The Effectiveness of the DoD/VA Mobile Device Outcomes-Based Rehabilitation Program for High Functioning Service Members and Veterans with Lower Limb Amputation

Abstract Introduction The objective was to determine if the Mobile Device Outcomes-based Rehabilitation Program (MDORP) improved strength, mobility, and gait quality in service members (SMs) and Veterans with lower limb amputation (LLA). Methods Seven SMs and 10 Veterans with LLA enrolled and were t...

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Bibliographic Details
Published in:Military medicine 2020-01, Vol.185 (Supplement_1), p.480-489
Main Authors: Gaunaurd, Ignacio, Gailey, Robert, Springer, Barbara, Symsack, Allison, Clemens, Sheila, Lucarevic, Jennifer, Kristal, Anat, Bennett, Christopher, Isaacson, Brad, Agrawal, Vibhor, Applegate, Brooks, Pasquina, Paul
Format: Article
Language:English
Subjects:
Adult
Aged
Amputation - rehabilitation
Amputation - standards
Amputees - rehabilitation
Amputees - statistics & numerical data
Cross-Sectional Studies
Female
Gait
Gait - physiology
Humans
Male
Middle Aged
Postural Balance - physiology
Prostheses
Rehabilitation - methods
Rehabilitation - standards
Rehabilitation - statistics & numerical data
Smartphone - instrumentation
Smartphone - trends
Treatment Outcome
United States
United States Department of Defense - organization & administration
United States Department of Defense - statistics & numerical data
United States Department of Veterans Affairs - organization & administration
United States Department of Veterans Affairs - statistics & numerical data
Veterans
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Summary:Abstract Introduction The objective was to determine if the Mobile Device Outcomes-based Rehabilitation Program (MDORP) improved strength, mobility, and gait quality in service members (SMs) and Veterans with lower limb amputation (LLA). Methods Seven SMs and 10 Veterans with LLA enrolled and were trained to use a mobile sensor system, called Rehabilitative Lower Limb Orthopedic Analysis Device (ReLOAD). ReLOAD provided participants with real-time assessment of gait deviations, subsequent corrective audio feedback, and exercise prescription for normalizing gait at home and in the community. After baseline testing, prosthetic gait and exercise training, participants took ReLOAD home and completed an 8-week walking and home exercise program. Home visits were conducted every 2 weeks to review gait training and home exercises. Results Significant improvements in hip extensor strength, basic and high-level mobility, musculoskeletal endurance, and gait quality (P 
ISSN:0026-4075
1930-613X
DOI:10.1093/milmed/usz201