Trial Outcomes & Findings for Comparison of Prosthetic Feet for People With Syme's Amputation (XF Symes Study) (NCT NCT04086641)

NCT ID: NCT04086641

Last Updated: 2020-12-14

Results Overview

The symmetry between prosthetic and sound side step lengths. Step lengths were calculated as the distance between heels from heel strike of the contralateral foot to heel strike of the ipsilateral foot.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

5 participants

Primary outcome timeframe

Sessions 3 (after 2 weeks of prosthesis 1 wear) and 4 (after 2 weeks of prosthesis 2 wear)

Results posted on

2020-12-14

Participant Flow

Participant milestones

Participant milestones
Measure
Foot 1: Crossover Foot, Foot 2: Energy Storing Foot
Participants first received a crossover foot, then switched to an energy storing foot. Each foot was utilized for a two week accommodation period at minimum prior to data collection \& subsequent switch.
Foot 1: Energy Storing Foot, Foot 2: Crossover Foot
Participants first received an energy storing foot, then switched to a crossover foot. Each foot was utilized for a two week accommodation period at minimum prior to data collection \& subsequent switch.
Foot 1 (Two Week Utilization)
STARTED
2
3
Foot 1 (Two Week Utilization)
COMPLETED
1
1
Foot 1 (Two Week Utilization)
NOT COMPLETED
1
2
Foot 2 (Two Week Utilization)
STARTED
1
1
Foot 2 (Two Week Utilization)
COMPLETED
1
1
Foot 2 (Two Week Utilization)
NOT COMPLETED
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Foot 1: Crossover Foot, Foot 2: Energy Storing Foot
Participants first received a crossover foot, then switched to an energy storing foot. Each foot was utilized for a two week accommodation period at minimum prior to data collection \& subsequent switch.
Foot 1: Energy Storing Foot, Foot 2: Crossover Foot
Participants first received an energy storing foot, then switched to a crossover foot. Each foot was utilized for a two week accommodation period at minimum prior to data collection \& subsequent switch.
Foot 1 (Two Week Utilization)
COVID-19
1
2

Baseline Characteristics

Comparison of Prosthetic Feet for People With Syme's Amputation (XF Symes Study)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Foot 1: Crossover Foot, Foot 2: Energy Storing Foot
n=1 Participants
Participants first received a crossover foot, then switched to an energy storing foot
Foot 1: Energy Storing Foot, Foot 2: Crossover Foot
n=1 Participants
Participants first received an energy storing foot, then switched to a crossover foot
Total
n=2 Participants
Total of all reporting groups
Age, Continuous
51 years
n=5 Participants
34 years
n=7 Participants
42.5 years
STANDARD_DEVIATION 8.5 • n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
0 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
Region of Enrollment
Canada
1 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
Amputation Etiology
Trauma
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Amputation Etiology
Cancer
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
MFCL
K4
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
MFCL
K1-3
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Sessions 3 (after 2 weeks of prosthesis 1 wear) and 4 (after 2 weeks of prosthesis 2 wear)

The symmetry between prosthetic and sound side step lengths. Step lengths were calculated as the distance between heels from heel strike of the contralateral foot to heel strike of the ipsilateral foot.

Outcome measures

Outcome measures
Measure
Foot 1: Crossover Foot, Foot 2: Energy Storing Foot
n=1 Participants
First intervention was crossover foot, second was energy storing foot
Foot 1: Energy Storing Foot, Foot 2: Crossover Foot
n=1 Participants
First intervention was energy storing foot, second was crossover foot
Ratio Between Sound and Prosthetic Side Step Lengths
Crossover Foot, Slow Walking Speed
0.88 Sound step length / Pros. step length
0.87 Sound step length / Pros. step length
Ratio Between Sound and Prosthetic Side Step Lengths
Energy Storing Foot, Slow Walking Speed
1.02 Sound step length / Pros. step length
0.91 Sound step length / Pros. step length
Ratio Between Sound and Prosthetic Side Step Lengths
Crossover Foot, Comfortable Walking Speed
0.93 Sound step length / Pros. step length
0.91 Sound step length / Pros. step length
Ratio Between Sound and Prosthetic Side Step Lengths
Energy Storing Foot, Comfortable Walking Speed
0.96 Sound step length / Pros. step length
0.92 Sound step length / Pros. step length
Ratio Between Sound and Prosthetic Side Step Lengths
Crossover Foot, Fast Walking Speed
0.93 Sound step length / Pros. step length
0.94 Sound step length / Pros. step length
Ratio Between Sound and Prosthetic Side Step Lengths
Energy Storing Foot, Fast Walking Speed
0.97 Sound step length / Pros. step length
0.97 Sound step length / Pros. step length

