Free Papers: Lower Limb O&P: Impact on User Outcomes (AM2025-FP01)

Credit Hours

1.75 Scientific Credits

Learning Objectives

Please see course description.

Course Description

Free Papers: Lower Limb O&P: Impact on User Outcomes (AM2025-FP01)

Health Related Quality of Life in Amputees with a Microprocessor-Controlled Prosthetic Knee Measured by the EQ-5D-5L
Presenter:  Andreas D. Hahn, PhD – Corporate Vice President Clinical Research & Services, Otto Bock Healthcare Products GmbHThe EQ-5D-5L is commonly used to evaluate the Quality of Live of individuals using a microprocessor-controlled knee joint but little is known about how well the questionnaire matches this specific cohort and if normative EQ-5D data adequately represent them.

Learning Objectives:

• Upon completion participants will be able to understand better how well the commonly used EQ-5D-5L Questionnaire matches the specific cohort of individuals using a microprocessor-controlled knee joint.
• Upon completion participants will understand that the Quality of Life results suggest a substantial beneficial impact of MPKs.
• Upon completion participants gain a better understanding if German normative EQ-5d data adequately represent individuals using a microprocessor controlled knee joint.
• Upon completion participants will be able to understand that individuals utilizing MPKs had a comparable quality of life as the general German population with one medical condition.

Individual Responder Analysis of the International Randomized C-Brace Crossover Study
Presenter:  Andreas H. Kannenberg, MD (GER), PhD – Executive Medical Director, Otto Bock Healthcare LPThis paper presents an individual responder analysis for the 69 per-protocol participants of the international multicenter cross-over study with the C-Brace in users of conventional KAFOs and SCOs. Responders were determined based on individual clinically meaningful improvements in the Berg Balance Scale, falls, ABC scale, and Dynamic Gait Index.

Learning Objectives:

• Describe that current KAFO users with non-polio conditions and users of free-swing KAFOs (posterior-offset KAFOs and SCOs) are very likely to benefit from a C-Brace.
• Describe that current KAFO users who are polio survivors and users of a locked KAFO are less likely to benefit from a C-Brace than patients with non-polio conditions and users of free-swing KAFOs.
• Execute more clinical scrutiny in identifying potential C-Brace candidates.

Burden and Outcomes of MICROPROCESSOR-STANCE-AND-SWING-PHASE-CONTROLLED and Conventional Knee-Ankle-Foot Orthosis from Two Perspectives: Experts and Patients
Presenter:  Andreas D. Hahn, PhD – Corporate Vice President Clinical Research & Services, Otto Bock Healthcare Products GmbHThis research provides insights into the disease burden of patients with distal limb paresis and seeks to understand the disease burden from the perspectives of professionals and individual patients, as well as the advantages of using microprocessor-based stance and swing phase controlled KAFO (MP-SSCO).

Learning Objectives:

• Upon completion, participants will have a greater understanding of the disease burden experienced by individuals living with distal limb paresis.
• Upon completion, participants will understand which problems were rated as the most frequent problems by both experts and patients.
• Upon completion, participants will understand the potential of microprocessor-stance and swing phase controlled Knee Ankle Foot Orthosis.

The Effect of Carbon Fiber Custom Dynamic Orthosis Use on Outcomes After Traumatic Lower Limb Injury
Presenter:  Jason M. Wilken, PT, PhD – Associate Professor, University of IowaCarbon fiber custom dynamic orthoses (CDOs) are used to improve function following traumatic lower limb injury. However, outcomes data from treatment outside of specialized care centers is lacking. The purpose of this study was to determine the effect of two commercially available CDOs on patient-reported and performance-based outcomes in individuals with impairment resulting from traumatic lower limb injury. Both study CDOs significantly improved multiple outcomes measures, including physical function, pain, depression, and participation in social activities and roles. This study provides compelling data demonstrating wide-ranging positive effects of using two commercially available CDOs.

Learning Objectives:

• Upon completion, participants will be able to describe available literature related to the use of carbon fiber custom dynamic orthoses following traumatic lower limb injury.
• Upon completion, participants will be able to describe the effect of carbon fiber custom dynamic orthoses on patient-reported outcomes.
• Upon completion, participants will be able to describe the effect of carbon fiber custom dynamic orthoses on performance-based outcomes.

Assessing Need for Intervention in Limb Loss: Comparing Clinical Consensus and Outcome Measures
Presenter:  Juan E. Cave, II, MSPO CPO FAAOP – Advanced Research Prosthetist Orthotist, RECOVER; Minneapolis Veterans Administration HospitalIdentifying individuals with lower limb amputation who fall short of their mobility goals and providing effective interventions is critical for enhancing their overall well-being. Results will be presented from a multi-site study comparing clinical outcome measures and a multi-disciplinary team's ability to identify prosthesis users in need of intervention.

Learning Objectives:

• Participants will be able to identify an outcome measure from a clinical toolbox that may aid in identifying those in need of intervention.
• Participants will be able to discuss benefits of working in a multi-disciplinary team.
• Learners will be able to list one potential solution for future research in order to better address the gap between actual and prescribed K-level.

Presenter Name(s)

• Andreas H. Kannenberg, MD (GER), PhD
• Juan E. Cave, II, MSPO CPO FAAOP
• Kathleen M. Carroll, MS, MSPO, CPO, FAAOP
• Jason M. Wilken, PT, PhD
• Andreas D. Hahn, PhD