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Education

Ph.D. in Rehabilitation Science, 2016. University of Colorado. Denver, Colorado

D.P.T. in Physical Therapy, 2010. Regis University. Denver, Colorado

B.S. in Biochemistry, 2002. Arizona State University. Tempe, Arizona

Courses Taught

PT 510 Applied Clinical Anatomy

Research Interests

My research is focused on improving shared decision-making and personalized care in clinical practice, through the use of informatics and novel data science applications.  Specifically, I am interested in using analytic techniques to help patients and clinicians better understand diagnosis and prognosis, as well as to assist in monitoring patient progress throughout an episode of care. I enjoy collaborating with a variety of different patient populations in this research: people with peripheral vascular disease, people with total knee arthroplasty, people with lower limb amputation, and children at risk of developmental delay.

Projects

AHRQ R01 HS025692-01                  Stevens-Lapsley (PI)                          9/01/18-8/31/23          

Novel Strategies for Personalized Clinical Decisions in Knee Arthroplasty

To develop procedures for rapid optimization and validation of prediction algorithms for knee function, physical function, and patient-reported function and develop and implement a web-application for patients with knee arthroplasty.

Role: Co-investigator

Zorg Institute (Netherlands)                van der Wees (PI)                               10/1/18-9/30/20

Individual prognostic profiles for joint decision making for patients with peripheral arterial disease.

This project aims to improve shared decision making for patients with peripheral vascular disease engaged in a supervised walking program. 

Role: Co-investigator

NIH K12 HD055931                            Mueller (PI)                                         9/1/18-8/31/20

Design and Implementation of Personalized Reference Charts for Total Knee Arthroplasty Rehabilitation. 

This career development award supports my training in health informatics, clinical decision support, and shared decision making, and supports a pilot research project to develop and implement clinical informatics in a case series.

Role: Scholar, Project PI

Hanger Inc.                                         Christiansen (PI)                                6/01/18-5/31/20

Personalized Reference Charts for Prosthetic Rehabilitation

The goal of this project is to develop personalized reference chart use to guide prognosis and care planning for patients following lower limb amputation. This mixed-methods design study will be used to design the reference chart, implement chart use as a pilot project, and determine chart use clinical feasibility.

