About

Bradeigh Godfrey, DO, is an Assistant Professor in the Department of Physical Medicine and Rehabilitation at the Spencer Fox Eccles School of Medicine. She practices at the Salt Lake City VA Medical Center and is board certified by the National Board of Osteopathic Medical Examiners. Dr. Godfrey graduated from the Chicago College of Osteopathic Medicine and completed her residency training in Physical Medicine and Rehabilitation at the University of Utah, where she served as a chief resident. Her clinical interests include amputee rehabilitation, electromyography, and neurologic rehabilitation. She is actively involved in clinical teaching, lecturing, and mentoring residents and medical students within her field. Her research focuses on amputee rehabilitation and the use of community activity monitors in rehabilitation.

Research topics

• Physical medicine and rehabilitation
• Surgery
• Medicine
• Physical therapy

Selected publications

• Iodine-starch test validity in amputee patients with hyperhidrosis

  Disability and Rehabilitation · 2026-03-30

  article

  PURPOSE: Validate the iodine-starch test in amputees by comparing a novel measure, the Amputee Iodine-Starch Result (AISR) with the Hyperhidrosis Disease Severity Scale (HDSS) and to measure test-retest reliability in patients with hyperhidrosis. MATERIALS AND METHODS: Amputee patients underwent iodine-starch testing using a previously described method. AISR was derived by visually inspecting sweat reactions on the residual limb and prosthetic sheath, scoring intensity using the Sweating Intensity Visual Scale (SIVS), measuring surface area involvement, and normalizing to residual limb surface area. Ordinal logistic regression for HDSS vs AISR was performed. Intraclass correlations (ICC) measured test-retest reliability. RESULTS: = 0.194, ICC = 0.198, 95% CI -0.189, 0.526) measurements. CONCLUSIONS: The iodine-starch test is significantly associated with HDSS, but has poor test-retest reliability.

  PublisherDOI

• Comparison of Self-Reported vs Objective Measures of Long-Term Community Ambulation in Lower Limb Prosthesis Users

  Archives of Rehabilitation Research and Clinical Translation · 2022 · 1 citations

  1st authorCorresponding
  • Physical medicine and rehabilitation
  • Physical therapy
  • Medicine

  Objective: To determine normal variation in walking metrics in a population of lower limb amputees who use lower limb prostheses over a 6-month period and to provide a means to interpret clinically meaningful change in those community walking metrics. Design: Prospective cohort study monitoring walking behavior and subjective and objective measures of activity. Setting: Veterans Administration and university amputee clinics. Participants: 86 individuals with lower limb amputation who use protheses. Interventions: StepWatch activity monitor tracked subjects' walking for 24 weeks; Global Mobility Change Rating collected weekly. Main Outcome Measures: Association between change in Global Mobility Change Rating and change in any of the walking metrics. Results: Walking metrics including step count, cadence, cadence variability, and walking distance in a population of lower limb prosthesis users were obtained. There was a high correlation in the walking metrics indicating higher function with higher functional classification level (K-levels) but also substantial overlap in all metrics and a very weak correlation between subject-reported activity level and objective measures of walking performance. Conclusion: The overlap in walking metrics with all K-levels demonstrates that no single metric measured by StepWatch can determine K-level with 100% accuracy. As previously demonstrated in other populations, subjects' interpretations of their general activity level was inaccurate, regardless of their age or activity level. Objective measures of walking appear to provide a more accurate representation of patients' activity levels in the community than self-report. Therefore, objective measures of walking are useful in supporting K-level determinations. However, clinicians cannot rely on a single metric to determine K-level.

  PublisherDOI

• Iodine–Starch test for assessment of hyperhidrosis in amputees, evaluation of different methods of application*

  Disability and Rehabilitation · 2017-08-21 · 9 citations

  articleSenior author

  PURPOSE: Hyperhidrosis is a common problem for amputees. The iodine-starch test is frequently used to assess hyperhidrosis, but a method for its application has not been described for amputees. METHODS: We performed an unblinded comparison of the iodine-starch test using various methods to protect the prosthesis in 10 prosthetic limb users with hyperhidrosis. RESULTS: Plastic wrap produced a diffuse pattern of sweating in 70% of subjects. Forty percent had complaints about this method, and 50% experienced leakage of iodine stain onto prosthetic liners. The prosthetic sheath produced a focal or multifocal reaction in 100% of subjects after 10 min of ambulation. Eighty percent had minor leakage onto the liner, and complaints were noted in 10%. The proportion that experienced diffuse sweating was significantly higher in the plastic wrap condition (p = 0.016; difference in proportions = 70%; 95% confidence interval = 32-100%). The prosthetic sock was tested in four subjects and all had at least mild complaints; three had minor leakage onto the liner. Repeated complaints and lack of stain prevention led to discontinuation with this method. CONCLUSIONS: Of the three methods, the sheath produces a focal or multifocal reaction after 10 min of ambulation and tends to cause less subject complaints. It should be the preferred method to apply the iodine-starch test to amputees. Implications for rehabilitation Hyperhidrosis is a common problem in amputees which negatively affects quality of life. The iodine-starch test is commonly used to guide treatment decisions for hyperhidrosis, but a preferred method for applying it in amputees has not been described. This study describes different methods for applying the iodine-starch test. A prosthetic sheath covering should be the preferred method for the iodine-starch test in amputees.

