Trial Outcomes & Findings for Effectiveness of Ankle Foot Orthoses on Gait in Multiple Sclerosis (NCT NCT01796860)

NCT ID: NCT01796860

Last Updated: 2015-08-21

Results Overview

Participants will be asked to walk on a 12-16 foot long vinyl pad placed on the floor. The mat will record and analyze step length.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

10 participants

Primary outcome timeframe

Computerized gait analysis will be done at the time of enrollment and week 13.

Results posted on

2015-08-21

Participant Flow

Participant milestones

Participant milestones
Measure
Ankle Foot Orthosis Group
All persons in the study will be fit with the same AFO (Tamarack joint with adjustable check strap). AFO: The purpose of this study is to investigate the impact of a specifically designed ankle foot orthosis (AFO, hinged, with tamarack joint and adjustable check strap) on the spatial and temporal gait parameters, electromyography (EMG), and walking endurance, in select individuals living with MS. Over the 13 week period, the subject will participate in 5 gait training sessions which will be at weeks 1, 2, 3, 7, and 10.
Overall Study
STARTED
10
Overall Study
COMPLETED
7
Overall Study
NOT COMPLETED
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Ankle Foot Orthosis Group
All persons in the study will be fit with the same AFO (Tamarack joint with adjustable check strap). AFO: The purpose of this study is to investigate the impact of a specifically designed ankle foot orthosis (AFO, hinged, with tamarack joint and adjustable check strap) on the spatial and temporal gait parameters, electromyography (EMG), and walking endurance, in select individuals living with MS. Over the 13 week period, the subject will participate in 5 gait training sessions which will be at weeks 1, 2, 3, 7, and 10.
Overall Study
Withdrawal by Subject
3

Baseline Characteristics

Effectiveness of Ankle Foot Orthoses on Gait in Multiple Sclerosis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ankle Foot Orthosis Group
n=7 Participants
All persons in the study will be fit with the same AFO (Tamarack joint with adjustable check strap). AFO: The purpose of this study is to investigate the impact of a specifically designed ankle foot orthosis (AFO, hinged, with tamarack joint and adjustable check strap) on the spatial and temporal gait parameters, electromyography (EMG), and walking endurance, in select individuals living with MS. Over the 13 week period, the subject will participate in 5 gait training sessions which will be at weeks 1, 2, 3, 7, and 10.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
7 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Age, Continuous
49.5 years
STANDARD_DEVIATION 5.83 • n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
7 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
7 participants
n=5 Participants

PRIMARY outcome

Timeframe: Computerized gait analysis will be done at the time of enrollment and week 13.

Participants will be asked to walk on a 12-16 foot long vinyl pad placed on the floor. The mat will record and analyze step length.

Outcome measures

Outcome measures
Measure
Ankle Foot Orthosis Group
n=7 Participants
All persons in the study will be fit with the same AFO (Tamarack joint with adjustable check strap). AFO: The purpose of this study is to investigate the impact of a specifically designed ankle foot orthosis (AFO, hinged, with tamarack joint and adjustable check strap) on the spatial and temporal gait parameters, electromyography (EMG), and walking endurance, in select individuals living with MS. Over the 13 week period, the subject will participate in 5 gait training sessions which will be at weeks 1, 2, 3, 7, and 10.
Change in Step Length From Initial Testing to End of Study
6.47 measure of length (cm)
Standard Deviation 3.26

SECONDARY outcome

Timeframe: Surface EMG will be done at the time of enrollment and week 13.

Surface electromyography will be done on key muscles in the lower extremity (quadriceps, anterior tibialis, gastrocnemius) during computerized gait assessment. Changes in muscle activity would be things like large changes in amplitude of muscle firing or changes in the timing of muscle firing, for example. These would indicate changes in strength or perhaps motor learning as a result of wearing the ankle foot orthosis.

Outcome measures

Outcome measures
Measure
Ankle Foot Orthosis Group
n=7 Participants
All persons in the study will be fit with the same AFO (Tamarack joint with adjustable check strap). AFO: The purpose of this study is to investigate the impact of a specifically designed ankle foot orthosis (AFO, hinged, with tamarack joint and adjustable check strap) on the spatial and temporal gait parameters, electromyography (EMG), and walking endurance, in select individuals living with MS. Over the 13 week period, the subject will participate in 5 gait training sessions which will be at weeks 1, 2, 3, 7, and 10.
Number of Participants With Change in Muscle Activity With Surface Electromyography (EMG) of Key Lower Extremity Muscles From Baseline to Final Testing
0 participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 6MWT will be done at the time of enrollment and week 13.

Each participant will be asked to walk at a self-selected velocity on level surfaces for 6 minutes. They will be allowed to use assistive devices as necessary.

Outcome measures

Outcome measures
Measure
Ankle Foot Orthosis Group
n=7 Participants
All persons in the study will be fit with the same AFO (Tamarack joint with adjustable check strap). AFO: The purpose of this study is to investigate the impact of a specifically designed ankle foot orthosis (AFO, hinged, with tamarack joint and adjustable check strap) on the spatial and temporal gait parameters, electromyography (EMG), and walking endurance, in select individuals living with MS. Over the 13 week period, the subject will participate in 5 gait training sessions which will be at weeks 1, 2, 3, 7, and 10.
Change in Walking Endurance Using a 6-Minute Walk Test (6MWT) From Initial Testing to Final Testing
44.28 meters
Standard Deviation 77.12

Adverse Events

Ankle Foot Orthosis Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Karen J McCain, PT, DPT, NCS, Principal Investigator

University of Texas Southwestern Medical Center

Phone: 214-648-1559

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place