfax, VA. This study was approved by the Naval Medical Center San Diego Institutional Review Board (NMCSD.2014.0026). The views expressed herein are those of the authors and do not necessarily reflect the official policy or position of the US Department of the Navy, the US Department of Defense, or the US Government. Funding support was provided by the Department of Defense-Veterans Affairs Extremity Trauma and Amputation Center of Excellence under Work Unit Number N1333. The authors certify that they have no affiliations with or financial involvement in any organization or entity with a direct financial interest in the subject matter or materials discussed in the article. Address correspondence to Dr Brittney Mazzone, 34800 Bob Wilson Drive, San Diego, CA 92134. E-mail: Brittney.n.mazzone.civ@mail.milUU Copyright ©2019 Journal of Orthopaedic & Sports Physical Therapy®
Funding Information:
This study was approved by the Naval Medical Center San Diego Institutional Review Board (NMCSD.2014.0026). The views expressed herein are those of the authors and do not necessarily reflect the official policy or position of the US Department of the Navy, the US Department of Defense, or the US Government. Funding support was provided by the Department of Defense-Veterans Affairs Extremity Trauma and Amputation Center of Excellence under Work Unit Number N1333. The authors certify that they have no affiliations with or financial involvement in any organization or entity with a direct financial interest in the subject matter or materials discussed in the article.
Publisher Copyright:
Copyright © 2019 Journal of Orthopaedic & Sports Physical Therapy®
PY - 2019/7/1
Y1 - 2019/7/1
N2 - BACKGROUND: Severe ankle and foot injuries in the US military can result in high-level functional limitation, lost duty days, and medical discharge. OBJECTIVE: To assess the effectiveness of the Return to Run Clinical Pathway (RTR) in returning patients with lower extremity fractures who utilized the Intrepid Dynamic Exoskeletal Orthosis (IDEO) to high-level mobility. METHODS: Thirty servicemembers with lower extremity fractures who utilized the IDEO unilaterally and completed the RTR at Naval Medical Center San Diego were included in this retrospective operational review. The Comprehensive High-level Activity Mobility Predictor (CHAMP) and all subtests were completed prior to and after completion of the RTR as part of routine clinical care. An analysis of covariance (ANCOVA) was used to compare CHAMP scores before and after the RTR. RESULTS: Significant improvements were found in the T test (mean change, faster by 5.3 seconds; 95% confidence interval: 3.6, 7.1 seconds; P = .03) and total CHAMP score (mean change, 4.2 points; 95% confidence interval: 3.0, 5.3 points; P<.05). No significant changes were noted in the singlelegged stance subtest, the Edgren sidestep test, or the Illinois agility test. CONCLUSION: The RTR led to improvements in high-level, multidirectional mobility in IDEO users with a history of fractures. Applicability of the intervention used in this study requires further validation before widespread use.
AB - BACKGROUND: Severe ankle and foot injuries in the US military can result in high-level functional limitation, lost duty days, and medical discharge. OBJECTIVE: To assess the effectiveness of the Return to Run Clinical Pathway (RTR) in returning patients with lower extremity fractures who utilized the Intrepid Dynamic Exoskeletal Orthosis (IDEO) to high-level mobility. METHODS: Thirty servicemembers with lower extremity fractures who utilized the IDEO unilaterally and completed the RTR at Naval Medical Center San Diego were included in this retrospective operational review. The Comprehensive High-level Activity Mobility Predictor (CHAMP) and all subtests were completed prior to and after completion of the RTR as part of routine clinical care. An analysis of covariance (ANCOVA) was used to compare CHAMP scores before and after the RTR. RESULTS: Significant improvements were found in the T test (mean change, faster by 5.3 seconds; 95% confidence interval: 3.6, 7.1 seconds; P = .03) and total CHAMP score (mean change, 4.2 points; 95% confidence interval: 3.0, 5.3 points; P<.05). No significant changes were noted in the singlelegged stance subtest, the Edgren sidestep test, or the Illinois agility test. CONCLUSION: The RTR led to improvements in high-level, multidirectional mobility in IDEO users with a history of fractures. Applicability of the intervention used in this study requires further validation before widespread use.
KW - Ankle-foot orthosis
KW - Military
KW - Rehabilitation with orthoses
UR - http://www.scopus.com/inward/record.url?scp=85069166361&partnerID=8YFLogxK
U2 - 10.2519/jospt.2019.8763
DO - 10.2519/jospt.2019.8763
M3 - Article
C2 - 30759354
AN - SCOPUS:85069166361
SN - 0190-6011
VL - 49
SP - 529
EP - 535
JO - Journal of Orthopaedic and Sports Physical Therapy
JF - Journal of Orthopaedic and Sports Physical Therapy
IS - 7
ER -