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 PDAFO | Outcomes of patients with previous lower extremity trauma recorded at last admission prior to the availability of the PDAFO* | |||||
| Preprovision admission | First admission post-PDAFO provision | Second admission post-PDAFO provision | Last admission | BK-LS (last admission) | d-BKA (last admission) | |
| n | 16 | 16 | 16 | 16 | 13 | 15 |
| MDT rehabilitation | ||||||
| Months of rehabilitation | 20±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 admissions | 6±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 (%) | 75 | 50 | 69 | 81 | 77 | 60 |
| >10 Moderate symptoms (%) | 13 | 0 | 0 | 0 | 15 | 20 |
| >15 Moderate to severe symptoms (%) | 0 | 0 | 0 | 0 | 8 | 7 |
| 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 (%) | 75 | 69 | 63 | 69 | 69 | 67 |
| >10 Moderate symptoms (%) | 13 | 6 | 0 | 0 | 8 | 20 |
| >15 Severe symptoms | 0 | 0 | 0 | 0 | 8 | 0 |
| Requires mental health support (%) | 25 | 38 | 13 | 13 | 33 | 40 |
| Pain | ||||||
| Report no pain (%) | 6 | 13 | 31 | 38 | 15 | 40 |
| Able to control pain (%) | 88 | 88 | 100 | 100 | 85 | 93 |
MDT, multidisciplinary team; PHQ-9, Patient Health Questionnaire-9.
*Adapted from Ladlow et al.8