S144 S290
Results:
Significant improvements were achieved by SCGE in grip and
knee extension strength, functional reach, tandem stand, unipedal
stand, timed up and go, 360
o
turn, Berg balance test, fall efficacy
scale, gait for short physical performance battery, short-geriatric
depression scale, timed 10m walk test, 5 chair stand time and
30seconds chair stand (p
<
.05). However, no meaningful improvement
was observed in appendicular skeletal muscle mass index, physical
activity, cross sectional areas of rectus femoris and multifidus.
Conclusions:
Frail older people were able to gain significant muscle
strength, functions and even improved mood without meaningful in-
crease of muscle mass through 24 weeks of SCGE. These results
demonstrate that SCGE is beneficial for physical and mental functions of
old people although it is not hard enough to gain additional musclemass.
Level of Evidence:
Level II
Poster 6:
Relationship Between Berg Balance Scale and Short
Physical Performance Battery to Evaluate Fall Risk in
Older Adults
Ana L. Villagrana Rodriguez (Hospital Civil de Guadalajara Fray
Anton, Tala, Jalisco, Mexico), Tonatiuh Avila Garcia, MD,
Ana C. Gutierrez, MD, Daniel Pacheco Covarrubias, MD, Jose´ de Jesus
Gonzalez Jaime, MD
Disclosures:
Ana Villagrana Rodriguez: I Have No Relevant Financial
Relationships To Disclose
Objective:
To analyze the relationship between scores of Berg Bal-
ance Scale (BBS) and Short Physical Performance Battery (SPPB) to
evaluate fall risk in an older adults sample.
Design:
Cross- sectional study.
Setting:
Department of Physical Medicine and Rehabilitation at a
public tertiary hospital.
Participants:
Fifty subjects, aged 65 to 98 years, male and female;
severe cardiopulmonary diseases, impaired ability to walk, cognitive
deficits, acute musculoskeletal injuries, blindness and deafness were
exclusion criteria.
Interventions:
Not applicable.
Main Outcome Measures:
We measured balance using BBS and SPPB;
relationship between scores was analyzed by Spearman’s (rho)
coefficient.
Results:
Mean age was 75.28 7.31 years, 64% were female and 36%
male. We found a positive, moderate (rho
¼
0.69) and statistically
significant (p
<
.01) correlation between BBS and SPPB scores.
Conclusions:
SPPB and BBS are useful tools to evaluate fall risk in
older adults. In spite of SPPB simplicity there is not enough evidence to
support its use instead of BBS, complementary studies are needed to
determine the definitive relationship between these instruments.
Level of Evidence:
Level III
Poster 7:
Comparative Effectiveness of Microprocessor
Controlled and Carbon Fiber Energy Storing and
Returning Prosthetic Feet in Persons with Unilateral
Transtibial Amputation: Pilot Study
Brian Kaluf (Ability Prosthetics and Orthotics, Inc., Exton, PA, USA)
Disclosures:
Brian Kaluf: Research Grants - Freedom Innovations, LLC
Objective:
This pilot study compared perceived balance and mobility,
functional capabilities, socket comfort and ramp ambulation between
energy storing and returning (ESAR) and microprocessor controlled
prosthetic ankle (MPA) components in patients with unilateral trans-
tibial amputation.
Design:
Randomized AB cross-over design.
Setting:
Outpatient prosthetic clinic.
Participants:
4 unilateral transtibial amputees with average age (54),
mass (97 kg), K-level (3.75).
Interventions:
Patient’s habitual prosthetic ankle, control ESAR
(Pacifica LP) and MPA (Kinnex, Freedom Innovations, Irvine, CA). An-
kles were assembled to participants’ current socket in a random order.
Testing was performed initial after assembly and after a 4-week ac-
commodation period.
