O&P Research Insights with Dr. Steve Gard

Join Dr. Steve Gard, editor-in-chief for the Journal of Prosthetics and Orthotics, for this episode recorded live at the 50th Academy Annual Meeting & Scientific Symposium in Chicago. He chats with Dr. Sally Kenworthy, MPO, CPO assistant professor in the orthotics and prosthetics program at Baylor College of Medicine, exploring her research on factors influencing the perceived value of orthotists among physical therapists. The two discuss the study's objectives, motivations, methodology, and clinical implications, and offer insightful perspectives on the intersection of orthotics, prosthetics, and healthcare teamwork. This episode is sponsored by Qwadra. Show notes JPO article: Frequency of Goal Setting Contact with Physical Therapists Is Associated with Orthotist’s Perceived Skill Level This episode is produced by Association Briefings.

Join Dr. Steve Gard, editor-in-chief for the Journal of Prosthetics and Orthotics, as he chats with Clayton Benson, MPO, CO, LPO. In this episode, they explore Benson's research on orthotic interventions on Charcot feet. Delving into the study's purpose, motivation, design, and methodology, they discuss investigator insights such as unanticipated surprises, notable problems, and clinical takeaways. Show notes JPO article: A Retrospective Comparison of Orthotic Interventions on Charcot Feet This episode is produced by Association Briefings.

Join Dr. Steve Gard, editor-in-chief for the Journal of Prosthetics and Orthotics, as he chats with Cory Cacciola, MS, CPO. In this episode, they explore Cacciola's study on the effects of a powered prosthetic ankle-foot component on musculoskeletal pain in individuals with transtibial amputation. Delving into the study's purpose, motivation, and methodology, they discuss key aspects such as inclusion-exclusion criteria, the intricacies of data collection and analysis, and potential mechanisms contributing to pain reduction. Show notes JPO article: Impact of a Powered Prosthetic Ankle-Foot Component on Musculoskeletal Pain in Individuals with Transtibial Amputation: A Real-World Cross-Sectional Study with Concurrent and Recalled Pain and Functional RatingsAnalysis of a Resident Competence Self-Assessment Survey This episode is produced by Association Briefings.

In the season 3 premier, Dr. Steve Gard, editor-in-chief of the Journal of Prosthetics and Orthotics chats with Dr. Ashley Mullen, PhD, MSAT, CPO, an associate professor in the School of Health Professions at Baylor College of Medicine, and the program director of the orthotics and prosthetics program. The two talk about her analysis of a Resident Competence Self-Assessment Survey. Show notes JPO article: Analysis of a Resident Competence Self-Assessment Survey This episode is produced by Association Briefings.

Join Dr. Steve Gard, editor-in-chief for the Journal of Prosthetics and Orthotics, as he chats with Max Krueger, CPO. The two talk about his study about mortality rates after non-traumatic major lower-limb amputations in Medicare patients, the purpose and motivation behind the study, the data collection and analysis process, unanticipated surprises, and clinical takeaways of the study. Show notes JPO article: Mortality After Nontraumatic Major Lower-Limb Amputations in Medicare Patients at a Large Metropolitan Prosthetic Facility This episode is produced by Association Briefings.

Join Dr. Steve Gard, editor-in-chief for the Journal of Prosthetics and Orthotics, as he chats with Dr. Ashley Mullen, PhD, MSAT, CPO, an associate professor and program director in the School of Health Professions at Baylor College of Medicine. The two talk about her study evaluating the immediate effects of low-profile FFOs and high-profile University of California Berkeley Laboratory (UCBL) orthoses on Foot Posture Index (FPI), the purpose and motivation behind the study, the data collection process, and guidance for selecting different orthosis designs based on the results. Show notes JPO article: Immediate Impacts of Two Foot Orthotic Designs on Foot Posture Index, Gait, and Comfort in Adults With Asymptomatic, Flexible Pes Planus Co-Authors: Mullen, Ashley PhD, MSAT, CPO; Kenworthy, Sally MPO, CPO; Ewing, Kathryn MS, CPO; Forbus, Michelle MS, CPO; Hoelscher Thompson, Regan MS, CPO This episode is produced by Association Briefings.

