Trial Outcomes & Findings for Iterative Design of Custom Dynamic Orthoses (NCT NCT04800510)

NCT ID: NCT04800510

Last Updated: 2023-12-05

Results Overview

Joint contact stress-time exposure (MPA-s/gait cycle) will be estimated using a participant specific musculoskeletal model. The model included surface geometry of each participants tibia and talus. Contact stress -time exposure, measured in MPa-s, was calculated at 13 points across the gait cycle. Higher values indicate greater contact stress-time exposure.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

9 participants

Primary outcome timeframe

Baseline

Results posted on

2023-12-05

Participant Flow

Participant milestones

Participant milestones
Measure
NoCDO, CDOA, CDOB, CDOC
Participants will be evaluated without a CDO, then with CDOA, then with CDOB, then with CDOC. Carbon Fiber Custom Dynamic Orthosis (CDO): The CDO will consist of a semi-rigid foot plate, a posterior carbon fiber strut, and a proximal cuff below the knee.
NoCDO, CDOA, CDOC, CDOB
Participants will be evaluated without a CDO, then with CDOA, then with CDOC, then with CDOB. Carbon Fiber Custom Dynamic Orthosis (CDO): The CDO will consist of a semi-rigid foot plate, a posterior carbon fiber strut, and a proximal cuff below the knee.
NoCDO, CDOB, CDOA, CDOC
Participants will be evaluated without a CDO, then with CDOB, then with CDOA, then with CDOC. Carbon Fiber Custom Dynamic Orthosis (CDO): The CDO will consist of a semi-rigid foot plate, a posterior carbon fiber strut, and a proximal cuff below the knee.
NoCDO, CDOB, CDOC, CDOA
Participants will be evaluated without a CDO, then with CDOB, then with CDOC, then with CDOA. Carbon Fiber Custom Dynamic Orthosis (CDO): The CDO will consist of a semi-rigid foot plate, a posterior carbon fiber strut, and a proximal cuff below the knee.
NoCDO, CDOC, CDOA, CDOB
Participants will be evaluated without a CDO, then with CDOC, then with CDOA, then with CDOB. Carbon Fiber Custom Dynamic Orthosis (CDO): The CDO will consist of a semi-rigid foot plate, a posterior carbon fiber strut, and a proximal cuff below the knee.
NoCDO, CDOC, CDOB, CDOA
Participants will be evaluated without a CDO, then with CDOC, then with CDOB, then with CDOA. Carbon Fiber Custom Dynamic Orthosis (CDO): The CDO will consist of a semi-rigid foot plate, a posterior carbon fiber strut, and a proximal cuff below the knee.
Overall Study
STARTED
0
4
1
1
2
1
Overall Study
COMPLETED
0
4
1
1
2
1
Overall Study
NOT COMPLETED
0
0
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Iterative Design of Custom Dynamic Orthoses

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
NoCDO, CDOA, CDOB, CDOC
Participants will be evaluated without a CDO, then with CDOA, then with CDOB, then with CDOC. Carbon Fiber Custom Dynamic Orthosis (CDO): The CDO will consist of a semi-rigid foot plate, a posterior carbon fiber strut, and a proximal cuff below the knee.
NoCDO, CDOA, CDOC, CDOB
n=4 Participants
Participants will be evaluated without a CDO, then with CDOA, then with CDOC, then with CDOB. Carbon Fiber Custom Dynamic Orthosis (CDO): The CDO will consist of a semi-rigid foot plate, a posterior carbon fiber strut, and a proximal cuff below the knee.
NoCDO, CDOB, CDOA, CDOC
n=1 Participants
Participants will be evaluated without a CDO, then with CDOB, then with CDOA, then with CDOC. Carbon Fiber Custom Dynamic Orthosis (CDO): The CDO will consist of a semi-rigid foot plate, a posterior carbon fiber strut, and a proximal cuff below the knee.
NoCDO, CDOB, CDOC, CDOA
n=1 Participants
Participants will be evaluated without a CDO, then with CDOB, then with CDOC, then with CDOA. Carbon Fiber Custom Dynamic Orthosis (CDO): The CDO will consist of a semi-rigid foot plate, a posterior carbon fiber strut, and a proximal cuff below the knee.
NoCDO, CDOC, CDOA, CDOB
n=2 Participants
Participants will be evaluated without a CDO, then with CDOC, then with CDOA, then with CDOB. Carbon Fiber Custom Dynamic Orthosis (CDO): The CDO will consist of a semi-rigid foot plate, a posterior carbon fiber strut, and a proximal cuff below the knee.
NoCDO, CDOC, CDOB, CDOA
n=1 Participants
Participants will be evaluated without a CDO, then with CDOC, then with CDOB, then with CDOA. Carbon Fiber Custom Dynamic Orthosis (CDO): The CDO will consist of a semi-rigid foot plate, a posterior carbon fiber strut, and a proximal cuff below the knee.
Total
n=9 Participants
Total of all reporting groups
Age, Continuous
21.8 years
STANDARD_DEVIATION 2.1 • n=7 Participants
23.0 years
STANDARD_DEVIATION 0.0 • n=5 Participants
22.0 years
STANDARD_DEVIATION 0.0 • n=4 Participants
22.5 years
STANDARD_DEVIATION 0.7 • n=21 Participants
19.0 years
STANDARD_DEVIATION 0.0 • n=10 Participants
21.8 years
STANDARD_DEVIATION 1.7 • n=115 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
3 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
1 Participants
n=10 Participants
4 Participants
n=115 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
2 Participants
n=21 Participants
0 Participants
n=10 Participants
5 Participants
n=115 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
0 Participants
n=115 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants
n=5 Participants
4 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
2 Participants
n=21 Participants
1 Participants
n=10 Participants
9 Participants
n=115 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
0 Participants
n=115 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
0 Participants
n=115 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
0 Participants
n=115 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
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
0 Participants
n=115 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
0 Participants
n=115 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
4 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
2 Participants
n=21 Participants
0 Participants
n=10 Participants
7 Participants
n=115 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
0 Participants
n=115 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
0 Participants
n=21 Participants
1 Participants
n=10 Participants
2 Participants
n=115 Participants