PRIMARY outcome

Timeframe: Sessions 3 (after 2 weeks of prosthesis 1 wear) and 4 (after 2 weeks of prosthesis 2 wear)

The change in total angular motion of the ankle in the sagittal plane (e.g., dorsiflexion \& plantarflexion) during stance phase between prosthetic feet, in degrees

Outcome measures

Outcome measures
Measure
Foot 1: Crossover Foot, Foot 2: Energy Storing Foot
n=1 Participants
First intervention was crossover foot, second was energy storing foot
Foot 1: Energy Storing Foot, Foot 2: Crossover Foot
n=1 Participants
First intervention was energy storing foot, second was crossover foot
Total Prosthetic Ankle Range of Motion
Crossover Foot, Slow Walking Speed
14.04 degrees
14.20 degrees
Total Prosthetic Ankle Range of Motion
Energy Storing Foot, Slow Walking Speed
7.94 degrees
9.03 degrees
Total Prosthetic Ankle Range of Motion
Crossover Foot, Comfortable Walking Speed
17.91 degrees
16.24 degrees
Total Prosthetic Ankle Range of Motion
Energy Storing Foot, Comfortable Walking Speed
11.17 degrees
9.63 degrees
Total Prosthetic Ankle Range of Motion
Crossover Foot, Fast Walking Speed
16.74 degrees
17.53 degrees
Total Prosthetic Ankle Range of Motion
Energy Storing Foot, Fast Walking Speed
11.91 degrees
11.20 degrees

PRIMARY outcome

Timeframe: Sessions 3 (after 2 weeks of prosthesis 1 wear) and 4 (after 2 weeks of prosthesis 2 wear)

Intersegmental flow of power out of the prosthesis

Outcome measures

Outcome measures
Measure
Foot 1: Crossover Foot, Foot 2: Energy Storing Foot
n=1 Participants
First intervention was crossover foot, second was energy storing foot
Foot 1: Energy Storing Foot, Foot 2: Crossover Foot
n=1 Participants
First intervention was energy storing foot, second was crossover foot
Prosthetic-side Energy Return
Crossover Foot, Slow Walking Speed
0.86 W/kg
1.27 W/kg
Prosthetic-side Energy Return
Energy Storing Foot, Slow Walking Speed
0.32 W/kg
0.36 W/kg
Prosthetic-side Energy Return
Crossover Foot, Comfortable Walking Speed
2.18 W/kg
2.32 W/kg
Prosthetic-side Energy Return
Energy Storing Foot, Comfortable Walking Speed
0.90 W/kg
0.53 W/kg
Prosthetic-side Energy Return
Crossover Foot, Fast Walking Speed
2.82 W/kg
4.22 W/kg
Prosthetic-side Energy Return
Energy Storing Foot, Fast Walking Speed
1.53 W/kg
0.75 W/kg

PRIMARY outcome

Timeframe: Sessions 3 (after 2 weeks of prosthesis 1 wear) and 4 (after 2 weeks of prosthesis 2 wear)