Join Dr. Steve Gard, editor-in-chief for the Journal of Prosthetics and Orthotics, as he chats with Pratima Saravanan, PhD, an assistant professor in the School of Industrial Engineering and Management at Oklahoma State University and the director of the school's cognitive performance lab. The two talk about reviewing literature to identify factors influencing prosthetic prescription and rehabilitation of persons with lower-limb amputations, her interests in human factors in health care and clinical decision making, her unique way for collecting data for the investigation, and what she would have done differently in the study. Show notes JPO article: Mining Literature to Identify Factors Influencing Prosthetic Prescription and Rehabilitation of Persons With Lower-Limb Amputations Co-Authors: Saravanan, Pratima PhD; Menold, Jessica PhD This episode is produced by Association Briefings.

Join Dr. Steve Gard, editor-in-chief for the Journal of Prosthetics and Orthotics, as he chats with Sheryl Sachs, MSPO, CPO, a certified prosthetist orthotist in Maryland, and Dr. Joshua Utay, a prosthetist orthotist at Scottish Rite in Dallas. The three talk about recurring themes in prosthetic and orthotic education, how the education narrative has changed since the 1970s, topics that have remained consistent, and the study's systematic review process. Show Notes JPO article: Recurring Themes in Prosthetic and Orthotic Education: A Narrative Review of Prosthetic and Orthotic Education Summit Meetings Co-Authors: Spaulding, Susan E. MS, CPO; Utay, Joshua B. EdD, CPO; Sachs, Sheryl N. MSPO, CPO This episode is produced by Association Briefings.

Join Dr. Steve Gard, editor-in-chief for the Journal of Prosthetics and Orthotics, as he chats with Wendy Hill, an occupational therapist at University of New Brunswick. The two talk about the preliminary findings of her study focused on the treatment for children with upper-limb differences around the globe, feasibility of an interdisciplinary intervention to promote balance confidence in lower-limb prosthesis users, the motivation behind the study, data collection and primary findings, challenges, and recommendations for future research. Show Notes JPO article: Treatment for Children with Upper-Limb Differences in Various Parts of the World: Preliminary Findings Co-Authors: Hill, Wendy BScOT; Hermansson, Liselotte Maria PhD This episode is produced by Association Briefings.

Join Dr. Steve Gard, editor-in-chief for the Journal of Prosthetics and Orthotics, as he chats with Noah Rosenblatt, PhD, an associate professor within the Center for Lower Extremity Ambulatory Research (CLEAR) at Rosalind Franklin University of Medicine and Science. The two talk about the feasibility of an interdisciplinary intervention to promote balance confidence in lower-limb prosthesis users, the motivation behind the study, primary findings, clinical takeaways, and recommendations for future research. Show Notes JPO article: Feasibility of an Interdisciplinary Intervention to Promote Balance Confidence in Lower-Limb Prosthesis Users: A Case Study Co-Authors: Churchill, Rachel MSc; Schneider, Kristin L. PhD; Calamari, John E. PhD; Henderson, Roberta PhD; Hwang, Sungsoon PhD; Major, Matthew J. PhD; Duncan, Chad PhD; Stachowiak, Aaron MD; Reddin, Christopher PhD; Rosenblatt, Noah J. PhD This episode is produced by Association Briefings.

Join Dr. Steve Gard, editor-in-chief for the Journal of Prosthetics and Orthotics, as he chats with Dr. John DesJardins, a Hambright Distinguished Professor of Engineering Leadership in Bioengineering at Clemson University. The two talk about a length-actuated prosthesis prototype design, the goal of functional biomimicry, and the collected qualitative feedback from two prosthesis users in the pilot study. Discussion revolves around the motivation behind the study, primary findings, and clinical takeaways. Show notes JPO article: Development of a Length-Actuated Lower Limb Prosthesis: Functional Prototype and Pilot Study Co-Authors: Parr, Therese E. BS; Hippensteal, Alan R. MD; DesJardins, John D. PhD O&P Research Insights is produced by Association Briefings.