  PublisherDOI

• The Accuracy and Validity of Modus Trex Activity Monitor in Determining Functional Level in Veterans with Transtibial Amputations

  JPO Journal of Prosthetics and Orthotics · 2017-10-30 · 9 citations

  article1st authorCorresponding

  ABSTRACT Introduction The objective of this study was to investigate the accuracy and reliability of Modus Trex–derived K-level to differentiate between Medicare Functional Classification levels (K-levels) in individuals with lower-limb amputation. Methods This study was a prospective study monitoring walking behavior. Subjects were recruited from an outpatient clinic for persons with amputation at a Veterans Affairs medical center. Subjects were blinded to results of the Global Positioning System and activity data. Physicians were blinded to Modus Trex–derived K-level, 6-minute walk test (6MWT), and Amputee Mobility Predictor with Prosthesis (AMPPRO) results. The study enrolled 29 subjects with transtibial amputation. Twenty-seven subjects were included in the data analysis. Two subjects were excluded due to incomplete or unreliable data. Patients were eligible if they were at least 1 year postamputation surgery and could walk with a well-fitting and functioning prosthesis. Patients were excluded if they had other musculoskeletal injuries that impacted their ambulation ability. A clinical K-level, 6MWT, and AMPPRO were obtained. An activity monitor and Global Positioning System device were attached to the prosthesis to record activity for 2 weeks. Study physicians used number of steps in community, steps per day, peak cadence, and environmental barriers traversed in the subjects' first 6 to 10 days, as well as clinical judgement, to determine a Modified Clinical K-level (MCK-level) for each subject. The MCK-level was the criterion to which all other measures were compared. Results The Modus Trex–derived K-level correlated most strongly with the MCK-levels ( r = 0.96, P < 0.001) with 85% accuracy/sensitivity. Repeat (week 1 to week 2) was excellent (interclass correlation coefficient = 0.92). Other outcome measures also correlated to MCK-levels: AMPPRO ( r = 0.93), 6MWT ( r = 0.89), peak cadence ( r = 0.89), and daily steps ( r = 0.76). Conclusions The Modus Trex–derived K-level was reliable and accurate at estimating MCK-levels and can be useful as a component in K-level evaluation.

  PublisherDOI

• Residual Limb Hyperhidrosis Managed by Botulinum Toxin Injections, Enhanced by the Iodine‐Starch Test: A Case Report

  PM&R · 2016-10-22 · 6 citations

  articleSenior author

  Hyperhidrosis of the residual limb is a common condition affecting patients with amputations. The iodine-starch test is used by dermatologists to identify focal areas of hyperhidrosis before treatment with botulinum toxin. Here, we describe a case of a patient with a transtibial amputation with moderate-to-severe hyperhidrosis who received intradermal botulinum toxin injections to treat residual limb hyperhidrosis, with particular emphasis given to the utility of the iodine-starch test in managing this common condition. The iodine-starch test successfully identified hyperhidrotic areas before treatment as well as confirmed the physiologic anhidrotic effect of the botulinum toxin treatment. LEVEL OF EVIDENCE: V.

  PublisherDOI

• Incidence, severity, and impact of hyperhidrosis in people with lower-limb amputation

  The Journal of Rehabilitation Research and Development · 2015-01-01 · 23 citations

  article

  To assess the incidence and severity of self-reported hyperhidrosis in patients with amputation and understand its effects on prosthetic fit or function, a cross-sectional survey of patients at two amputee clinics was performed. Responses from 121 subjects with lower-limb amputation were analyzed. Of these subjects, 66% reported sweating to a degree that it interfered with daily activities, as measured by the Hyperhidrosis Disease Severity Scale. There was a significant association between sweating and interference with prosthetic fit and function. Sweating was more severe in cases of transtibial amputations, patients under the age of 60, warm weather, and vigorous activity. There was no relationship between severity of sweating and time since amputation, etiology of amputation, duration of daily prosthetic use, or reported ability to perform functional tasks. Subjects reported trying multiple interventions, but the self-reported effectiveness of these treatments was low. Hyperhidrosis, a common problem associated with prosthetic usage, varies in severity and often interferes with daily activities. Sweating severity is associated with poor prosthetic fit and function. Risk factors include younger age and transtibial amputation status. Treatment strategies generally lack efficacy. The results of this study may provide guidance for future interventions and treatment options.

  PublisherDOI

• Poster 466 Hyperhidrosis in Amputee Populations: Self‐Reported Incidence and Impact on Prosthetic Use and Function

  PM&R · 2012-10-01

  article
  PublisherDOI

Frequent coauthors

• C. Hansen

  University of Utah

  7 shared

• Teri Rosenbaum-Chou

  University of Utah

  4 shared

• Jody Q. Wixom

  University of Utah

  3 shared

• Christopher C. Duncan

  University of Utah

  2 shared

• Teri Rosenbaum Chou

  University of Utah

  2 shared

• Ben Wayment

  University of Utah

  2 shared

• Stephanie Klein

  2 shared

• Melissa Nuntapreda Kirk

  University of Utah

  1 shared