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Guest Editorial: More than the final score: Development, application, and future research of Comprehensive High-Level Activity Mobility Predictor

Author(s): Ignacio A. Gaunaurd, PhD, MSPT | Robert S. Gailey, PhD, PT | COL (Ret) Paul F. Pasquina, MD

Journal: Journal of Rehabilitation Research and Development
ISSN 0748-7711

Volume: 50;
Issue: 7;
Start page: ix;
Date: 2013;
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Keywords: CHAMP | JRRD | limb loss | high-level mobility | outcome measures | prosthetic | Comprehensive High-Level Activity Mobility Predictor

Since September 11, 2001, the United States has become involved in two major conflicts [1]. As of December 3, 2012, the Congressional Research Service reported that the number of battle-injury amputations from Operation New Dawn, Operation Iraqi Freedom (OIF), and Operation Enduring Freedom (OEF) was 1,715 [2]. Explosions or blasts have produced the highest percentage (54%) of limb injuries seen among wounded servicemembers (SMs) since World War II [3]. Owens et al. reported almost symmetrical distribution between wounds to the upper (51%) and lower limbs (49%) with SMs wounded in action in OIF/OEF from October 2001 through January 2005 [3]. Prior to 2005, approximately 75 percent of major limb amputations occurred to the lower limbs, with 15 percent of SMs sustaining multiple limb loss [4]. By 2009, the numbers had increased such that 82 percent of major limb amputations were to the lower limbs, with 24 percent sustaining multiple limb loss and the majority occurring in bilateral lower limbs. Since 2010, the number of SMs sustaining more than one limb loss has continued to increase, with also greater concomitant injuries [5].
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