Research

Data Regarding Provision and Utilization of Orthotic and Prosthetic Services
AOPA, through its partnership with the research and data firm Dobson DaVanzo & Associates, LLC, has obtained a plethora of data specific to the provision and utilization of Orthotic & Prosthetic services.   This data, which is only available to current AOPA members, tells a compelling story about the type of O&P services Medicare patients are receiving as well as what provider categories (O&P, physicians, DME suppliers, pharmacies, etc.) are providing them.  It also provides valuable information regarding patients who initially receive off the shelf (OTS) items who later require custom fitted or custom fabricated items.  In addition, the compendium contains valuable information regarding the cost effectiveness of O&P services relative to their effect on overall healthcare expenditures for Medicare patients. Member login required to access.

Medicare Spending on Prosthetics from 2010-2014
Overall spending on prosthetics has decreased 15%, while spending on outdated technology has actually decreased.

February 2016 Military Medicine Supplement
Military Medicine is the official journal publication of the Association of Military Surgeons of the United States (AMSUS), and this edition contains two articles of note: 1) Suggested Guidelines for the Prescription of Orthotic Services, Device Delivery, Education, and Follow-up Care: A Multidisciplinary White Paper and 2) Economic Value of Prosthetic Services Among Medicare Beneficiaries: A Claims-Based Retrospective Cohort Study

O&P Utilization Data
AOPA, through its partnership with the research and data firm Dobson DaVanzo & Associates, LLC, has obtained a plethora of data specific to the provision and utilization of Orthotic & Prosthetic services (member login required).

2017 Research Projects

  • Sarah Anderson, La Trobe University, “Comparison of quality of life in people with partial foot or transtibial amputation”
  • Brian Kaluf, BSE, CP, Ability Prosthetics and Orthotics, Inc., “Hydraulic and Microprocessor Controlled Ankle-Foot Prostheses for Limited Community Ambulators with Unilateral Transtibial Amputation: Pilot Study”
  • Sarah Chang, PhD, Northwestern University, “A pilot study to evaluate the effects of the hydraulic ankle-foot prostheses on standing and walking in K2-level ambulators”
  • Benjamin Padilla, MD, University of California San Francisco Benoiff Children’s Hospital, “The Effects of a Custom Pectus Carintum Orthosis on Dosing Response and Quality of Life”
  • Eric Weber, CPO, FAAOP, Hanger Clinic – Department of Clinical and Scientific Affairs, “Mobility and Global Health among Users of Lower Limb Orthoses: The Establishment of a National Data Base”
  • Chris Hovorka, Ph.D., CPO, LPO, FAAOP, University of Pittsburgh, “Gait and Motion Control Benefits of Custom Molded Passive-Dynamic AFOs versus Custom Fit Carbon Composite AFOs in Persons with Neuromuscular Impairment”
  • Kenton Kaufman, PhD, Mayo Clinic, “Prevalence, correlates, and risk of prescription drug use and abuse in individuals with above knee amputations”

2016 Research Projects

Center for O&P Learning/ Evidence-Based Practice (COPL)

  • Walter Lee Childers, PhD, MSPO, CP, Alabama State University, “Stumble recovery mechanisms utilized by people using different types of microprocessor knees”
  • Kenton Kaufman, PhD, PT, Mayo Clinic, “Risk factors and costs associated with secondary health conditions of individuals with above-knee amputations”
  • Staci Shearin, UT Southwestern, “Impact of Carbon Fibre AFOs on gait and resulting changes in quality of life across time in persons with PD”
  • Nicholas LeCursi, CO, Becker Orthopedic Appliance Company, “Relative influence of orthotic support features within an open frame AFO versus a total contact AFO on function, endurance, and activity level in patients with spastic equinovarus secondary to chronic stroke”
  • Ignacio Gaunaurd, PhD, MSPT, University of Miami, “Utilizing an innovative Timed-Up-and-Go test for fall risk detection in people with unilateral lower limb loss”
  • Sai Vikas Yalla, PhD, Rosalind Franklin University of Medicine and Science, “Activity Based Quality Life Assessment to Compare Prostheses with and without Microcontrollers in Transfemoral Amputees”
  • Shane Wurdeman, PhD, MSPO, CP, FAAOP, Hanger Clinic – Department of Clinical and Scientific Affairs, “Improved mobility with lower limb prostheses: the establishment of a national multi-site outcomes database”

2015 Research Projects:

Center for O&P Learning/ Evidence-Based Practice (COPL)

  • Fan Gao, PhD, UT Southwestern Medical Center at Dallas. “Does Vacuum Assisted Socket System Improve Knee Proprioception and Dynamic Balance in Transtibial Amputees?”
  • Jason Highsmith, PT, PhD, CP, FAAOP, University of South Florida, “Concurrent Validation of the Continuous Scale Physical Functional Performance Test (CS PFP-10) in Transfemoral Amputees”
  • Jason Kahle, MSMS, CPO, FAAOP, The University of South Florida, School of PT and Rehab. “Transfemoral interfaces with vacuum assisted suspension comparison of biomechanics using the CAREn: Ischial containment versus brimless”

Systematic Review Projects

Special Projects

  • Kenton Kaufman, PhD, PE, Mayo Clinic, “Risk factors and costs associated with accidental falls among adults with above-knee amputations: a populations-based study”
  • AOPA will commission Dobson/DaVanzo to analyze Medicare claims data from 2011-2014 and Part D prescription claims information for expanded and updated research into the cost effectiveness of timely O&P intervention and patient outcomes, continuing in the pathway of the prior cost-effectiveness report and the Mobility Saves Initiative.

Previous COPL Research Grants

2014 

2013

2013 (Research Grant Awards In Progress)

  • Vibhor Agrawal, PhD, University of Miami – “Determining Efficacy of Dynamic Response Prosthetic Feet in K-level 3″

2012 (Research Grant Awards In Progress)

  • Tamara Bushnik, PhD, FACRM, NYU Langone Medical Center, Rusk Institute of Rehabilitation Medicine — “Developing an Evidence Based  Approach to Address Functional Level Change in Persons Following Transfemoral  Amputation”
  • Jason Maikos, PhD, Department of Veterans Affairs, New York Harbor Healthcare System — “A Biomechanical and Functional Evaluation of a Microprocessor Controlled Knee Paired with a Powered Ankle-Foot Prosthesis”

2012

2011

2010

2009

Other Special Projects

Systematic Reviews (2013)

  • Marcus Besser, PhD, Thomas Jefferson University, “Orthotic Management of Stroke Patient”
  • Jason Highsmith, DPT, PhD, CP, University of South Florida, “Prosthetic Management following Transtibial Amputation”

Funded by AOPA and Participating Manufacturer Members

Funded by AOPA and Commissioned by the Amputee Coalition