Maximum vertical ground reaction force in early stance

Outcome measures

Outcome measures
Measure
Foot 1: Crossover Foot, Foot 2: Energy Storing Foot
n=1 Participants
First intervention was crossover foot, second was energy storing foot
Foot 1: Energy Storing Foot, Foot 2: Crossover Foot
n=1 Participants
First intervention was energy storing foot, second was crossover foot
Peak Sound-side Limb Loading
Crossover Foot, Slow Walking Speed
1.06 Ratio (Newtons/body weight)
1.04 Ratio (Newtons/body weight)
Peak Sound-side Limb Loading
Energy Storing Foot, Slow Walking Speed
1.06 Ratio (Newtons/body weight)
1.16 Ratio (Newtons/body weight)
Peak Sound-side Limb Loading
Crossover Foot, Comfortable Walking Speed
1.07 Ratio (Newtons/body weight)
1.17 Ratio (Newtons/body weight)
Peak Sound-side Limb Loading
Energy Storing Foot, Comfortable Walking Speed
1.23 Ratio (Newtons/body weight)
1.29 Ratio (Newtons/body weight)
Peak Sound-side Limb Loading
Crossover Foot, Fast Walking Speed
1.37 Ratio (Newtons/body weight)
1.53 Ratio (Newtons/body weight)
Peak Sound-side Limb Loading
Energy Storing Foot, Fast Walking Speed
1.43 Ratio (Newtons/body weight)
1.45 Ratio (Newtons/body weight)

SECONDARY outcome

Timeframe: Session 4 (after 4 weeks of prosthesis wear, 2 weeks of prosthesis 1 and 2 weeks of prosthesis 2)

At the end of the study, participants will engage in a preference questionnaire with open-ended follow-up questions to elicit preferences and experiences with both feet. Questions will ask about overall preference, and preference for a range of mobility activities (e.g., "Which foot did you prefer overall, and why?" and "Which foot did you prefer for walking up stairs, and why?").

