Research Projects

The Bridging Advanced Developments for Exceptional Rehabilitation (BADER) Consortium was not just about conducting research projects; it’s central focus was returning injured service members to their optimal levels of performance. Multi-disciplinary teams of researchers and clinicians at the study sites identified rehabilitation challenges and the research projects emerged naturally.

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BADER Consortium funded eight clinical research projects totaling $7.7 million with an enrollment of 987 study participants, of whom 63% were military service members. These projects supported 92 research personnel including 20 student researchers.

They were:

STEP2STEP

Goal: Improve the dynamic walking stability in traumatic lower-limb amputees.

Study Team:

Jonathan Dingwell, PhD
Penn State University

Jason M. Wilken, PhD
University of Iowa

RETRAIN

Goal: Help subjects return to a high level of performance through walk-to-run training with real-time kinetic feedback.

Study Team:

Irene Davis, PhD
Spaulding National Running Center

Alison Pruziner, DPT
Walter Reed National Military Medical Center

Trauma Outcomes

Goal: A qualitative study of patient-reported outcomes measures in people with major limb trauma to measure their level of recovery.

Study Team:

David Tulsky, PhD
University of Delaware Center for Assessment Research and Translation

Marilynn Wyatt, MPT
Naval Medical Center, San Diego

Jason Wilken, PhD
University of Iowa

K2 Power

Goal: Identify differences in gait, efficiency, function and quality of life between using a standard passive prosthesis versus a powered BiOM ankle prosthesis for lower-limb amputees who have been identified as K2 or K3.

Study Team:

Alison Pruziner, DPT
Walter Reed National Military Medical Center

David Tulsky, PhD
University of Delaware Center for Assessment Research and Translation

Joseph Webster, MD
VHA Amputation System of Care

ProLegRx

Goal: Seek a science-based method for prescribing running-specific leg prosthesis for soldiers and veterans with transtibial amputations to optimize sprinting and running performance.

Study Team:

Alena Grabowski, PhD
University of Colorado Boulder Applied Biomechanics Lab

Rodger Kram, PhD
University of Colorado Boulder Locomotion Laboratory

MORE (Maximizing Outpatient Rehabilitation Effectiveness)

Goal: Assess rehabilitation outcomes in the clinical environment to support evidence-based practice in military treatment facilities.

Study Team:

Jason Wilken, PhD
University of Iowa

David Tulsky, PhD
University of Delaware Center for Assessment Research and Translation

Amy Bowles, MD
Brooke Army Medical Center

Outcomes Toolbox

Goal: Develop a toolbox of outcomes measures to serve as common data elements across research studies and clinical evaluations.

Study Team:

David Tulsky, PhD
University of Delaware Center for Assessment Research and Translation

Jerry Slotkin, PhD
University of Delaware Center for Assessment Research and Translation

Callie Tyner, PhD
University of Delaware Center for Assessment Research and Translation

Aaron Boulton, PhD
University of Delaware Center for Assessment Research and Translation

Ruck Foot

Goal: Determine the criteria for identifying prosthetic foot characteristics that best support physically demanding tasks.

Study Team:

Barri L. Schnall, MPT
Walter Reed National Military Medical Center

Andrew Hansen PhD
Minneapolis VA Health Care System

Bradford Hendershot, PhD
Walter Reed National Military Medical Center

Joan Bechtold, PhD
Minneapolis Medical Research Foundation

BADER Consortium supported 86 military clinical research projects.

PI Institution

TITLE (NON-FUNDED BADER PROJECTS/ACTIVITIES)

PI Last Name

Creighton

Biomechanical and physiological measures wearing and energy storing and returning orthosis

Givens

Harvard Spaulding National Running Center

Clinical outcomes assessment during prosthetics and orthotics care

Davis

The influence of heel wedge properties on roll-over characteristics of the intrepid dynamic exoskeletal orthosis

Davis

Vitalize-game based wellbeing research initiative

Jamison

VRFROGGER: Stability of transtibial amputees during lateral walking transitions

Jamison

Naval Medical Center Portsmouth

Vacuum assisted socket system (VASS)

Iveson

RehabEAmp

Lashbaugh

Development of the comprehensive high-level activity mobility predictor (champ) – phase ii

Ziemke

Osteointegration ROM and ADL improvement testing

Ziemke

Prosthetics/orthotics blanket protocol database

Ziemke

Naval Medical Center San Diego

Evaluation of physical performance measures for the assessment of disability in patients with femoroacetabular impingement (FAI) syndrome

Eskridge

Advanced prosthetic gait training tool: Alignment modifications

Farrokhi

VRMet (Virtual reality metabolism)

Kingsbury

Comparison of transtibial and limb salvage functional outcomes

Shawn Farrokhi

Trunk muscle coordination and lumbosacral kinetics in service members with unilateral lower-extremity amputation

Wingate

A retrospective study on the relationship between gait symmetry and energy expenditure during over ground walking for individuals with unilateral, transfemoral amputations

Wyatt

Assessing risk factors for cardiovascular disease in individuals with traumatic amputations

Wyatt

Biomechanical and cognitive changes of walking in virtual environment

Wyatt

Biomechanical variability with changes in cognitive demand during ambulation for service members with lower limb amputations

Wyatt

Brace comparison case study

Wyatt

Clinical outcomes in a cohort of service members with traumatic, unilateral transfemoral amputations

Wyatt

Development of a gait quality index to be utilized across the department of defense

Wyatt

Evaluation of knee joint health in individuals with unilateral lower extremity trauma

Wyatt

Factors influencing rehabilitation effectiveness in the restoration of physical function in the military amputee

Wyatt

Nada study

Wyatt

OA protocol

Wyatt

Ohio State University

AAMTI MTech

Onate

Rehabilitation Institute of Chicago

Efficacy of a real-time feedback intervention to correct seated posture

Perreault

San Antonio Military Medical Center/Center for the Intrepid

Characterizing motion in the intrepid dynamic exoskeletal orthosis (IDEO) using videofluoroscopy

Bedigrew

MORE resiliency

Bowels

BFR DISTRAD: Blood flow restricted training during rehabilitation following distal radius fracture repair.