PRIMARY outcome

Timeframe: Baseline

Population: Each of the study participants completed testing in all conditions: NoCDO, CDOA, CDOB, CDOC

Joint contact stress-time exposure (MPA-s/gait cycle) will be estimated using a participant specific musculoskeletal model. The model included surface geometry of each participants tibia and talus. Contact stress -time exposure, measured in MPa-s, was calculated at 13 points across the gait cycle. Higher values indicate greater contact stress-time exposure.

Outcome measures

Outcome measures
Measure
NoCDO
n=9 Participants
Participants completed testing without an orthosis.
CDOA
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOA, a moderate stiffness PhatBrace (Bio-Mechanical Composites, Des Moines, IA)
CDOB
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOB, a firm stiffness PhatBrace (Bio-Mechanical Composites, Des Moines, IA)
CDOC
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOC, the Malleo-Lok (Bio-Mechanical Composites, Des Moines, IA)
Joint Contact Stress-Time Exposure
3.9 MPa-s/gait cycle
Standard Deviation 2.9
3.5 MPa-s/gait cycle
Standard Deviation 2.7
4.1 MPa-s/gait cycle
Standard Deviation 2.9
2.7 MPa-s/gait cycle
Standard Deviation 0.6

SECONDARY outcome

Timeframe: Baseline

Population: Each of the study participants completed testing in all conditions: NoCDO, CDOA, CDOB, CDOC

Peak dorsiflexion angle (degrees) during gait.

Outcome measures

Outcome measures
Measure
NoCDO
n=9 Participants
Participants completed testing without an orthosis.
CDOA
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOA, a moderate stiffness PhatBrace (Bio-Mechanical Composites, Des Moines, IA)
CDOB
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOB, a firm stiffness PhatBrace (Bio-Mechanical Composites, Des Moines, IA)
CDOC
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOC, the Malleo-Lok (Bio-Mechanical Composites, Des Moines, IA)
Ankle Range of Motion
17.8 degrees
Standard Deviation 3.3
16.0 degrees
Standard Deviation 3.4
16.3 degrees
Standard Deviation 2.8
15.5 degrees
Standard Deviation 3.6

SECONDARY outcome

Timeframe: Baseline

Population: Each of the study participants completed testing in all conditions: NoCDO, CDOA, CDOB, CDOC

Peak ankle moment (Nm/kg) during gait.

Outcome measures

Outcome measures
Measure
NoCDO
n=9 Participants
Participants completed testing without an orthosis.
CDOA
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOA, a moderate stiffness PhatBrace (Bio-Mechanical Composites, Des Moines, IA)
CDOB
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOB, a firm stiffness PhatBrace (Bio-Mechanical Composites, Des Moines, IA)
CDOC
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOC, the Malleo-Lok (Bio-Mechanical Composites, Des Moines, IA)
Peak Ankle Moment
1.5 Nm/kg
Standard Deviation 0.1
1.5 Nm/kg
Standard Deviation 0.1
1.5 Nm/kg
Standard Deviation 0.1
1.4 Nm/kg
Standard Deviation 0.1

SECONDARY outcome

Timeframe: Baseline

Population: Each of the study participants completed testing in all conditions: NoCDO, CDOA, CDOB, CDOC

Peak ankle power (W/kg) during gait.

