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Physical Therapy Excellence Fellows

2009 to 2010

David Oleson
Oregon Hemophilia Center
David Oleson

Comparison of Two Types of Ankle Braces in the Management of Ankle Pain in Hemophilia

This project will examine the differences in effectiveness of fracture boots, which are "walking casts" that can be put on and taken off, and carbon fiber braces, which use a newer technology resulting in lighter and smaller braces. Gait analysis wearing both the fracture boot and the carbon fiber brace will be performed using a mat equipped with pressure sensors that will measure aspects of gait such as step length and foot position. People with hemophilia A and B who experience ankle pain from bleeds will be asked to participate. Levels of pain will be measured before, during, and after each trial. Measurements from the gait mat and levels of pain relief will be used to determine effectiveness and acceptance of each type of support.

2009 to 2010

Pattye Tobase
University of California, San Francisco
Pattye Tobase

Outcome Tools to Utilize Pre and Post Orthopedic Interventions for Hemophilic Arthropathy

This project will provide clinicians with a recommended set of valid and reliable outcome tools to assess efficacy of common orthopedic interventions for hemophilic arthropathy. Current research uses a range of parameters such as range of motion, pain, and complication rates to measure change and/or success after an orthopedic intervention. The goal of this project is to allow hemophilia treatment centers to collect data in a standard format for future analysis and research projects.

2008 to 2009

Heidi Lane
Intermountain Hemophilia and Thrombosis Center
Heidi Lane

Outcomes Following Ankle Arthrodesis for People with FVIII/FIX Deficiency: A Look at the Universal Data Collection Project

In the clinic, for those of us who treat PWBD with advanced stage joint disease of the ankle, pain is greatly reduced following ankle fusion. However, what still remains unclear about these patients, and yet is available through the Center for Disease Control's Universal Data Collection project, are the following variables: current overall activity level; use of cane, crutches or walker (in the last year); number of days missed from work due to LE bleeds (in the last year); use of a wheelchair (in the last year); ankle ROM and report of additional lower extremity target joints post ankle fusion. We plan to perform a retrospective analysis of the above data points in patients who have undergone ankle fusion. Data will be pulled from one annual visit prior to the ankle fusion, and two successive annual visits following the fusion. The purpose for pulling data from two successive annual visits following the procedure is to allow for adequate recovery time in patients. Additionally, the same data points will be pulled for a group of patients with similar range of motion as the experimental group, but who do not undergo ankle fusion. The intent of this study is to provide FVIII/FIX deficiency patients with a better sense of their expected outcomes following ankle fusion, based on the data gathered from the bleeding disorders community via the UDC.