Cancio

Advanced prosthetic gait training tool: Phase 2

Fergason

Supplementing gait training with real-time feedback to optimize walking energetics following amputation

Ikeda

The effect of ankle-foot orthosis type on biomechanical gait parameters in patients undergoing limb salvage after severe lower extremity trauma

Ikeda

Epidemiology studies with NHRC – secondary musculoskseletal conditions in persons with amputations

Rabago

Retrospective administrative limited duty outcomes: Follow-up

Rabago

Establishing a data set of qualitative and quantitative gait data in control subjects using a 6DOF marker set

Russell-Esposito

Risk factors and rehabilitation utilization patterns associated with development of secondary musculoskeletal conditions after traumatic major limb amputation

Russell-Esposito

Comprehensive treatment strategy for chronic low back pain in a patient with bilateral transfemoral amputations integrating changes in prosthetic socket design

Sheean

Changes in cerebral cortical activation and networking during adaptation to split-belt walking

Wilken

Development of adaptive vacuum suspension to improve prosthetic fit and residual limb health

WIlken

Effects of powered prosthetic ankle plantar flexion on metabolic economy and gait adaptability

Wilken

Evaluations of spine health and spine mechanics in service members with lower-extremity trauma

Wilken

Functional evaluation of patients after limb salvage or transtibial amputation

Wilken

High level functional activities for patients with amputations

Wilken

High-dimensional, intuitive interface for a biomimetic, variable impedance arm prosthesis

Wilken

Improved training method for advanced rehabilitation of warfighters with lower extremity trauma

Wilken

Improved training method for rapid rehabilitation of lower extremity amputees and limb salvage patients

Wilken

Improving energy return and residual limb climate in the
 prosthesis for high-functioning amputees

Wilken

Investigation of trunk muscle activities with lumbosacral kinetics during over-ground walking in service members with unilateral lower-extremity amputation

Wilken

Level belt validation

Wilken

LS

Wilken

Modulation of ground reaction force impulse while walking in a virtual reality based environment

Wilken

Running study

Wilken

Spatiotemporal gait parameters, quality of life and overall outcomes in patients who have undergone late amputation after failed limb preservation

Wilken

The use of quantitative SPECT/CT imaging to assess residual limb health

Wilken

Toolbox 2.0

Wilken

Spinal loads during activities of daily living: Influences of lower limb amputation

Wilken/Rabago

Split-belt treadmill adaptation for service members with unilateral lower extremity amputation

Wilken/Rebago

Walter Reed Bethesda

The effect of prosthesis type on energy expenditure during running following unilateral transfemoral amputation

Darter

Initial validation of a virtual reality-based, military-specific treatment tool for injured service members

Dearth

Real time bio-feedback during running rehabilitation

Dearth

RTD FACTORS: Identification of factors that influence return to duty

Dearth

Virtual coach- development and feasibility of a virtual training tool for upper extremity myoelectric prosthesis and orthotics care

Dearth

AFOR

Gatmaitan

Development of a mobile gait analysis system for lower-limb amputee high-level activity rehabilitation

Hendershot

Development of sub-ischial prosthetic sockets with assisted-vacuum suspension for highly active persons with transfemoral amputations

Hendershot

EACE P2M

Hendershot

Novel data analysis techniques to characterize gait mechanics following severe lower limb trauma

Hendershot

OA Fxn

Hendershot

Physical and cognitive assessment battery for severely injured service members

Hendershot

A pilot study to test the efficacy of psychologically-based physical therapy training for treating deployed us sailors and marines with musculoskeletal injuries

Pruziner

Clinical and radiographic outcomes following anterior cervical discectomy and fusion versus anterior cervical discectomy and arthroplasty in active duty service members

Pruziner

Differences in biomechanics during barefoot running with altered plantar cutaneous sensation by foot sole tape

Pruziner

Gait retraining for individuals with unilateral lower extremity amputation using a mobile device to provide real-time feedback

Pruziner

Identifying obstacles and facilitators of work re-integration in active duty sailors and marines with deployment and/or combat-related musculoskeletal injuries

Pruziner

Investigation of running mechanics in healthy runners

Pruziner

Mobile monitoring of gait (amputees and runners)

Pruziner

Retrospective administrative limited duty outcomes

Pruziner

A novel regenerative rehabilitation approach for treatment of post-traumatic knee osteoarthritis

Saha

Comparing functional outcomes in low energy Lisfranc injuries treated with ORIF vs. primary arthrodesis

Schnall

Retrospective: Patient-reported outcomes

Schnall

Comparison of 3D gait analysis data across DoD sites

Scoville

Factors influencing rehabilitation effectiveness in the restoration of physical function in the military amputee

Hendershot

Improving dynamic walking stability in traumatic amputees

Hendershot

PBPT Carrier

Goal: Determine the effect of psychologically based physical therapy (PBPT) to address maladaptive beliefs and increase self-efficacy of deployed service members aboard a U.S. Navy aircraft carrier.

Study PI:

Sherri Weiser, PhD
Occupational and Industrial Orthopedics Center, New York Hospital for Joint Diseases