Outcome measures

Outcome measures
Measure
NoCDO
n=9 Participants
Participants completed testing without an orthosis.
CDOA
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOA, a moderate stiffness PhatBrace (Bio-Mechanical Composites, Des Moines, IA)
CDOB
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOB, a firm stiffness PhatBrace (Bio-Mechanical Composites, Des Moines, IA)
CDOC
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOC, the Malleo-Lok (Bio-Mechanical Composites, Des Moines, IA)
Peak Ankle Power
2.9 W/kg
Standard Deviation 0.8
1.8 W/kg
Standard Deviation 0.3
1.6 W/kg
Standard Deviation 0.3
2.4 W/kg
Standard Deviation 0.4

SECONDARY outcome

Timeframe: Baseline

Population: Each of the study participants completed testing in all conditions: NoCDO, CDOA, CDOB, CDOC

Force data (N) collected across the total foot measured between the foot and orthosis during gait.

Outcome measures

Outcome measures
Measure
NoCDO
n=9 Participants
Participants completed testing without an orthosis.
CDOA
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOA, a moderate stiffness PhatBrace (Bio-Mechanical Composites, Des Moines, IA)
CDOB
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOB, a firm stiffness PhatBrace (Bio-Mechanical Composites, Des Moines, IA)
CDOC
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOC, the Malleo-Lok (Bio-Mechanical Composites, Des Moines, IA)
Plantar Force (Total Foot)
406.5 N/kg
Standard Deviation 64.7
415.1 N/kg
Standard Deviation 80.5
428.6 N/kg
Standard Deviation 82.2
424.7 N/kg
Standard Deviation 83.3

SECONDARY outcome

Timeframe: Baseline

Population: Each of the study participants completed testing in all conditions: NoCDO, CDOA, CDOB, CDOC

Force data (N) collected across the forefoot (distal 40% of insole) measured between the foot and orthosis during gait.

Outcome measures

Outcome measures
Measure
NoCDO
n=9 Participants
Participants completed testing without an orthosis.
CDOA
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOA, a moderate stiffness PhatBrace (Bio-Mechanical Composites, Des Moines, IA)
CDOB
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOB, a firm stiffness PhatBrace (Bio-Mechanical Composites, Des Moines, IA)
CDOC
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOC, the Malleo-Lok (Bio-Mechanical Composites, Des Moines, IA)
Plantar Force (Forefoot)
199.0 N/kg
Standard Deviation 42.6
165.7 N/kg
Standard Deviation 47.3
135.2 N/kg
Standard Deviation 42.0
149.9 N/kg
Standard Deviation 50.4

SECONDARY outcome

Timeframe: Baseline

Population: Each of the study participants completed testing in all conditions: NoCDO, CDOA, CDOB, CDOC

Force data (N) collected across the midfoot (middle 30% of insole) measured between the foot and orthosis during gait.

Outcome measures

Outcome measures
Measure
NoCDO
n=9 Participants
Participants completed testing without an orthosis.
CDOA
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOA, a moderate stiffness PhatBrace (Bio-Mechanical Composites, Des Moines, IA)
CDOB
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOB, a firm stiffness PhatBrace (Bio-Mechanical Composites, Des Moines, IA)
CDOC
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOC, the Malleo-Lok (Bio-Mechanical Composites, Des Moines, IA)
Plantar Force (Midfoot)
65.4 N/kg
Standard Deviation 19.1
83.5 N/kg
Standard Deviation 21.4
81.6 N/kg
Standard Deviation 33.8
89.9 N/kg
Standard Deviation 32.9

SECONDARY outcome

Timeframe: Baseline

Population: Each of the study participants completed testing in all conditions: NoCDO, CDOA, CDOB, CDOC

Force data (N) collected across the hindfoot (proximal 30% of insole) measured between the foot and orthosis during gait.

Outcome measures

Outcome measures
Measure
NoCDO
n=9 Participants
Participants completed testing without an orthosis.
CDOA
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOA, a moderate stiffness PhatBrace (Bio-Mechanical Composites, Des Moines, IA)
CDOB
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOB, a firm stiffness PhatBrace (Bio-Mechanical Composites, Des Moines, IA)
CDOC
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOC, the Malleo-Lok (Bio-Mechanical Composites, Des Moines, IA)
Plantar Force (Hindfoot)
142.0 N/kg
Standard Deviation 39.5
165.9 N/kg
Standard Deviation 47.2
211.8 N/kg
Standard Deviation 75.6
184.9 N/kg
Standard Deviation 62.5

SECONDARY outcome

Timeframe: Baseline

Population: Each of the study participants completed testing in all conditions: NoCDO, CDOA, CDOB, CDOC

The 4SST (s) is a standardized timed test of balance and agility.

