OASIS 2: Mobility Differences with Specific Prosthetic Feet Across Procedure Codes

OASIS 2 Study Summary


Journal of Rehabilitation and Assistive Technologies Engineering
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Taavy A. Miller, PhD1,2, James H. Campbell, PhD1, Dwiesha L. England, MS 1, Phillip M. Stevens, MEd1,3, Shane R. Wurdeman, PhD1

  1. Hanger Institute for Clinical Research and Education, Austin, TX, USA
  2. School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA, USA
  3. School Division of Physical Medicine and Rehabilitation, University of Utah Health, Salt Lake City, UT, USA


The prosthetic foot is a unique tool provided to patients as part of their overall prosthetic rehabilitation following limb loss. There is a category of prosthetic foot in particular, coded as L5987, which was predicted to enable higher functionality by integrating vertical shock absorption. Originally, this functionality was achieved through additional mechanical components attached to the foot, adding both build height and weight. However, improvements in geometries and materials science allowed these feet to evolve to the point that they could potentially provide similar functional benefit without the added weight and height of the visible vertical shock absorption units.

Recently, the organization that assigns prosthetic components their categorical codes (PDAC) re-classified several L5987 feet to an L5981 code due to the lack of an obvious, visible additional vertical shock absorption unit. This was done without consideration for the performance or observed function of the feet. Rather, the decision was informed by the presence of distinct mechanical features.

The purpose of Outcomes ASsessment and DISsemination (OASIS) 2 was to compare patient-reported functional mobility across a range of prosthetic feet using real-world clinical outcomes data. It is the second study in the OASIS series by the Hanger Institute for Clinical Research and Education comparing the effectiveness of prosthetic components across patient groups to impact and enhance patient outcomes.

Learn more about OASIS 1, which compared outcomes from four common microprocessor knee models.


To investigate real-world evidence on several highly utilized prosthetic feet that were re-coded from L5987 to L5981 due to a lack of a visual distinct vertical loading mechanism.

Design (n=526)

A retrospective, observational review of patient outcomes data was completed to assess mobility across foot categories and between different prosthetic feet coded as L5987 or L5981.

Patient Inclusion Criteria:

  • Data collected from January 2016-December 2021
  • 18 years or older
  • Major lower limb amputation (i.e. transtibial, knee disarticulation, or transfemoral)
  • Currently using a prosthesis
  • Completed mobility outcomes after confirmed delivery of a new prosthetic foot

Patient Demographics:

  • Average age = 52.5
  • 83% Male
  • 78% Transibital amputation
  • 37.4% Vascular disease / diabetes
  • 27% Trauma
  • 35.6% Cancer, congenital, and / or not reported
  • K3 Ambulators = 523

Patient Foot-Type Groups:

Research Short: An Overview of OASIS 2

Hear the perspective of two OASIS 2 study authors, Phil Stevens, MEd, CPO, FAAOP, and Shane Wurdeman, PhD, CP, FAAOP(D), as they provide insight and clarity into the objectives and findings of OASIS 2.


The results showed L5987 feet had greater functional mobility than the Original-81 feet. There was no significant difference in functional mobility for individuals with prosthetic feet that had their coding modified to L5981, compared to those that retained the L5987 designation.


Category Comparison

Post hoc analysis showed the Sustained 87 category to be significantly greater than the Original 81 category (P<.0001). Notably, there were no statistical differences between the Sustained 87 and Modified categories (p=.55) or between the Modified and Not Reviewed (p=.62).


Mobility Comparison

Specific make and model of feet within each category performed fairly consistently although there were exceptions.


Meet the OASIS 2 Authors

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