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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT04038580
Other study ID # HUM00140733
Secondary ID
Status Active, not recruiting
Phase N/A
First received
Last updated
Start date August 15, 2019
Est. completion date May 2024

Study information

Verified date March 2024
Source University of Michigan
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The objective of the proposed work is to enhance understanding of the potential benefits of adjustable sockets and inform clinical decision making.


Description:

The objective of the proposed work is to enhance understanding of the potential benefits of adjustable sockets and inform clinical decision making. The investigators will explore a range of outcomes that have been found to be important for prostheses users and specifically assess the claims made by device manufacturers. Thirty adults with a transfemoral amputation will participate in four test sessions; one with their clinically prescribed, laminated socket, and three with different adjustable sockets. This data will be used to test the following aims: 1) does socket design impact socket comfort and prosthetic satisfaction? 2) does socket design impact of prosthetic socket on patient mobility and confidence, 3) how does prosthetic socket design influences prosthetic use in the home?, and 4) Are individual characteristics associated with benefits of specific socket designs?


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 30
Est. completion date May 2024
Est. primary completion date May 2024
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Unilateral lower-limb amputation - Six months of independent ambulation - Own and regularly wear a prosthesis with socket - Minimum functional level of K2 on the Medicare Functional Classification Level (MFCL): corresponding to "the ability or potential for ambulation with the ability to traverse low-level environmental barriers such as curbs, stairs, or uneven surfaces. Typical of the limited community ambulator" Exclusion Criteria: - Pathology or injury of the intact limb - Medication that affects their ability to walk - Neurologic or cardiovascular disease - Significant vision problems - Suffer from an impaired mental capacity that negatively impacts verbal communication with the clinicians and research team, or requires a Legally Authorized Representative to facilitate communication

Study Design


Related Conditions & MeSH terms


Intervention

Device:
Laminated Socket
This is the currently prescribed socket the participant normally wears.
Quatro
The Quatro (Quorum) is one of three commercially available adjustable sockets used in this study that will be fit by a certified prosthetist.
Infinite Socket
The Infinite Socket (LiM Innovations) is one of three commercially available adjustable sockets used in this study that will be fit by a certified prosthetist.
CJ Socket
The CJ Socket (CJ Socket Technologies) is one of three commercially available adjustable sockets used in this study that will be fit by a certified prosthetist.

Locations

Country Name City State
United States University of Michigan Ann Arbor Michigan
United States Rosalind Franklin University Chicago Illinois

Sponsors (1)

Lead Sponsor Collaborator
University of Michigan

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Change in Comfort between laminated and adjustable sockets using the Socket Fit Comfort Score The Socket Fit Comfort Score (SCS) is a single question in which subjects are asks: "On a scale from 0-10, if 0 represents the most uncomfortable socket fit you can imagine and 10 represents the most comfortable socket fit, how would you score the comfort of the socket fit of your artificial limb at the moment?" Baseline and 3 weeks post-intervention
Primary Change in Comfort between laminated and adjustable prosthesis using the Socket Fit Comfort Score The Socket Fit Comfort Score (SCS) is a single question in which subjects are asks: "On a scale from 0-10, if 0 represents the most uncomfortable socket fit you can imagine and 10 represents the most comfortable socket fit, how would you score the comfort of the socket fit of your artificial limb at the moment?" baseline and 3 weeks post-intervention
Primary Change in Satisfaction and Quality of life between laminated and adjustable sockets using the Prosthetic Evaluation Questionnaire (PEQ) The PEQ consists of 82 questions that describe the function of a lower-limb prosthesis and assess prosthesis-related quality of life. The questionnaire is divided into ten functional scales, addressing four major domains: prosthetic function, mobility, psychosocial experience, and well-being. Baseline and 3 weeks post-intervention
Primary Change in Prosthetic Satisfaction between laminated and adjustable sockets using the Prosthetic Socket Preference Questionnaire This asks which device they prefer on a 100 mm visual analog scale from their prescribed laminated socket to the test socket. A score of 0 would be 100% preference for their prescribed socket while 100 mm represents 100% preference for the socket tested in that condition. Baseline and 3 weeks post-intervention
Primary Change in Confidence in different activities between laminated and adjustable sockets using the Activities Specific Balance Confidence Scale (ABC Scale) The ABC scale is a 16-item self-reported measure scored on a rating scale from 0 to 100, with higher scores indicate greater balance confidence. An average score is calculated by adding all item scores and dividing by the total number of items. The ABC scale has demonstrate high internal consistency, good test-retest validity, and good construct validity in people with lower limb amputation. Baseline and 3 weeks post-intervention
Primary Change in mobility as measured by the 10-meter walk test The 10-m walk test measures elapsed time over 10 m from a standing start (Datta et al. 1996). This measure uses customary walking speed as a measure of walking ability/capacity and has shown content and metric reliability and validity (Deathe et al. 2009). day 1 and 3 weeks post-intervention
Primary Change in mobility as measured by Timed Up and Go (TUG) The timed-up-and-go (TUG) assesses several aspects of mobility including getting out of a chair, walking 3 m, turning, and sitting down (Schoppen et al. 1999). The outcome is the time from buttocks off the chair to buttocks down. baseline and 3 weeks post-intervention
Primary Change in mobility as measured by Five Times Sit To Stand (FTSTS) FTSTS is a measure of functional mobility, lower limb strength, and dynamic balance. baseline and 3 weeks post-intervention
Primary Change in mobility as measured by the Prosthetic Limb Users Survey of Mobility (PLUMS-M) 12-item short form The full PLUS-M survey has 44 items and there are two short-forms (12 and 7 items each). Here we will use the 12-item short form as it has shown excellent agreement with the 44-item score and good construct validity (Hafner et al. 2017). Additionally, normative data for 1019 people with lower limb amputation is available at (http://www.plus-m.org) to aid in interpretation of the findings. Baseline and 3 weeks post-intervention
Primary Change in mobility as measured by the L-Test The L-test (Deathe and Miller 2005) is a modified version of the TUG which incorporates two transfers and four turns of which at least one would be to the opposite side (Fig 6). We will complete both tasks as the TUG has ceiling effects in fit individuals and the L-Test can be too difficult for some amputees Baseline and 3 weeks post-intervention
Primary Change in Prosthetic Wear Time between laminated and adjustable sockets Participants will be given sensors to monitor how many times participants don and doff the prosthesis during the day. This sensor will be attached to each socket after the 3rd week of accommodation. This sensor will be worn for 1 week. Baseline and 3 weeks post-intervention
Primary Change in physical activity levels at home between laminated and adjustable sockets Participants will wear accelerometers to measure physical activity and step count. Participants will wear these monitors for 1 week. Baseline and 3 weeks post-intervention
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