The Effects of Footplate Stiffness on Foot Loading Within Carbon Fiber Custom Dynamic Orthoses

NCT ID: NCT07312032

Last Updated: 2025-12-31

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

RECRUITING

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-12-13

Study Completion Date

2027-12-01

Brief Summary

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Carbon fiber custom dynamic orthoses (CDOs) improve function, reduce pain, and offload the foot and ankle. CDOs include a proximal cuff that wraps around the leg just below the knee, a posterior carbon fiber strut that bends to store and return energy, and a semi-rigid carbon fiber footplate. The purpose of this study is to determine the effect of CDO use and CDO footplate stiffness on foot loading, limb mechanics, pain, and comfort.

Detailed Description

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Carbon fiber custom dynamic orthoses (CDOs) have been used to improve function, reduce pain, and offload the foot and ankle for individuals with a number of conditions affecting the lower extremity.\[1-3\] CDOs consist of a proximal cuff that wraps around the leg just below the knee, a posterior carbon fiber strut that bends to store and return energy during mid to late stance, a semi-rigid carbon fiber footplate, and, in some cases, a foam heel wedge placed in the shoe. Studies have previously investigated the effects of design characteristics on gait biomechanics and foot loading, however, the effect of foot plate stiffness on resulting foot loading is unknown.

The purpose of this study is to determine the effect of CDO use and CDO footplate stiffness on foot loading, limb mechanics, pain, and comfort. In this study, forces acting under the foot will be measured using wireless Loadsol insoles (Novel GMBH, St. Paul, MN) and limb mechanics will be measured using motion capture cameras and force plates as participants walk without an orthosis (NoCDO), with a CDO, and with a CDO plus added carbon fiber stiffening inserts (1/2) at a controlled walking speed. Participants will be provided a heel lift for the contralateral limb to prevent leg length discrepancies during walking if necessary. After walking in each condition, participants will complete questionnaires concerning pain and orthosis comfort.

Conditions

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Trauma Injury

Keywords

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carbon fiber traumatic injury ankle foot orthosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

In this study participants will walk without an orthosis (NoCDO) and with a generic sized CDO with three different levels of footplate stiffness at a controlled speed (CDO, 1CFPlate, 2CFPlate). Testing order of the CDO conditions will be randomized to prevent influence of testing order.
Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Participants

Study Groups

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NoCDO

Participants will complete study activities without a CDO

Group Type NO_INTERVENTION

No interventions assigned to this group

CDO

Participants will complete study activities while wearing a CDO with standard footplate stiffness

Group Type EXPERIMENTAL

Carbon Fiber Custom Dynamic Orthosis

Intervention Type DEVICE

The carbon fiber custom dynamic orthosis (CDO) used in this study will consist of a semi-rigid carbon fiber footplate, a carbon fiber posterior strut, and a proximal cuff that wraps around the leg below the knee.

1CFPlate

Participants will complete study activities while wearing a CDO with standard footplate stiffness and one additional carbon fiber footplate to increase footplate stiffness

Group Type EXPERIMENTAL

Carbon Fiber Custom Dynamic Orthosis

Intervention Type DEVICE

The carbon fiber custom dynamic orthosis (CDO) used in this study will consist of a semi-rigid carbon fiber footplate, a carbon fiber posterior strut, and a proximal cuff that wraps around the leg below the knee.

Carbon Fiber Footplate

Intervention Type DEVICE

One or two additional full-length carbon fiber footplates will be placed under the CDO footplate to increase the effective footplate stiffness

2CFPlate

Participants will complete study activities while wearing a CDO with standard footplate stiffness and two additional carbon fiber footplates to increase footplate stiffness

Group Type EXPERIMENTAL

Carbon Fiber Custom Dynamic Orthosis

Intervention Type DEVICE

The carbon fiber custom dynamic orthosis (CDO) used in this study will consist of a semi-rigid carbon fiber footplate, a carbon fiber posterior strut, and a proximal cuff that wraps around the leg below the knee.

Carbon Fiber Footplate

Intervention Type DEVICE

One or two additional full-length carbon fiber footplates will be placed under the CDO footplate to increase the effective footplate stiffness

Interventions

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Carbon Fiber Custom Dynamic Orthosis

The carbon fiber custom dynamic orthosis (CDO) used in this study will consist of a semi-rigid carbon fiber footplate, a carbon fiber posterior strut, and a proximal cuff that wraps around the leg below the knee.

Intervention Type DEVICE

Carbon Fiber Footplate

One or two additional full-length carbon fiber footplates will be placed under the CDO footplate to increase the effective footplate stiffness

Intervention Type DEVICE

Other Intervention Names

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ankle foot orthosis

Eligibility Criteria

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Inclusion Criteria

* Between the ages of 18 and 65
* Healthy without current complaint of lower extremity pain, spine pain, open wounds or active infections, or medical or neuromusculoskeletal disorders that have limited their participation in work or exercise in the last 6 months
* Able to hop without pain
* Able to perform a full squat without pain
* Ability to read and write in English and provide written informed consent
* Ability to fit in a generic sized CDO

Exclusion Criteria

* Diagnosed with a moderate or severe brain injury
* Lower extremity injury resulting in surgery or limiting function for greater than 6 weeks
* Injuries that would limit performance in this study
* Diagnosed with a physical or psychological condition that would preclude functional testing (e.g. cardiac condition, clotting disorder, pulmonary condition)
* Visual or hearing impairments that limit walking ability or limit the ability to comply with instructions given during testing
* Require use of an assistive device
* Unhealed wounds (cuts/abrasions) that would prevent AFO use
* BMI \> 40
* Pregnancy
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Jason Wilken

OTHER

Sponsor Role lead

University of Iowa

OTHER

Sponsor Role collaborator

Responsible Party

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Jason Wilken

Associate Professor

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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University of Iowa

Iowa City, Iowa, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Jason M Wilken, PT, PhD

Role: CONTACT

Phone: +1 319 3356857

Email: [email protected]

Kirsten M Anderson, PhD

Role: CONTACT

Phone: 3193530431

Email: [email protected]

Facility Contacts

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Jason M Wilken, PT, PhD

Role: primary

Kirsten M Anderson, PhD

Role: backup

Other Identifiers

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202507360

Identifier Type: OTHER

Identifier Source: secondary_id

202507360

Identifier Type: -

Identifier Source: org_study_id