AFO Use Is Associated With Improved Promis Physical Function Outcomes
Taavy Miller, PhD, CPO
This study demonstrates the positive impact that receiving a new or replacement AFO can have on self-reported physical function among a diverse group of current or potential orthotic users. Patients were assessed over two time points, baseline and at a follow up. This presentation reviews the patient demographics, results, and discusses the clinical implication of tracking physical function using a custom PROMIS short form.
Learning Objectives:
- Upon completion, participants will be able to discuss perceived physical function measured by the PROMIS-PF short form.
- Upon completion, participants will be able to describe how physical function can be influenced by the application of an AFO.
- Upon completion, participants will be able to describe factors that are associated with physical function outcomes among a cohort of adult AFO users.
- Upon completion, participants will be able to describe how patient outcomes collected routinely can influence patient care and can demonstrate the impact an AFO has on a patient's health.
Health-Related Profiles Of Lower Limb Orthosis Users
Brian J. Hafner, PhD
The Patient-Reported Outcomes Measurement Information System (PROMIS) is a system of measurement tools designed to efficiently evaluate a variety of patient-reported health outcomes. We used the PROMIS-29 Brief Profile to assess orthosis users' anxiety, sleep disturbance, fatigue, depression, pain interference, physical function, and ability to participate in social roles & activities relative to US population norms. Responses from a national sample of 1000 orthosis users were used to develop health profiles that illustrate areas where orthosis users perceive the most problems. Findings from this study can be used to direct efforts to improve patient care, as well as to direct future research.
Learning Objectives:
- Upon completion, participants will be able to describe how PROMIS instruments are administered, scored, and interpreted.
- Upon completion, participants will be able to identify the health domains included in the PROMIS v2.0 health profile.
- Upon completion, participants will be able to describe aspects of health where lower limb orthosis users are most affected.
- Upon completion, participants will be able to administer the PROMIS v2.0 health profile in their practice.
Orthotic And Assistive Device Device Utilization: Results From A Cross-Sectional Survey Of Lower Limb Orthosis Users
Geoff Balkman, CPO, PhD
A survey was administered to a national sample of lower limb orthosis users to determine how orthoses and assistive devices are used to perform various home- and community-based activities.
Learning Objectives:
- Upon completion, participants should be able to describe different device utilization strategies available to lower limb orthosis users.
- Participants should also be able to identify activities for which these strategies are most commonly applied.
- Finally, participants will gain new insights into how an orthosis user's additional assistive devices (eg, cane, crutches, walker) may contribute to their mobility.
- These insights can be translated to clinical practice by addressing device utilization strategies with patients to help them optimize their mobility in different situations.
Orthotic Research Initiative For Outcomes Analysis (Orion I): Predictors Of Promis Physical Function In Stroke Survivors Seeking Orthotic Intervention
Sally A. Kenworthy, MPO, CPO
Patient-reported outcomes offer unique insight into the benefit of orthotic intervention outside the clinical and research setting. This study analyzed a large data set of patient-reported outcome measures with the goal to determine which patient-factors predicted self-reported physical function of AFO users.
Learning Objectives:
- Upon completion, participants will be able to articulate the importance of patient-reported outcome measures for individuals using ankle-foot orthoses.
- Upon completion, participants will be able to identify patient characteristics associated with self-reported physical function of AFO users after stroke.
- Upon completion, participants will be able to reflect on the role that global determinants of health have for AFO users after stroke.