The IM ABLE Study: A Study of Warriors & Veterans Following Neuromusculoskeletal Injury of the Lower Limb

NCT ID: NCT03107728

Last Updated: 2019-03-20

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-02-22

Study Completion Date

2019-09-30

Brief Summary

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The purpose of the IM ABLE(Injuries Managed with Advanced Bracing for Lower Extremities) study is to determine if advanced (ADV) ankle foot orthoses (AFOs) will enable users to achieve greater levels of physical and self-reported function compared with conventional (CONV) AFOs for those ambulating at or above the independent community level of ambulation.

Detailed Description

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There were approximately 20,000 extremity trauma cases associated with the wars in Iraq and Afghanistan. Many of these individuals have experienced multiple limb-sparing surgeries and orthotic utilization. Many continue functioning with use of their orthosis while others may seek delayed amputation. It is unclear if limb salvage or amputation is more advantageous functionally or preferred following lower extremity(LE) trauma. The IDEO (Intrepid Dynamic Exoskeletal Orthosis) was developed to assist in maintaining high functional performance in patients who have experienced high energy lower extremity trauma (HELET) and limb salvage surgeries primarily effecting the LE below the level of the knee joint. The IDEO represents one "advanced" orthotic option for a traumatized and surgically spared limb however there are other "advanced" orthotic options. Problematically, few studies have reported outcomes associated with these devices. In the few studies available, sample sizes are small which greatly reduces generalizability of study findings. The purpose of the IM ABLE study is to determine if advanced (ADV) ankle foot orthoses (AFOs) will enable users to achieve greater levels of physical and self-reported function compared with conventional (CONV) AFOs for those ambulating at or above the independent community level of ambulation.

Conditions

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Limb Salvage Braces Lower Extremity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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Advanced orthotic brace

Group Type EXPERIMENTAL

Advanced orthotic brace

Intervention Type DEVICE

Participants will use an advanced exoskeletal orthosis.

Conventional orthotic brace

Group Type ACTIVE_COMPARATOR

Conventional orthotic brace

Intervention Type DEVICE

Participants will use the standard of care orthosis

Interventions

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Advanced orthotic brace

Participants will use an advanced exoskeletal orthosis.

Intervention Type DEVICE

Conventional orthotic brace

Participants will use the standard of care orthosis

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Lower extremity injury of any etiology requiring use of an AFO
2. Male or Female, of any ethnicity
3. 18-65 yrs of age
4. 100-275 lbs
5. ≥ 1 yr. of orthotic experience

Exclusion Criteria

1. Body weight \<100 or \>275 lbs
2. Does not speak English or Spanish
3. Known cognitive impairment (i.e. Diagnoses such as Traumatic Brain Injury, Dementia)
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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James A. Haley Veterans Administration Hospital

FED

Sponsor Role collaborator

VA New York Harbor Healthcare System

FED

Sponsor Role collaborator

Hanger Clinic: Prosthetics & Orthotics

OTHER

Sponsor Role collaborator

University of South Florida

OTHER

Sponsor Role lead

Responsible Party

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Jason Highsmith

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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New York VA

New York, New York, United States

Site Status RECRUITING

Hanger, Inc

Houston, Texas, United States

Site Status RECRUITING

Countries

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United States

Facility Contacts

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Jason Maikos, PhD

Role: primary

212-686-7500 ext. 7482

Shane Wurdeman, PhD

Role: primary

402-290-8051

Other Identifiers

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W81XWH-16-1-0738

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

Pro00026645

Identifier Type: -

Identifier Source: org_study_id

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