Michael Bade PT, PhD

Title: Principal Investigator; Associate Professor, Physical Therapy

Contact: michael.bade@cuanschutz.edu

University of Colorado webpage

Research Interests

My research interest is improving rehabilitation in individuals with degenerative joint disease or following joint arthroplasty (joint replacement).

Grants

Swelling Management after Total Knee Arthroplasty

Role: PI
Total Knee Arthroplasty (TKA) improves the pain from end-stage osteoarthritis. Still, the substantial swelling early after surgery is theorized to lead to decreases in strength and physical function. 
We will explore whether an inelastic, adjustable compression garment reduces swelling and improves strength and function compared to the current standard of care (elastic compression). 
This study has high potential to transform current postsurgical management and rehabilitation recommendations after TKA with a simple, cost-effective intervention and to improve the health of the millions of individuals who will undergo TKA annually.
Funder: National Institute of Arthritis and Musculoskeletal and Skin Diseases
NIH website

Movement pattern biofeedback training after total knee arthroplasty

Role: Co-I; PI: Jennifer Stevens-Lapsley; Co-I: Cory Christiansen 
In the next two decades, there may be a significant increase in total knee arthroplasty surgeries. Yet innovative rehabilitation techniques are still needed to optimize long-term physical function.
This study has a high potential to change current rehabilitation practices for TKA. Implementing movement pattern training can be easily implemented in clinical settings. Furthermore, the study also has the unique opportunity to improve patient outcomes after TKA by reducing subsequent problems due to compensatory overuse of the opposite knee.
Funder: National Institute on Aging
NIH website
Publications of note:
— Multimodal conservative management of arthrofibrosis after total knee arthroplasty compared to manipulation under anesthesia: a feasibility study with retrospective cohort comparison
— Movement Pattern Biofeedback Training after Total Knee Arthroplasty: Randomized Clinical Trial Protocol
— The Impact of Home Health Physical Therapy on Medicare Beneficiaries with a Primary Diagnosis of Dementia

Novel Strategies for Personalized Clinical Decisions in Knee Arthroplasty

Role: Co-I; PI: Jennifer Stevens-Lapsley
The proposed research is relevant to public health because total knee arthroplasty (TKA) is the most common inpatient elective surgery, with approximately 700,000 procedures performed each year. 
We propose to develop and implement a clinical decision tool for shared decision-making — Personalized Reference Charts (PRCS) — to facilitate personalized approaches to care. We believe our research will contribute to AHRQ's mission by supplying knowledge that will enhance individual clinical decision-making, increase resource utilization efficiency, and improve the quality of care surrounding TKA surgery in a learning healthcare system.
Funder: Agency for Healthcare Research and Quality
NIH website
Publications of note:
— Person-Centered Care and Physical Therapy: A “People-Like-Me” Approach
— "This is not negotiable. You need to do this…": A directed content analysis of decision making in rehabilitation after knee arthroplasty

Improving Rehabilitation for Veterans After Total Knee Arthroplasty Using Individualized Recovery Trajectories

Role: Co-I; PI: Jennifer Stevens-Lapsley
This study will examine the impact of a new clinical decision-support tool for rehabilitation after total knee arthroplasty (TKA). Typically, TKA rehabilitation is generic. Most patients receive the same dose and type of rehabilitation, despite the diversity of patients who undergo TKA. 
Our clinical support decision tool helps physical therapists tailor rehabilitation treatments and dosages to the individual needs, goals, and preferences of Veterans recovering from TKA. This study can potentially improve Veterans’ functional recovery after TKA while reducing the average number of physical therapy visits Veterans attend after surgery by tailoring rehabilitation dosage based on need. 
The clinical support decision tool will ensure the Veterans Health Administration (VHA) has the resources and capacity to provide adequate rehabilitation to every Veteran seeking TKA in the VHA system. Physical therapists using the clinical decision support tool can improve outcomes and access for other patient populations in the future.
Funder: Veterans Affairs
NIH website

Transfemoral osseointegrated prosthesis limb load symmetry training (TOPLOAD)

Role: Co-I; Co-PI: Cory Christiansen
This randomized controlled trial will 
1) determine the feasibility of a 40-week limb-load biofeedback training intervention, 
2) determine if there is an intervention signal of efficacy, and 
3) identify functional movement priorities for people with transfemoral osseointegrated prostheses.

