Improved Training Program for Fall Prevention of War Fighters

Eligible active duty service members, retired or veterans who participated in rehabilitation
programs at Department of Defense Advanced Rehabilitation Centers (Walter Reed National
Military Medical Center, Center for the Intrepid-San Antonio Military Medical Center and/or
the Naval Medical Center San Diego) will be considered for enrollment in this study. This
study will look at service members who have undergone transfemoral, transtibial or bilateral
lower extremity amputation or limb salvage procedures. Participants will receive fall
prevention training on an instrumented treadmill (6, training sessions). Participants will
receive three performance assessments:-immediately following completion of the treadmill
training and at three and six months following the completion of the training. Post training,
twice per month subjects will receive an email containing a follow up fall questionnaire
monitoring if they have fallen and the circumstances surrounding their fall. If they do not
have access to email, or if a timely response is not received from the email questionnaire
which was sent out, subjects will be contacted by phone.

Inclusion Criteria:

- Eligible active duty and retired service members and veterans with lower limb trauma

- Transfemoral amputation, transtibial amputation, bilateral amputation and or limb
salvage

- Participated in conventional rehab at one of the following rehab centers: Walter Reed
National Medical Center, Center for the Intrepid Brooke Army Medical Center, Naval
Medical Center San Diego

- Community ambulator

- Prosthesis / Orthosis use daily

- Exclusion Criteria:

- Dysvascular disease

- Excessive pain

- Neuromuscular problems preventing the performance of study protocol