Table 3

Length of MDT rehabilitation and longitudinal changes in psychosocial outcomes of passive-dynamic ankle-foot orthosis (PDAFO) users who engaged in a minimum two inpatient rehabilitation admissions versus patients with previous traumatic lower extremity injury recorded at last admission, prior to the availability of the brace. Data present pre-PDAFO, first, second and last admissions post-PDAFO provision compared with previous below-knee limb salvage (BK-LS) and delayed below-knee amputees (d-BKA). Data presented as mean, SD, range and percentages

Patients who engaged in the recommended guidelines of ≥2 inpatient MDT rehabilitation admissions wearing their PDAFOOutcomes of patients with previous lower extremity trauma recorded at last admission prior to the availability of the PDAFO*
Preprovision admissionFirst admission post-PDAFO provisionSecond admission post-PDAFO provisionLast admissionBK-LS
(last admission)
d-BKA
(last admission)
n161616161315
MDT rehabilitation
 Months of rehabilitation20±10
(3–42)
1±2
(0–5)
4±3
(2–8)
10±9
(3–28)
18±17
(3–58)
19±8
(9–31)
 Number of ~3 weeks of admissions6±4
(2–16)
7±4
(3–17)
8±4
(4–18)
10±6
(5–19)
8±6
(2–13)
7±3
(4–13)
Mental health outcomes
 PHQ-9 (Depression)4±4
(0–12)
4±2
(0–7)
3±3
(0–9)
3±3
(0–8)
4±5
(0–17)
4±6
(0–19)
 <5 No symptoms (%)755069817760
 >10 Moderate symptoms (%)130001520
 >15 Moderate to severe symptoms (%)000087
Generalised Anxiety Disorder (GAD-7)4±4
(0–11)
4±3
(0–11)
3±3
(0–9)
3±3
(0–9)
3±5
(0–16)
4±5
(0–14)
 <5 No symptoms (%)756963696967
 >10 Moderate symptoms (%)13600820
 >15 Severe symptoms000080
Requires mental health support (%)253813133340
Pain
 Report no pain (%)61331381540
 Able to control pain (%)88881001008593
  • *Adapted from Ladlow et al.8

  • MDT, multidisciplinary team; PHQ-9, Patient Health Questionnaire-9.