Outcome measures

Outcome measures
Measure
NoCDO
n=9 Participants
Participants completed testing without an orthosis.
CDOA
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOA, a moderate stiffness PhatBrace (Bio-Mechanical Composites, Des Moines, IA)
CDOB
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOB, a firm stiffness PhatBrace (Bio-Mechanical Composites, Des Moines, IA)
CDOC
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOC, the Malleo-Lok (Bio-Mechanical Composites, Des Moines, IA)
Four Square Step Test (4SST)
5.5 seconds
Standard Deviation 1.7
6.1 seconds
Standard Deviation 1.5
6.1 seconds
Standard Deviation 1.7
5.8 seconds
Standard Deviation 1.5

SECONDARY outcome

Timeframe: Baseline

Population: Each of the study participants completed testing in all conditions: NoCDO, CDOA, CDOB, CDOC

STS5 (s) is a well-established timed measure of lower limb muscle strength and power. Participants are instructed to stand up and sit down 5 times as fast as possible.

Outcome measures

Outcome measures
Measure
NoCDO
n=9 Participants
Participants completed testing without an orthosis.
CDOA
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOA, a moderate stiffness PhatBrace (Bio-Mechanical Composites, Des Moines, IA)
CDOB
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOB, a firm stiffness PhatBrace (Bio-Mechanical Composites, Des Moines, IA)
CDOC
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOC, the Malleo-Lok (Bio-Mechanical Composites, Des Moines, IA)
Sit to Stand 5 Times (STS5)
7.0 seconds
Standard Deviation 1.8
7.7 seconds
Standard Deviation 1.7
7.4 seconds
Standard Deviation 1.7
7.2 seconds
Standard Deviation 1.5

SECONDARY outcome

Timeframe: Baseline

Population: Each of the study participants completed testing in all conditions: NoCDO, CDOA, CDOB, CDOC

Pain will be assessed using a standard 11-point numerical pain rating scale, in which 0 = no pain and 10 = worst pain imaginable.

Outcome measures

Outcome measures
Measure
NoCDO
n=9 Participants
Participants completed testing without an orthosis.
CDOA
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOA, a moderate stiffness PhatBrace (Bio-Mechanical Composites, Des Moines, IA)
CDOB
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOB, a firm stiffness PhatBrace (Bio-Mechanical Composites, Des Moines, IA)
CDOC
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOC, the Malleo-Lok (Bio-Mechanical Composites, Des Moines, IA)
Numerical Pain Rating Scale
0.0 score on a scale
Standard Deviation 0.0
0.0 score on a scale
Standard Deviation 0.0
0.0 score on a scale
Standard Deviation 0.0
0.0 score on a scale
Standard Deviation 0.0

SECONDARY outcome

Timeframe: Baseline

Population: The OPUS questionnaire does not apply to none-braced conditions, as such each of the study participants completed the questionnaire in all braced conditions: CDOA, CDOB, CDOC

Satisfaction with device will be assessed using the Orthotics Prosthetics Users' Survey Satisfaction With Device Score. The survey asks users to indicate how much they agree with each statement on a scale from - Strongly Agree (5) to Strongly Disagree (0) with a Don't Know/Not Applicable option. The average score across all questions was calculated and reported, larger scores indicate a better outcome associated with that device. The maximum possible score is a 5 and the minimum possible score is a 0.

Outcome measures

Outcome measures
Measure
NoCDO
n=9 Participants
Participants completed testing without an orthosis.
CDOA
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOA, a moderate stiffness PhatBrace (Bio-Mechanical Composites, Des Moines, IA)
CDOB
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOB, a firm stiffness PhatBrace (Bio-Mechanical Composites, Des Moines, IA)
CDOC
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOC, the Malleo-Lok (Bio-Mechanical Composites, Des Moines, IA)
The Orthotics Prosthetics Users' Survey (OPUS)
3.5 score on a scale
Standard Deviation 0.4
3.6 score on a scale
Standard Deviation 0.3
4.0 score on a scale
Standard Deviation 0.4

SECONDARY outcome

Timeframe: Baseline

Population: Each of the study participants completed testing in all conditions: NoCDO, CDOA, CDOB, CDOC

