Descriptive Study of Receptive Fields in Lower Limb Amputees

NCT ID: NCT03348605

Last Updated: 2017-11-21

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

35 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-10-27

Study Completion Date

2018-07-31

Brief Summary

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It has been observed that patients subjected to amputations develop so called receptive fields, which time of occurrence and localization over time are yet not examined systematically.

This clinical trial aims to investigate the reliability in detecting these receptive fields as well as their incidence and changes over time.

Further it aims to evaluate the acute effect of a stimulating system ("Phantom Stimulator" (Cort X Sensorics, Spaichingen, Germany)) on selected gait parameters measured tough a gait analysis system ("OprtoGait" (Microgate, Bolzano, Italy)) as well as on phantom sensations measured through a questionnaire.

Detailed Description

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It has been observed that patients subjected to amputations develop so called receptive fields, which time of occurrence and localization over time are yet not examined systematically.

A receptive field is defined as skin area anywhere on the same side of the body as the amputation, which when stimulated by others, causes phantom sensations in the amputated extremity.

This clinical trial aims to investigate the reliability in detecting these receptive fields as well as their incidence and changes over time.

Further it aims to evaluate the acute effect of the stimulating system ("Phantom Stimulator" (Cort X Sensorics, Spaichingen, Germany)) on selected gait parameters measured tough a gait analysis system ("OprtoGait" (Microgate, Bolzano, Italy)) as well as on phantom sensations measured through a questionnaire.

Conditions

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Lower Limb Amputation Below Knee (Injury)

Keywords

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Amputation Phantom Pain Gait analysis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

The primary outcomes are the changes in size and position over time and their timed occurrence after the amputation of these receptive fields as well as the inter-/intratester reliability in their detection.

The secondary outcomes are the change in selected gait parameters and phantom sensations through the application of the stimulating system ("Phantom Stimulator" (Cort X Sensorics, Spaichingen, Germany)).

The primary outcome is of mere descriptive nature. Therefore, no control group is created and the participants are not blinded or randomized.

For the secondary outcomes, every tested subject serves as its own control (cross over). The gait analysis as well as the questionnaire are performed three times. The two measurements after the first familiarization measurements are performed in a randomized order.
Primary Study Purpose

SCREENING

Blinding Strategy

SINGLE

Participants
As this study is described as single blinded, the only entity of the trial not aware of the group or sequence of the participant is the participant itself.

The other personell involved in the trial needs to be aware of the position of the participant within the study so to apply the right measures.

In this case the participant is unaware of the fact whether his stimulation system is turned on or off.

Study Groups

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First setting ON

This arm performs the Gait analysis the first time after the familiarization phase with the stimulator in the modality ON. The second time the gait analysis is performed in the OFF modality.

Group Type OTHER

Phantom Stimulator, Cort X Sensorics, Spaichingen, Germany

Intervention Type DEVICE

This system consists of a pressure sensing insole connected to regular TENS-Electrode patches which are applied to the receptive fields of the patients (evoking the sensation of heel and forefoot). The individually adjusted stimulation intensity on the systems regulatory box through a socked screw is set at the beginning of the testing phase, and not changed anymore.

The current is applied to mimic the roll-off-sensation while walking. This is done by locating two sets of electrodes on the receptive fields representing the heel and the ball of the foot respectively. Now the current is applied in an alternating manner coordinated with the walking of the participant. The coordination is made able through the pressure sensing insole.

First setting OFF

This arm performs the Gait analysis the first time after the familiarization phase with the stimulator in the modality OFF. The second time the gait analysis is performed in the ON modality.

Group Type OTHER

Phantom Stimulator, Cort X Sensorics, Spaichingen, Germany

Intervention Type DEVICE

This system consists of a pressure sensing insole connected to regular TENS-Electrode patches which are applied to the receptive fields of the patients (evoking the sensation of heel and forefoot). The individually adjusted stimulation intensity on the systems regulatory box through a socked screw is set at the beginning of the testing phase, and not changed anymore.

The current is applied to mimic the roll-off-sensation while walking. This is done by locating two sets of electrodes on the receptive fields representing the heel and the ball of the foot respectively. Now the current is applied in an alternating manner coordinated with the walking of the participant. The coordination is made able through the pressure sensing insole.

Interventions

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Phantom Stimulator, Cort X Sensorics, Spaichingen, Germany

This system consists of a pressure sensing insole connected to regular TENS-Electrode patches which are applied to the receptive fields of the patients (evoking the sensation of heel and forefoot). The individually adjusted stimulation intensity on the systems regulatory box through a socked screw is set at the beginning of the testing phase, and not changed anymore.

The current is applied to mimic the roll-off-sensation while walking. This is done by locating two sets of electrodes on the receptive fields representing the heel and the ball of the foot respectively. Now the current is applied in an alternating manner coordinated with the walking of the participant. The coordination is made able through the pressure sensing insole.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

a. Lower limb amputation (independently of side or height of amputation)

1. Receptive fields present at testing day 31 (last regular assessment of the receptive fields)
2. Lower limb amputation below the knee (if both sides the system is applied to the dominant side).

Exclusion Criteria

1. Implanted devices (defibrillator or pacemaker)
2. Pregnancy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cort X Sensorics GmbH

UNKNOWN

Sponsor Role collaborator

Rehaklinik Bellikon

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Marion Grögli, Dr. med.

Role: PRINCIPAL_INVESTIGATOR

Reahklinik Bellikon

Locations

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Rehaklinik Bellikon

Bellikon, Canton of Aargau, Switzerland

Site Status

Countries

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Switzerland

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Related Links

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http://www.rehabellikon.ch/

Website of study site

Other Identifiers

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2017-01621

Identifier Type: OTHER

Identifier Source: secondary_id

01_2017

Identifier Type: -

Identifier Source: org_study_id