Role: Co-investigator

Selected Publications

1. Graber J, Loyd BJ, Hoogeboom TJ, Miller CJ, Kittelson AJ. Optimizing the Accuracy and Precision of the Minimal Detectable Change Statistic: Secondary Analysis of Test-Retest Data from the NIH Toolbox Study. Phys Ther. 2024 Nov 22:pzae170. doi: 10.1093/ptj/pzae170. Epub ahead of print. PMID: 39574399.
2. Willems SJ, Kittelson AJ, Rooker S, Heymans MW, Hoogeboom TJ, Coppieters MW, Scholten-Peeters GGM. A "people-like-me" approach to predict individual recovery following lumbar microdiscectomy and physical therapy for lumbar radiculopathy. Spine J. 2024 Nov 8:S1529-9430(24)01094-5. doi: 10.1016/j.spinee.2024.10.003. Epub ahead of print. PMID: 39522772.
3. Anderson CB, Fatone S, Mañago MM, Swink LA, Kittelson AJ, Magnusson DM, Christiansen CL. Development and alpha testing of a patient shared decision aid for prosthesis design for new lower limb prosthesis users. Prosthet Orthot Int. 2024 Mar 19. doi: 10.1097/PXR.0000000000000314. Epub ahead of print. PMID: 38506643.
4. Weston AR, Lohse KR, Kittelson A, King LA, Carlson-Kuhta P, Dibble LE, Mancini M. Turning speed as a more responsive metric of age-related decline in mobility: A comparative study with gait speed. Clin Biomech (Bristol, Avon). 2024 Mar;113:106196. doi: 10.1016/j.clinbiomech.2024.106196. Epub 2024 Feb 5. PMID: 38354515; PMCID: PMC10955671.
5. Willems SJ, Coppieters MW, Rooker S, Orzali L, Kittelson AJ, Ostelo RW, Kempen DHR, Scholten-Peeters GGM. The impact of being overweight or obese on 12 month clinical recovery in patients following lumbar microdiscectomy for radiculopathy. Spine J. 2024 Apr;24(4):625-633. doi: 10.1016/j.spinee.2023.10.023. Epub 2023 Nov 6. PMID: 37935285.
6. Marcellis LHM, Sinnige A, Rutgers KM, Kittelson A, Spruijt S, Teijink JAW, van der Wees PJ, Hoogeboom TJ. Evaluating the implementation of personalised outcomes forecasts to optimise supervised exercise therapy in patients with intermittent claudication in the Netherlands: a multimethods study. BMJ Open Qual. 2024 Feb 20;13(1):e002594. doi: 10.1136/bmjoq-2023-002594. PMID: 38378615; PMCID: PMC10882410.
7. Sinnige A, Kittelson A, Rutgers KM, Marcellis LHM, van der Wees PJ, Teijink JAW, Hoogeboom TJ. Nationwide implementation of personalized outcomes forecasts to support physical therapists in treating patients with intermittent claudication: Protocol for an interrupted time series study. PLoS One. 2023 Jul 31;18(7):e0288511. doi: 10.1371/journal.pone.0288511. PMID: 37523366; PMCID: PMC10389723.
8. Kittelson AJ, Loyd BJ. Personalized Reference Values for the Two-Minute Walk Test: An Analysis of Cross-Sectional Data From the National Institutes of Health Toolbox Study. Arch Phys Med Rehabil. 2023 Sep;104(9):1418-1424.e1. doi: 10.1016/j.apmr.2023.03.021. Epub 2023 Apr 8. PMID: 37037295; PMCID: PMC10524757.
9. Graber J, Kittelson AJ, 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. PubMed PMID: 35903035.
10. Sinnige A, Teijink JAW, Spruijt S, Kittelson AJ, Oude Bos A, Van der Wees PJ, Hoogeboom TJ. Impact of Personalized Outcomes Forecasts on Clinical Reasoning of Physical Therapists in Intermittent Claudication: A Vignette Study. Phys Ther. 2022 Jul 4;102(7). PubMed PMID: 35778937.
11. Kittelson A, Carmichael J, Stevens-Lapsley J, Bade M. Psychometric properties of the 4-meter walk test after total knee arthroplasty. Disabil Rehabil. 2022 Jun;44(13):3204-3210. doi: 10.1080/09638288.2020.1852446. Epub 2020 Dec 5. PubMed PMID: 33280460; PubMed Central PMCID: PMC8178417.
12. Anderson CB, Fatone S, Mañago MM, Swink LA, Hager ER, Kittelson AJ, Christiansen CL, Magnusson DM. Improving shared decision-making for prosthetic care: a qualitative needs assessment of prosthetists and new lower-limb prosthesis users. Prosthet Orthot Int. 2022 May 25. PubMed PMID: 35622457.
13. Anderson CB, Kittelson AJ, Wurdeman SR, Miller MJ, Stoneback JW, Christiansen CL, Magnusson DM. Understanding decision-making in prosthetic rehabilitation by prosthetists and people with lower limb amputation: a qualitative study. Disabil Rehabil. 2022 Apr 7;:1-10. doi: 10.1080/09638288.2022.2037745. [Epub ahead of print] PubMed PMID: 35389313.
14. Sinnige A, Kittelson AJ, Van der Wees PJ, Teijink JAW, Hoogeboom TJ. Personalised Outcomes Forecasts of Supervised Exercise Therapy in Intermittent Claudication: An Application of Neighbours Based Prediction Methods with Routinely Collected Clinical Data. Eur J Vasc Endovasc Surg. 2022 Apr;63(4):594-601. PubMed PMID: 35210160.

Professional Experience

2017 - 2019 - Assistant Professor, Physical Therapy Program, School of Medicine, University of Colorado Denver, Anschutz Medical Campus, Aurora, CO

2010 - 2011 - Research Assistant; Muscle Performance Laboratory; University of Colorado Denver; Aurora, CO

2010 - 2011 - Physical Therapist; ProCare Physical Therapy; Outpatient Orthopedic Physical Therapy Clinic; Parker, CO

2010 – 2011 - Physical Therapist; Therex Inc.; Saint Anthony's Central Hospital; Denver, CO

2004 – 2007 - Technologist, National Jewish Medical and Research Center; Mycobacteriology Laboratory; Denver, CO