Peak Soleus muscle forces (N) will be estimated using an Opensim model

Outcome measures

Outcome measures
Measure
NoCDO
n=9 Participants
Participants completed testing without an orthosis.
CDOA
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOA, a moderate stiffness PhatBrace (Bio-Mechanical Composites, Des Moines, IA)
CDOB
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOB, a firm stiffness PhatBrace (Bio-Mechanical Composites, Des Moines, IA)
CDOC
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOC, the Malleo-Lok (Bio-Mechanical Composites, Des Moines, IA)
Soleus Muscle Force (N)
1813.0 N
Standard Deviation 505.7
1250.2 N
Standard Deviation 596.5
1106.6 N
Standard Deviation 358.2
1466.3 N
Standard Deviation 394.3

SECONDARY outcome

Timeframe: Baseline

Population: Each of the study participants completed testing in all conditions: NoCDO, CDOA, CDOB, CDOC

Peak Gastrocnemius muscle forces (N) will be estimated using an OpenSim model

Outcome measures

Outcome measures
Measure
NoCDO
n=9 Participants
Participants completed testing without an orthosis.
CDOA
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOA, a moderate stiffness PhatBrace (Bio-Mechanical Composites, Des Moines, IA)
CDOB
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOB, a firm stiffness PhatBrace (Bio-Mechanical Composites, Des Moines, IA)
CDOC
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOC, the Malleo-Lok (Bio-Mechanical Composites, Des Moines, IA)
Gastrocnemius Muscle Force (N)
1232.6 N
Standard Deviation 321.7
1333.9 N
Standard Deviation 425.9
1262.3 N
Standard Deviation 394.6
1210.5 N
Standard Deviation 240.2

SECONDARY outcome

Timeframe: Baseline

Population: The OPUS questionnaire does not apply to none-braced conditions, as such each of the study participants completed the questionnaire in all braced conditions: CDOA, CDOB, CDOC

Comfort scores range from 0 = most uncomfortable to 10 = most comfortable.

Outcome measures

Outcome measures
Measure
NoCDO
n=9 Participants
Participants completed testing without an orthosis.
CDOA
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOA, a moderate stiffness PhatBrace (Bio-Mechanical Composites, Des Moines, IA)
CDOB
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOB, a firm stiffness PhatBrace (Bio-Mechanical Composites, Des Moines, IA)
CDOC
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOC, the Malleo-Lok (Bio-Mechanical Composites, Des Moines, IA)
Modified Socket Comfort Score (Comfort)
6.6 score on a scale
Standard Deviation 2.2
6.8 score on a scale
Standard Deviation 1.9
8.0 score on a scale
Standard Deviation 1.9

SECONDARY outcome

Timeframe: Baseline

Population: The OPUS questionnaire does not apply to none-braced conditions, as such each of the study participants completed the questionnaire in all braced conditions: CDOA, CDOB, CDOC

Comfort scores range from 0 = least smooth to 10 = most smooth.

Outcome measures

Outcome measures
Measure
NoCDO
n=9 Participants
Participants completed testing without an orthosis.
CDOA
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOA, a moderate stiffness PhatBrace (Bio-Mechanical Composites, Des Moines, IA)
CDOB
n=9 Participants
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOB, a firm stiffness PhatBrace (Bio-Mechanical Composites, Des Moines, IA)
CDOC
Participants completed testing in a carbon fiber custom dynamic orthosis: CDOC, the Malleo-Lok (Bio-Mechanical Composites, Des Moines, IA)
Modified Socket Comfort Score (Smoothness)
6.6 score on a scale
Standard Deviation 2.1
6.9 score on a scale
Standard Deviation 2.3
8.3 score on a scale
Standard Deviation 1.3

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline

The participant will rank order their preference for their standard of care device (if applicable), No Device, CDO-A, CDO-B, CDO-C on a questionnaire.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline

Semi-structured interviews will also be used to fully capture the patients' perspectives, experience, and opinions associated with the device options they experienced as part of the study.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline

Timing of peak center of pressure velocity (percent stance) during gait.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline

Magnitude of peak center of pressure velocity (m/s) during gait.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline

Electromyography (EMG, % Maximum) of the Soleus during gait.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline

Electromyography (EMG, % Maximum) of the Rectus Femoris during gait.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline

Electromyography (EMG, % Maximum) of the Vastus Medialis during gait.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline

Electromyography (EMG, % Maximum) of the Medial Gastrocnemius during gait.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline

Electromyography (EMG, % Maximum) of the Tibialis Anterior during gait.

Outcome measures

Outcome data not reported

Adverse Events

NoCDO

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

CDOA

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

CDOB

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

CDOC

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

Jason M. Wilken, PT, PhD

The University of Iowa

Phone: 319-335-6857

Results disclosure agreements

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