Improved Training Program for Fall Prevention of War Fighters

Study Overview
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Brief Summary
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This study will train War Fighters with lower extremity trauma to decrease fall risk.

Detailed Description
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Eligible active duty service members, retired or veterans who participated in rehabilitation programs at Department of Defense Advanced Rehabilitation Centers (Walter Reed National Military Medical Center, Center for the Intrepid-San Antonio Military Medical Center and/or the Naval Medical Center San Diego) will be considered for enrollment in this study. This study will look at service members who have undergone transfemoral, transtibial or bilateral lower extremity amputation or limb salvage procedures. Participants will receive fall prevention training on an instrumented treadmill (6, training sessions). Participants will receive three performance assessments:-immediately following completion of the treadmill training and at three and six months following the completion of the training. Post training, twice per month subjects will receive an email containing a follow up fall questionnaire monitoring if they have fallen and the circumstances surrounding their fall. If they do not have access to email, or if a timely response is not received from the email questionnaire which was sent out, subjects will be contacted by phone.

Official Title
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Improved Training Program for Fall Prevention of War Fighters With Lower Extremity Trauma

Conditions
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Limb Injury

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Eligible active duty and retired service members and veterans with lower limb trauma Transfemoral amputation, transtibial amputation, bilateral amputation and or limb salvage Participated in conventional rehab at one of the following rehab centers: Walter Reed National Medical Center, Center for the Intrepid Brooke Army Medical Center, Naval Medical Center San Diego Community ambulator Prosthesis / Orthosis use daily Exclusion Criteria: Dysvascular disease Excessive pain Neuromuscular problems preventing the performance of study protocol

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 55 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Trunk Position | Trunk Position (referenced to vertical) at recovery step completion | Change from baseline at 0, 3, and 6 months after completing training | 
| Change in Trunk Velocity | Trunk Velocity at recovery step completion | Change from baseline at 0, 3, and 6 months after completing training | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Falls | Falls per month reported in the Prosthesis Evaluation Questionnaire - Addendum | Change from baseline at 0, 3, and 6 months after completing training | 
| FSST | Four-Square Step Test | Change from baseline at 0, 3, and 6 months after completing training | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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transfemoral amputation, limb salvage, bilateral amputation, Department of Defense, orthosis, prosthesis, rehabilitation, military treatment facilities, military, injured lower extremity, prevent falls, trauma lower extremity, service members, retired service members, active service members, unilateral lower extremity trauma, limb amputation, limb preservation, preserved limb, trips, slips, transtibial amputation