Join Dr. Steve Gard, editor-and-chief for the Journal of Prosthetics and Orthotics, as he chats with Laura Murray, BSc, a teaching fellow at the University of Strathclyde in Glasgow, United Kingdom, about her research on microprocessor knees and evidence of their influence on psychosocial health. The two discuss the motivation behind the research, primary findings, and clinical takeaways. Show Notes JPO article: A Retrospective Review of Psychosocial Outcomes After Microprocessor Knee Prescription Co-Authors: Dunlop, Fraser (FD) BSc; Aranceta-Garza, Alejandra (AAG) PhD; Munjal, Ramesh (RM) MD; McGarry, Anthony (AM) PhD; Murray, Laura (LM) BSc Referenced articles: Kroenke K, Spitzer RL, Williams JB. The PHQ-9. J Gen Intern Med 2001;16(9):606–613 Möller S, Rusaw D, Hagberg K, Ramstrand N. Reduced cortical brain activity with the use of microprocessor-controlled prosthetic knees during walking. Prosthet Orthot Int 2019;43(3):257–265 This episode is produced by Association Briefings.

Join Dr. Steve Gard, editor-and-chief for the Journal of Prosthetics and Orthotics, as he chats with Andreas Kannenberg, Executive Medical Director North America for Ottobock, about his research on multiarticulating prosthetic hands on patient-reported ease of activities of daily living. The two discuss the motivation behind the research, primary findings, surprises found in the results, and clinical takeaways. Show Notes JPO article: Differences in Two Multiarticulating Myoelectric Hands for Facilitating Activities of Daily Living in Individuals with Transradial Amputation: A Cross-Sectional Study Co-Authors: Kannenberg, Andreas MD (GER), PhD; Lundstrom, Russell MS; Hibler, Karl D. MA; Johnson, Shawn Swanson OTR/L This episode is produced by Association Briefings.

Join Dr. Steve Gard, editor-and-chief for the Journal of Prosthetics and Orthotics, as he chats with Sally Kenworthy, MPO, assistant professor of orthotics and prosthetics at Baylor College of Medicine, about her research on the perceived role responsibilities among the rehabilitative health care team. The two discuss the motivation behind the research, primary findings, surprises found in the results, and clinical takeaways. This episode is sponsored by Ottobock. Show Notes JPO article: Perceived Role Responsibilities Among Physical Therapists and Orthotists Co-Authors: Kenworthy, Sally MPO; Reno, Ariel MS; Reid, Andrew MS This episode is produced by Association Briefings.

Join Dr. Steve Gard, editor-and-chief for the Journal of Prosthetics and Orthotics, for this special episode recorded live at The Academy's Annual Meeting & Scientific Symposium in Nashville. He chats with Brian Hafner, a professor in the Department of Rehabilitation Medicine at the University of Washington, and board member of the new Orthotics and Prosthetics Foundation for Education and Research. The two discuss the new foundation’s mission as it relates to education and research and the alignment it has with the mission of JPO.

Join Dr. Steve Gard, editor-and-chief for the Journal of Prosthetics and Orthotics, as he chats with Linda Resnik, about her research on contralateral limb pain among veterans with unilateral upper-limb amputation. The two discuss the motivation behind one of the largest studies of its kind, primary findings, and clinical takeaways. This episode is sponsored by Ottobock. Show Notes JPO article: Contralateral Limb Pain Is Prevalent, Persistent, and Impacts Quality of Life of Veterans with Unilateral Upper-Limb Amputation Co-Authors: Resnik, Linda PT, PhD, FAPTA; Borgia, Matthew MA; Clark, Melissa A. PhD This episode is produced by Association Briefings.