Responsiveness of Bioelectrical Impedance Spectroscopy after Total Knee Arthroplasty

Role: PI
Funder: University of Colorado Denver Internal Award

Recent Publications

2023

Churchill L, John Bade M, Koonce RC, Stevens-Lapsley JE, Bandholm T. The past and future of peri-operative interventions to reduce arthrogenic quadriceps muscle inhibition after total knee arthroplasty: A narrative review. Osteoarthr Cartil Open. 2023 Dec 21;6(1):100429. doi: 10.1016/j.ocarto.2023.100429. PMCID: PMC10832271. PMID: 38304413

Mañago MM, Cohen ET, Alvarez E, Hager ER, Owens JG, Bade M. Feasibility of Low-Load Resistance Training Using Blood Flow Restriction for People With Advanced Multiple Sclerosis: A Prospective Cohort Study. Phys Ther. 2023 Oct 10:pzad135. doi: 10.1093/ptj/pzad135. Epub ahead of print. PMID: 37815934

Graber J, Churchill L, Struessel T, O'Malley S, Bade M, Stevens-Lapsley J. Expert consensus for the use of outpatient rehabilitation visits after total knee arthroplasty: A Delphi study. J Orthop Sports Phys Ther. 2023 Jul 10:1-28. doi: 10.2519/jospt.2023.11840. Epub ahead of print. PMID: 37428802

Mañago MM, Cohen ET, Cameron MH, Christiansen CL, Bade M. Reliability, Validity, and Responsiveness of the Patient-Specific Functional Scale for Measuring Mobility-Related Goals in People With Multiple Sclerosis. J Neurol Phys Ther. 2023 Mar 8. doi: 10.1097/NPT.0000000000000439. Epub ahead of print. PMID: 36897202

Garbin AJ, Stevens-Lapsley JE, Gritz RM, Tucker CA, Bade MJ. Long-Term Career Earnings in Academia Might Offset the Opportunity Cost of Full-Time PhD and Postdoctoral Education for Physical Therapists Who Hold a Doctor of Physical Therapy Degree. Phys Ther. 2023 Apr 4;103(4):pzad015. doi: 10.1093/ptj/pzad015. PMCID: PMC10152085. PMID: 37128811

2022

Graber J, Kittelson A, Juarez-Colunga E, Jin X, Bade M, Stevens-Lapsley J. Comparing "people-like-me" and linear mixed model predictions of functional recovery following knee arthroplasty. J Am Med Inform Assoc. 2022 Jul 28:ocac123. doi: 10.1093/jamia/ocac123. Epub ahead of print. PMID: 35903035

Mañago MM, Kimbrell K, Hager ER, Dwight H, Owens J, Bade M. Clinical use of blood flow restriction in people with neurologic conditions: a cross-sectional survey. J Phys Ther Sci. 2022 Apr;34(4):275-283. doi: 10.1589/jpts.34.275. Epub 2022 Apr 8. PMCID: PMC8989480. PMID: 35400831

Capin JJ, Bade MJ, Jennings JM, Snyder-Mackler L, Stevens-Lapsley JE. Total Knee Arthroplasty Assessments Should Include Strength and Performance-Based Functional Tests to Complement Range-of-Motion and Patient-Reported Outcome Measures. Phys Ther. 2022 Mar 30:pzac033. doi: 10.1093/ptj/pzac033. Epub ahead of print. PMID: 35358318

Rauzi MR, Foran JRH, Bade MJ. Multimodal conservative management of arthrofibrosis after total knee arthroplasty compared to manipulation under anesthesia: a feasibility study with retrospective cohort comparison. Pilot Feasibility Stud. 2022 Mar 25;8(1):71. doi: 10.1186/s40814-022-01026-y. PMCID: PMC8953056. PMID: 35337388

Carmichael J, Dennis D, Jennings J, Stevens-Lapsley J, Bade M. Feasibility and initial efficacy of a multimodal swelling intervention after total knee arthroplasty: A prospective pilot study with historical controls. Knee. 2022 Feb 17;35:25-33. doi: 10.1016/j.knee.2022.01.008. Epub ahead of print. PMID: 35183923