{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T05:44:32Z","timestamp":1790747072754,"version":"4.1.0"},"reference-count":25,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2017,7,27]],"date-time":"2017-07-27T00:00:00Z","timestamp":1501113600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["2UL1TR000433"],"award-info":[{"award-number":["2UL1TR000433"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["K12HD073945"],"award-info":[{"award-number":["K12HD073945"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To determine whether there are changes in level walking performance for people using a powered ankle prosthesis that was tuned by an independent, manufacturer-certified prosthetist in accordance with device recommendations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Intervention study with cross-over design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Laboratory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>Convenience sample of 10 individuals with unilateral, transtibial amputation, and 10 age- and gender-matched control participants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions:<\/jats:title>\n                    <jats:p>Powered ankle prosthesis (BiOM T2 Ankle System).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome metrics:<\/jats:title>\n                    <jats:p>Metabolic costs of walking, preferred walking speed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There were no significant differences in oxygen consumption (2.9% difference; P\u2009=\u20090.606, d\u2009=\u20090.26), cost of transport (~1% difference; P\u2009=\u20090.652, d\u2009=\u20090.23), or preferred walking speed (~1% difference; P\u2009=\u20090.147, d\u2009=\u20090.76) when using the powered ankle compared to unpowered prostheses. Secondary analyses of user characteristics revealed that participants who were classified as having the highest function (K4 on Medicare\u2019s 5-point scale from K0 to K4) were significantly more likely to exhibit energy cost savings than those classified as having lower function (K3; P\u2009=\u20090.014, d\u2009=\u20092.36).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Participants did not demonstrate significant improvements in energetics or preferred speed when wearing a clinically tuned powered ankle prosthesis compared to their non-powered prostheses. Prescribers of powered devices should understand that not all users will show an immediate reduction in energy expenditure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0269215517723054","type":"journal-article","created":{"date-parts":[[2017,7,28]],"date-time":"2017-07-28T01:04:04Z","timestamp":1501203844000},"page":"319-329","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":67,"title":["A controlled clinical trial of a clinically-tuned powered ankle prosthesis in people with transtibial amputation"],"prefix":"10.1177","volume":"32","author":[{"given":"Emily S","family":"Gardinier","sequence":"first","affiliation":[{"name":"School of Kinesiology, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian M","family":"Kelly","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, USA"},{"name":"Orthotics and Prosthetics Center, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Wensman","sequence":"additional","affiliation":[{"name":"Orthotics and Prosthetics Center, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deanna H","family":"Gates","sequence":"additional","affiliation":[{"name":"School of Kinesiology, University of Michigan, Ann Arbor, MI, USA"},{"name":"Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,7,27]]},"reference":[{"key":"bibr1-0269215517723054","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197658010-00007"},{"key":"bibr2-0269215517723054","first-page":"111","volume":"32","author":"Torburn L","year":"1995","journal-title":"J Rehabil Res Dev"},{"key":"bibr3-0269215517723054","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2009.02.009"},{"key":"bibr4-0269215517723054","doi-asserted-by":"publisher","DOI":"10.1016\/S0966-6362(99)00009-0"},{"key":"bibr5-0269215517723054","doi-asserted-by":"publisher","DOI":"10.1098\/rspb.2011.1194"},{"key":"bibr6-0269215517723054","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2015.09.008"},{"key":"bibr7-0269215517723054","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2012.06.009"},{"key":"bibr8-0269215517723054","doi-asserted-by":"publisher","DOI":"10.1186\/1743-0003-10-49"},{"key":"bibr9-0269215517723054","doi-asserted-by":"publisher","DOI":"10.1177\/0309364614564021"},{"key":"bibr10-0269215517723054","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2012.03.013"},{"key":"bibr11-0269215517723054","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2013.03.005"},{"key":"bibr12-0269215517723054","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2010.05.003"},{"key":"bibr13-0269215517723054","doi-asserted-by":"publisher","DOI":"10.1002\/pri.260"},{"key":"bibr14-0269215517723054","first-page":"163","author":"Renstrom P","year":"1983","journal-title":"Scand J Rehabil Med"},{"key":"bibr15-0269215517723054","volume":"51","author":"Esposito ER","year":"2014","journal-title":"J Rehabil Res Dev"},{"key":"bibr16-0269215517723054","volume-title":"HCFA Common Procedure Coding System (HCPCS)","author":"Centers for Medicare and Medicaid Services, US Depart-ment of Health and Human Services","year":"2001"},{"key":"bibr17-0269215517723054","unstructured":"Ware JEJr, Kosinski M, Dewey JE. 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