PMRJ Vol. 9 No. 9S1

S131 S290

2017 AAPM&R Annual Assembly Abstracts
Provided here are the abstracts of scientific papers and posters to be presented at the 2017 Annual Assembly of the American Academy of
Physical Medicine and Rehabilitation in Denver, CO, October 12-15, 2017. Papers and posters were chosen by members of the Academy’s Evidence
Committee. The abstracts have not been subjected to formal peer review by the Editorial Board of PM&R . Levels of Evidence are self-disclosed
by authors. Posters will be displayed Friday, October 13, from 9:00 AM to 5:30 PM and Saturday, October 14, from 9:00 AM until 2:00 PM.
BEST POSTER PRESENTATIONS
Thursday, October 12, 2017
8:00 AM e 9:15 AM
Room 705, Meeting Room Level
LEADING IN RESEARCH: GENERAL REHABILITATION PODIUM
SESSION
Poster 3:
Does Intensive Initial Training Improve Mobility for Amputees
Receiving a New Lower Extremity Prosthesis?
Olivier Rolin, MD, PhD (Richmond, VA, USA), Benjamin J. Darter, PT
PhD
Disclosures: Olivier Rolin: I Have No Relevant Financial Relationships
To Disclose
Objective: To determine whether acute inpatient training for new
lower extremity prosthetic recipients improves ambulation outcome.
Learning to walk on a prosthetic limb presents multiple challenges
upfront. Difficulty donning and doffing the prosthesis, poor fit, lack of
trust in the new limb and maladaptive gait often prohibits successful
and enjoyable use of prostheses. To address these pitfalls, a VA
medical center implemented an intensive inpatient program, Boot
Camp, for new prosthetic recipients. The weeklong Boot Camp training
period strives to provide new prosthetic users with proper gait tech-
nique, optimal fit, skin-care competence, and a close relationship with
the rehabilitation team. In this study, we use the validated two-minute
walk test to measure the effect of early intensive training on ambu-
lation over a three-month period.
Design: Retrospective cohort study. Chart review comparing two-
minute walk test performance of the amputees that completed Pros-
thetic Boot Camp relative to patients receiving standard outpatient
therapy. Patients included are lower extremity amputees, transtibial
or higher, receiving their first prosthesis, that had predicted mobility
grade K2 at onset.
Setting: VA medical center.
Participants: 44
Interventions: Boot Camp: 16 Standard of care: 28.
Main Outcome Measures: Distance walked in two minutes at 0, 1 and
3 months.
Results: Patients trained in the boot camp program walked signifi-
cantly further (267’ 30’) in the two minute walk test at 3 months
after receiving a prosthesis compared with patients receiving standard
of care therapy (171’ 24’ p¼.02). Individuals in the boot camp pro-
gram however had were on average younger (60 vs 66.4 p¼.03) and
had better walk test distances on initial evaluation (105’ vs 66.4’
p¼.06).
Conclusions: Intensive upfront training for recipients of new pros-
theses may improve ambulation outcomes. A prospective study to
control for selection biases may provide a more conclusive assessment
of the benefit of early intensive training.
Level of Evidence: Level IV
Poster 11:
Activity Limitation of Clinically Slow Elderly Individuals
Armando S. Miciano, MD, FAAPMR (Nevada Rehabilitation Institute,
Las Vegas, NV, United States), Chad L. Cross, PhD, PStat(R)
Disclosures: Armando Miciano: I Have No Relevant Financial Re-
lationships To Disclose
Objective: Quantify the activity limitation (AL) of clinically slow
elderly individuals (CSE); and investigate the inter-relationship of AL
status with body function and participation restriction.
Design: Retrospective cross-sectional study.
Setting: PMR clinic.
Participants: 28 community dwelling elderly individuals (age range
65-85 years old) labeled as clinically slow (defined as < 2.2 miles per
hour by 6-Minute Walk Test).
Interventions: Not applicable.
Main Outcome Measures: The PROMIS-57 v1.0 physical function sub-
scale (PROMIS-PF) from the National of Institute (NIH) toolbox was
designated as the patient-reported outcome (PRO) to describe activity
limitation (AL). The clinician-derived Performance-based Assessments
(PBA) also were used to describe AL and included the Dynamic Gait
Index (DGI) and Berg Balance Scale (BBS). The PROMIS-57 v1.0 fatigue
(PROMIS-FA) and sleep disturbance (PROMIS-SD) sub-scales assessed
body function, and the satisfaction with social role sub-scale (PROMIS-
SSR) quantified participation restriction.
Results: Data met normality assumptions; mean differences were
examined among variables using ANOVA with age as a covariate. Age
did not differ significantly among participants. Descriptive statistics
and significance tests are provided for each variable, followed by a
Pearson Correlation analysis split by gender (significant p). The mean
(SD) score were as follows (female, male): PROMIS-PF T-scores 34.10
(5.70), 40.14 (8.82); DGI 13.76 (3.91), 22.10 (3.60); BBS 39.88 (8.28),
48.8 (7.06); PROMIS-FA 55.71 (12.30), 56.10 (3.97); PROMIS-SSR 51.53
(9.15), 46.50 (9.68). In females, PROMIS-PF correlated with PROMIS-FA
(r ¼-.474, p¼.04). In males, DGI correlated with PROMIS-FA (r¼-.771,
p¼.042).
Conclusions: CSE tend to have moderate to severe AL and moderate
PR, while their body function tends to be within population mean. The
AL of CSE had a statistically significant correlation with the body
function (specifically fatigue) in both genders. These findings support
the importance of assessing AL in these individuals, along with the BF
PM R 9 (2017) S131-S290
1934-1482/$ - see front matter ª 2017 by the American Academy of Physical Medicine and Rehabilitation