Antigravity Treadmill With Alter G on the Postural Stability of Traumatic Lower Limb Injuries

NCT ID: NCT05285020

Last Updated: 2022-03-17

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

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-01

Study Completion Date

2022-07-24

Brief Summary

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This prospective randomised study aimed to test the investigators's hypothesis that anti-gravity treadmill therapy has beneficial effects on postural stability tests over a standard rehabilitation protocol in patients who have suffered traumatic injuries of the lower limb, demonstrating an improvement in the Biodex platform's values.

The total of 30 patients participated in this study (n=30). There were 15 subjects in control group and 15 in experimental group.

Detailed Description

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This prospective, randomised, controlled, longitudinal and triple-blind masked clinical design was performed in patients derived to the rehabilitation service of Fremap Sevilla Hospital after an laboral accident with surgery and not surgery traumatic injuries.

After that, participants were questioned about their personal data and the inclusion and exclusion criteria. All agreed to participate and provided signed informed consent prior to data collection.

Participants were allocated according to the inclusion and exclusion criteria into an intervention and a control group. The intervention was performed in two weeks. Patients were randomised into the intervention (anti-gravity treadmill) or control (standard protocol) rehabilitation group.

Previous data is taken from the "Postural Stability", "Stability Limits" and " m-CTSIB" tests on the Biodex Balance System SD platform.

The control group will perform the hospital's standard protocol for these injuries while the experimental group will also be added the anti-gravity treadmill in Alter G once a day.

At 2 week post-treatment, subjects were tested again. All patients were able to complete all rehabilitation sessions and balance tests.

Sample size assessment: accepting an alpha risk of 0.05 and a beta risk of 0.1 in a bilateral contrast, 15 subjects in each group are needed to detect a minimum difference of 15% between two groups, assuming that there are 2 groups and a standard deviation of 12%. A 10% rate of loss of insurance has been estimated.

Statistical analysis plan: the statistical analysis will be carried out using IBM-SPSS Statistics 24 software. The Kolmogorov-Smirnov test will be applied to test the distribution of the data. Student's t-test will be applied for paired variables when the data have a parametric distribution. The Mann-Whitney U test will be used to analyse data with a non-parametric distribution. The Chi-Squared will be used to compared qualitative variables. The confidence level used will be 95% (0.05) and the power of the study will be 90% (0.1).

Conditions

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Injury Traumatic Muscle Injury Bone Injuries Joints Tendon Injuries Lower Limb Injury Ligament Injury

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Alter G group

This group will perform the hospital's standard protocol for these injuries once a day during two weeks.

They carried out the re-education of the gait (at the parallel bars) with a progressive load in scale controlled by the patient.

Also, they carried out a re-education of the gait and progressive loading in the system Alter G (anti-gravity treadmill).

Group Type EXPERIMENTAL

Alter G

Intervention Type OTHER

It is anti-gravity treadmill treatment on Alter G. They will start with a 30-50% body weight load during the first week that will be progressively increased to 50-70% during the second (5% more each day during the 10 sessions as far as possible).

The slope will be 0% and the speed 2-3km/h the first week and 3-4 km/h the second. Treatment will be performed during 15 minutes for two weeks (10 sessions).

Parallel bars and Scale

Intervention Type OTHER

It is a re-education of the gait at the parallel bars with a progressive load in scale controlled by the patient during 10 minutes for two weeks.

Standard rehabilitation protocol

Intervention Type OTHER

It is the hospital's standard protocol for that injuries once a day for two weeks.

Control group

This group will perform the hospital's standard protocol for these injuries once a day during two weeks.

They just carried out the re-education of the gait (at the parallel bars) with a progressive load in scale controlled by the patient.

Group Type OTHER

Parallel bars and Scale

Intervention Type OTHER

It is a re-education of the gait at the parallel bars with a progressive load in scale controlled by the patient during 10 minutes for two weeks.

Standard rehabilitation protocol

Intervention Type OTHER

It is the hospital's standard protocol for that injuries once a day for two weeks.

Interventions

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Alter G

It is anti-gravity treadmill treatment on Alter G. They will start with a 30-50% body weight load during the first week that will be progressively increased to 50-70% during the second (5% more each day during the 10 sessions as far as possible).

The slope will be 0% and the speed 2-3km/h the first week and 3-4 km/h the second. Treatment will be performed during 15 minutes for two weeks (10 sessions).

Intervention Type OTHER

Parallel bars and Scale

It is a re-education of the gait at the parallel bars with a progressive load in scale controlled by the patient during 10 minutes for two weeks.

Intervention Type OTHER

Standard rehabilitation protocol

It is the hospital's standard protocol for that injuries once a day for two weeks.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age between 25 and 55
* Sex male and female
* Surgical or non-surgical subacute knee, ankle, and foot traumatic injuries

Exclusion Criteria

* Vestibular pathology
* Important dysmetry
* Neurological pathology
* Acute inflammatory diseases.
* Important degenerative diseases.
* Autoimmune diseases.
* Severe visual deficits.
* Tumor pathology.
Minimum Eligible Age

25 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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FREMAP Mutual Insurance Company for Occupational Accidents and Diseases

INDUSTRY

Sponsor Role lead

Responsible Party

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Esther Melero Baez

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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Esther Melero

Role: CONTACT

+34695756832

Other Identifiers

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CTS954.EM1

Identifier Type: -

Identifier Source: org_study_id

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