Join Dr. Steve Gard, editor-and-chief for the Journal of Prosthetics and Orthotics, as he chats with Joan Sanders, PhD, about her pilot study on the mechanical and physiological effects of EV when determining the optimal vacuum pressure for people with transtibial amputations. The two discuss the motivation behind the pilot study, primary findings and surprises, and clinical takeaways. Show Notes JPO article: Mechanically and Physiologically Optimizing Prosthetic Elevated Vacuum Systems in People with Transtibial Amputation: A Pilot Study Co-Authors: Youngblood, Robert T. PhD; Hafner, Brian J. PhD; Czerniecki, Joseph M. MD; Larsen, Brian G. MS; Allyn, Katheryn J. CPO; Sanders, Joan E. PhD Additional Resources Youngblood RT, Hafner BJ, Czerniecki JM, Brzostowski JT, Allyn KJ, Sanders JE. Modeling the mechanics of elevated vacuum systems in prosthetic sockets. Med Engi Phys. 2020;84:75-83. DOI: 10.1016/j.medengphy.2020.07.019 Youngblood RT, Brzostowski JT, Hafner BJ, Czerniecki JM, Allyn KJ, Foster RL, Sanders JE. Effectiveness of elevated vacuum and suction prosthetic suspension systems in managing daily residual limb fluid volume change in people with transtibial amputation. Prosthet Orthot Int. 2020;44(3):155-163. DOI: 10.1177/0309364620909044 Ballesteros D, Youngblood RT, Vamos AC, Garbini JL, Allyn KJ, Hafner BJ, Larsen BG, Ciol MA, Friedly JL, Sanders JE. Cyclic socket enlargement and reduction during walking to reduce limb fluid volume loss in transtibial prosthesis users. Med Engi Phys. 2022;103:103787. DOI: 10.1016/j.medengphy.2022.103787 This podcast is produced by Association Briefings.

Join Dr. Steve Gard, editor-and-chief for the Journal of Prosthetics and Orthotics, as he chats with Josh Caputo, PhD, president & CEO of Humotech, about a new approach to lower-limb prosthetic devices, wherein prostheses could be designed, specified, and provided based on individualized measurements of the benefits provided by candidate feet. The two discuss the motivation behind pilot tests of this evidence-based and personalized process, primary findings and surprises, and clinical takeaways. Show Notes JPO article: Robotic Emulation of Candidate Prosthetic Foot Designs May Enable Efficient, Evidence-based, and Individualized Prescriptions Study 1 laid the groundwork for two ongoing clinical trials: https://www.clinicaltrials.gov/ct2/show/NCT03651830 https://www.clinicaltrials.gov/ct2/show/NCT05473065 For more information on the validation of the latest approach to emulation: https://asmedigitalcollection.asme.org/biomechanical/article-abstract/doi/10.1115/1.4054834/1141731/Emulating-the-Effective-Ankle-Stiffness-of For a full list of related publications: https://humotech.com/resources/research-library/ This podcast is produced by Association Briefings.

Join Dr. Steve Gard, editor-and-chief for the Journal of Prosthetics and Orthotics, as he chats with Dr. Harold Sears about the results of his small-scale survey of bilateral upper-limb loss and the use of body-powered hooks, electric hooks, and electric hands as dominant terminal devices The two discuss the motivation behind the research, the increase of sepsis as a cause of limb loss, primary findings and surprises, and clinical takeaways. Show Notes JPO article: A Small-Scale Survey of Bilateral Upper-Limb Loss Individuals This podcast is produced by Association Briefings.

Join Dr. Steve Gard, editor-and-chief for the Journal of Prosthetics and Orthotics, as he chats with Nicole Hoffman, DPT, about her study investigating whether carbon fiber two-pull solid ankle-foot orthoses (CTP-AFOs) would have similar outcomes as serial casting in the treatment of children with a diagnosis of idiopathic toe walking and ankle equinus contracture. The two discuss the motivation behind the research, the decision to use carbon fiber orthoses, primary findings and surprises, and clinical takeaways.