Main Outcome Measures:
Prosthesis Evaluation Questionnaire
e
Mobility Subscale (PEQ-MS), Prosthetic Limb User Survey of Mobility
(PLUS-M), Orthotic and Prosthetic User Survey Satisfaction with Device
(OPUS), Activities Specific Balance Confidence (ABC) and Socket Comfort
Score (SCS); Amputee Mobility Predictor with Prosthesis (AMPPRO), L Test
of Functional Mobility (L Test), 5 times Sit-to-Stand (5x STS), 6 min Timed-
Walk-Test (6min TWT), Physiological Cost Index (PCI); Hill Assessment
Index (HAI), prosthesis side ankle and knee angles at mid-stance of gait
during ramp ascent and descent (6 ft long ramp with 15 deg slope)
measured with 2D video motion analysis (PnO Data Live, iPad Air 2).
Results:
Effect of prosthetic ankle-foot was found to be statistically
significant (
a
¼
0.05) in five of the measures. HAI on ramp descent
showed improved function with Kinnex, and a significant difference
between Kinnex and habitual Ankle. Angle measurements showed a
trend of the Kinnex providing more accommodation at the ankle during
slope ascent and a more stable knee position at mid-stance in slope
descent. Several differences in knee and ankle angle between ankle-
foot configurations reached statistical significance.
Conclusions:
The study showed statistically significant benefits with
the Kinnex on ramp ascent and descent, while other measures showed
positive trends of improved balance, mobility, and socket comfort with
the Kinnex.
Level of Evidence:
Level II
Poster 8:
Investigation of an Unobtrusive Carpal Tunnel Tissue
Manipulation Device for the Treatment of Carpal
Tunnel Syndrome: A Pilot Clinical Trial
Pauline T. Luong, MEng (Pressure Profile Systems, Los Angeles, CA,
United States), Frank J. King, MD, Zong-Ming Li, PhD,
Matthew A. Dickason, MBA, Matthew C. Diamond, MD PhD, Jae Son,
PhD
Disclosures:
Pauline Luong: Employment (full or part-time) - Pressure
Profile Systems
Objective:
To investigate the feasibility, safety, and efficacy of a
carpal tunnel tissue manipulation device (CTMD) to treat carpal tunnel
syndrome (CTS) in patients with mild to severe CTS when worn for 8-10
hours daily for 4 weeks.
Design:
Single-group, open-label, prospective, pilot clinical trial.
Setting:
Daily home use with clinic visits.
Participants:
11 subjects with mild to severe CTS: 7 treated for uni-
lateral CTS, 4 treated for bilateral CTS; 7 female, 4 male; ages 28-65.
Interventions:
The CTMD is a novel unobtrusive orthotic device
applied to the volar aspect of the wrist and designed to relieve pres-
sure off the median nerve. Each subject was asked to wear the
CTMD(s) on the affected wrist(s) for 8-10 hours daily and complete a
Usage Diary daily for 4 weeks. Subjects completed a Boston Carpal
Tunnel Questionnaire (BTCQ) at 0, 2, 4, and 12 weeks post-baseline.
Main Outcome Measures:
Symptom Severity Scale (SSS) of the BCTQ:
1 to 5 rating of CTS symptom severity (1 being less severe, 5 being most
severe).
Results:
For all subjects, SSS scores improved from baseline scores on
average by 0.59 (SD 0.68, p
<
.05) at 4 weeks post-baseline. SSS
continued to improve 8 weeks post-treatment, improving by an
average of 0.79 (SD 0.74, p
<
.01) compared to baseline. Unilateral
subjects improved more than bilateral subjects (mean 1.2, SD 0.5; vs.
mean 0.09, SD 0.41) at 8-weeks post-treatment. Daily wear compli-
ance was very high, with only 2 patients self-reporting not wearing the
device once (though there were occasional missed diary entries).
Conclusions:
Patients with unilateral CTS who wore the CTMD daily
for at least 4 weeks experienced an improvement in severity of CTS
S144
Abstracts / PM R 9 (2017) S131-S290