Outcome measures

Outcome measures
Measure
Foot 1: Crossover Foot, Foot 2: Energy Storing Foot
n=1 Participants
First intervention was crossover foot, second was energy storing foot
Foot 1: Energy Storing Foot, Foot 2: Crossover Foot
n=1 Participants
First intervention was energy storing foot, second was crossover foot
Preference Questionnaire
Walking over uneven terrain · Prefers Energy Storing Foot
0 Participants
0 Participants
Preference Questionnaire
Walking over uneven terrain · No preference
1 Participants
0 Participants
Preference Questionnaire
Walking over uneven terrain · Not applicable
0 Participants
0 Participants
Preference Questionnaire
Standing up from a chair · Prefers Crossover Foot
1 Participants
0 Participants
Preference Questionnaire
Standing up from a chair · Prefers Energy Storing Foot
0 Participants
0 Participants
Preference Questionnaire
Standing up from a chair · No preference
0 Participants
1 Participants
Preference Questionnaire
Standing up from a chair · Not applicable
0 Participants
0 Participants
Preference Questionnaire
Sitting down in a chair · Prefers Crossover Foot
0 Participants
0 Participants
Preference Questionnaire
Sitting down in a chair · Prefers Energy Storing Foot
0 Participants
0 Participants
Preference Questionnaire
Sitting down in a chair · No preference
1 Participants
1 Participants
Preference Questionnaire
Sitting down in a chair · Not applicable
0 Participants
0 Participants
Preference Questionnaire
Turning on the prosthetic side · Prefers Crossover Foot
1 Participants
1 Participants
Preference Questionnaire
Turning on the prosthetic side · Prefers Energy Storing Foot
0 Participants
0 Participants
Preference Questionnaire
Turning on the prosthetic side · No preference
0 Participants
0 Participants
Preference Questionnaire
Turning on the prosthetic side · Not applicable
0 Participants
0 Participants
Preference Questionnaire
Getting in and out of a car · Prefers Crossover Foot
0 Participants
1 Participants
Preference Questionnaire
Getting in and out of a car · Prefers Energy Storing Foot
0 Participants
0 Participants
Preference Questionnaire
Getting in and out of a car · No preference
1 Participants
0 Participants
Preference Questionnaire
Getting in and out of a car · Not applicable
0 Participants
0 Participants
Preference Questionnaire
Playing sports · Prefers Crossover Foot
1 Participants
1 Participants
Preference Questionnaire
Playing sports · Prefers Energy Storing Foot
0 Participants
0 Participants
Preference Questionnaire
Playing sports · No preference
0 Participants
0 Participants
Preference Questionnaire
Playing sports · Not applicable
0 Participants
0 Participants
Preference Questionnaire
Standing for long periods · Prefers Crossover Foot
0 Participants
1 Participants
Preference Questionnaire
Standing for long periods · Prefers Energy Storing Foot
0 Participants
0 Participants
Preference Questionnaire
Walking on inclines · Prefers Crossover Foot
1 Participants
1 Participants
Preference Questionnaire
Walking on inclines · Prefers Energy Storing Foot
0 Participants
0 Participants
Preference Questionnaire
Walking on inclines · No preference
0 Participants
0 Participants
Preference Questionnaire
Walking on inclines · Not applicable
0 Participants
0 Participants
Preference Questionnaire
Standing for long periods · No preference
1 Participants
0 Participants
Preference Questionnaire
Standing for long periods · Not applicable
0 Participants
0 Participants
Preference Questionnaire
Walking on declines · Prefers Crossover Foot
1 Participants
0 Participants
Preference Questionnaire
Walking on declines · Prefers Energy Storing Foot
0 Participants
0 Participants
Preference Questionnaire
Walking in sand · Prefers Crossover Foot
0 Participants
0 Participants
Preference Questionnaire
Walking in sand · Prefers Energy Storing Foot
0 Participants
1 Participants
Preference Questionnaire
Walking in sand · No preference
0 Participants
0 Participants
Preference Questionnaire
Walking in sand · Not applicable
1 Participants
0 Participants
Preference Questionnaire
Walking when you can't see your feet · Prefers Crossover Foot
0 Participants
1 Participants
Preference Questionnaire
Walking when you can't see your feet · Prefers Energy Storing Foot
0 Participants
0 Participants
Preference Questionnaire
Walking when you can't see your feet · No preference
1 Participants
0 Participants
Preference Questionnaire
Walking when you can't see your feet · Not applicable
0 Participants
0 Participants
Preference Questionnaire
Walking when carrying a heavy load · Prefers Crossover Foot
0 Participants
1 Participants
Preference Questionnaire
Walking when carrying a heavy load · Prefers Energy Storing Foot
0 Participants
0 Participants
Preference Questionnaire
Walking when carrying a heavy load · No preference
1 Participants
0 Participants
Preference Questionnaire
Walking when carrying a heavy load · Not applicable
0 Participants
0 Participants
Preference Questionnaire
Walking in small spaces · Prefers Crossover Foot
0 Participants
1 Participants
Preference Questionnaire
Walking in small spaces · Prefers Energy Storing Foot
0 Participants
0 Participants
Preference Questionnaire
Walking in small spaces · No preference
1 Participants
0 Participants
Preference Questionnaire
Walking in small spaces · Not applicable
0 Participants
0 Participants
Preference Questionnaire
Dancing · Prefers Crossover Foot
1 Participants
1 Participants
Preference Questionnaire
Dancing · Prefers Energy Storing Foot
0 Participants
0 Participants
Preference Questionnaire
Dancing · No preference
0 Participants
0 Participants
Preference Questionnaire
Dancing · Not applicable
0 Participants
0 Participants
Preference Questionnaire
Riding a bicycle · Prefers Crossover Foot
0 Participants
1 Participants
Preference Questionnaire
Riding a bicycle · Prefers Energy Storing Foot
0 Participants
0 Participants
Preference Questionnaire
Riding a bicycle · No preference
1 Participants
0 Participants
Preference Questionnaire
Riding a bicycle · Not applicable
0 Participants
0 Participants
Preference Questionnaire
Walking on declines · No preference
0 Participants
1 Participants
Preference Questionnaire
Walking on declines · Not applicable
0 Participants
0 Participants
Preference Questionnaire
Ascending stairs · Prefers Crossover Foot
1 Participants
1 Participants
Preference Questionnaire
Ascending stairs · Prefers Energy Storing Foot
0 Participants
0 Participants
Preference Questionnaire
Ascending stairs · No preference
0 Participants
0 Participants
Preference Questionnaire
Ascending stairs · Not applicable
0 Participants
0 Participants
Preference Questionnaire
Descending stairs · Prefers Crossover Foot
1 Participants
1 Participants
Preference Questionnaire
Descending stairs · Prefers Energy Storing Foot
0 Participants
0 Participants
Preference Questionnaire
Descending stairs · No preference
0 Participants
0 Participants
Preference Questionnaire
Descending stairs · Not applicable
0 Participants
0 Participants
Preference Questionnaire
Walking slowly · Prefers Crossover Foot
0 Participants
1 Participants
Preference Questionnaire
Walking slowly · Prefers Energy Storing Foot
0 Participants
0 Participants
Preference Questionnaire
Walking slowly · No preference
1 Participants
0 Participants
Preference Questionnaire
Walking slowly · Not applicable
0 Participants
0 Participants
Preference Questionnaire
Walking quickly · Prefers Crossover Foot
1 Participants
1 Participants
Preference Questionnaire
Walking quickly · Prefers Energy Storing Foot
0 Participants
0 Participants
Preference Questionnaire
Walking quickly · No preference
0 Participants
0 Participants
Preference Questionnaire
Walking quickly · Not applicable
0 Participants
0 Participants
Preference Questionnaire
Running · Prefers Crossover Foot
1 Participants
1 Participants
Preference Questionnaire
Running · Prefers Energy Storing Foot
0 Participants
0 Participants
Preference Questionnaire
Running · No preference
0 Participants
0 Participants
Preference Questionnaire
Running · Not applicable
0 Participants
0 Participants
Preference Questionnaire
Walking over uneven terrain · Prefers Crossover Foot
0 Participants
1 Participants

