Physiologic Range of Step-by-step Variations in Lower Limb Prosthesis Forces During Walking

NCT ID: NCT02234505

Last Updated: 2015-12-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

12 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-09-30

Study Completion Date

2015-11-30

Brief Summary

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In human gait there is a certain amount of variation between steps; some considered physiological and owed to variations in environment or posture, and some severe enough to be indicative of gait instabilities that may lead to stumbling and falling. In users of lower limb prosthetics, such gait instabilities are of especially great interest.

The study investigates the correlation between socket alignment quality and gait step-by-step variability in users of trans-tibial-prosthetics. It is hypothesized that a clearly defined range of step-by-step variability exists, and that therefore step-by-step variability is suitable as an outcome variable for the assessment of socket alignment.

A sample of ten persons with trans-tibial amputation will be recruited for this pilot study. Subjects will be asked to walk on different natural surfaces while the socket alignment is successively perturbed. Step-by-step variations in horizontal ground reaction forces and torsional moments will be measured and statistically compared.

Detailed Description

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Conditions

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Trans-tibial Limb Loss

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Trans-tibial prosthesis users

prosthetic alignment perturbation

Group Type EXPERIMENTAL

Prosthetic alignment perturbation

Intervention Type PROCEDURE

Prosthetic ankle plantar-flexion will be modified in different degrees, devices (prosthetic components) will not be modified from baseline condition

Interventions

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Prosthetic alignment perturbation

Prosthetic ankle plantar-flexion will be modified in different degrees, devices (prosthetic components) will not be modified from baseline condition

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* activity classification of K2 to K4
* experience in prosthesis use of at least one year
* stated ability to walk pain free for at least 30 minutes

Exclusion Criteria

* age of less than 18 years
* acute or ongoing residual limb pain
* use of a prosthesis that is not suitable for installation of the load cell (e.g. is too short, or has non-removable cosmesis)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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American Orthotic and Prosthetic Association

OTHER

Sponsor Role collaborator

University of Pittsburgh

OTHER

Sponsor Role lead

Responsible Party

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Goeran Fiedler

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Bakery Square MSPO labs

Pittsburgh, Pennsylvania, United States

Site Status

Countries

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United States

Other Identifiers

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PRO14040403

Identifier Type: -

Identifier Source: org_study_id