SECONDARY outcome

Timeframe: Sessions 3 (after 2 weeks of prosthesis 1 wear) and 4 (after 2 weeks of prosthesis 2 wear)

Self-reported measure of mobility, the PLUS-M 12-item Short Form is a single measure, scores range from 17.5-76.6, higher scores represent better mobility.

Outcome measures

Outcome measures
Measure
Foot 1: Crossover Foot, Foot 2: Energy Storing Foot
n=1 Participants
First intervention was crossover foot, second was energy storing foot
Foot 1: Energy Storing Foot, Foot 2: Crossover Foot
n=1 Participants
First intervention was energy storing foot, second was crossover foot
Change in Prosthetic Limb Users Survey of Mobility (PLUS-M) 12-item Short Form Version 1.2
Crossover Foot
64.5 score on a scale
71.4 score on a scale
Change in Prosthetic Limb Users Survey of Mobility (PLUS-M) 12-item Short Form Version 1.2
Energy Storing Foot
64.5 score on a scale
62.5 score on a scale

SECONDARY outcome

Timeframe: Sessions 3 (after 2 weeks of prosthesis 1 wear) and 4 (after 2 weeks of prosthesis 2 wear)

Self-reported measure of balance confidence, the ABC is a single measure, scores range from 0-4, higher scores represent better balance confidence.

Outcome measures

Outcome measures
Measure
Foot 1: Crossover Foot, Foot 2: Energy Storing Foot
n=1 Participants
First intervention was crossover foot, second was energy storing foot
Foot 1: Energy Storing Foot, Foot 2: Crossover Foot
n=1 Participants
First intervention was energy storing foot, second was crossover foot
Change in Activities-Specific Balance Confidence Scale (ABC)
Crossover Foot
3.53 score on a scale
4 score on a scale
Change in Activities-Specific Balance Confidence Scale (ABC)
Energy Storing Foot
3.63 score on a scale
4 score on a scale

SECONDARY outcome

Timeframe: Sessions 3 (after 2 weeks of prosthesis 1 wear) and 4 (after 2 weeks of prosthesis 2 wear)

Self-reported measures of aesthetic prosthetic satisfaction, scores on items are averaged and range from 0-2, higher values represent more satisfaction (better outcome)

Outcome measures

Outcome measures
Measure
Foot 1: Crossover Foot, Foot 2: Energy Storing Foot
n=1 Participants
First intervention was crossover foot, second was energy storing foot
Foot 1: Energy Storing Foot, Foot 2: Crossover Foot
n=1 Participants
First intervention was energy storing foot, second was crossover foot
Change in Trinity Amputation and Prosthesis Experience Scales- Revised Aesthetic Satisfaction
Crossover Foot
0.33 score on a scale
2 score on a scale
Change in Trinity Amputation and Prosthesis Experience Scales- Revised Aesthetic Satisfaction
Energy Storing Foot
1 score on a scale
1 score on a scale

Adverse Events

Foot 1: Crossover Foot, Foot 2: Energy Storing Foot

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

Foot 1: Energy Storing Foot, Foot 2: Crossover Foot

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

Conrad Slater

University of Washington

Phone: 5409318478

Results disclosure agreements

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