Amputation,Stair up and Down Clinical Trial
Official title:
Investigation of the Effect of Stair Activity on Lumbal Paravertebral Mechanical Properties in Transtibial and Transfemoral Amputes.
| Verified date | September 2021 |
| Source | Marmara University |
| Contact | n/a |
| Is FDA regulated | No |
| Health authority | |
| Study type | Observational |
With the onset of prosthesis use following lower extremity amputations,body shows biomechanical changes according to the amputation level and consequently develops adaptation mechanisms both on the healthy and ampute side. Adaptations in the lumbo-pelvic and lower lumbar regions cause asymmetries in the muscle tissue by causing changes in the morphological structure of the muscle, especially in the muscles of the waist, hip and knee and recruitment. The aim of this study is to investigate the effect of stairing up and down activity on the mechanical properties of lumbal paravertebral muscles in TFA and TTA and its relation with lower lumbar region pain.
| Status | Completed |
| Enrollment | 28 |
| Est. completion date | December 20, 2020 |
| Est. primary completion date | April 15, 2020 |
| Accepts healthy volunteers | No |
| Gender | Male |
| Age group | 18 Years to 55 Years |
| Eligibility | Inclusion Criteria: - to be TTA and TFA - No complaints of chronic low back pain before amputation - Using prosthesis for at least 6 months - Being able to climb up and down stairs - No history of falls that will cause injury or pain in the past 6 months - Having good prosthesis comfort - BMI<28.5 - Who can have cognitive functions to understand Arabic language Exclusion Criteria: - To be amputated due to congenital and tumor - Who can not have cognitive functions to understand Arabic language - Having orthopedic or neurological disorders that may cause chronic pain or functional impairment in the lumbar region - Ankylosing spondolitis and rheumatoid arthritis patients |
| Country | Name | City | State |
|---|---|---|---|
| Turkey | Yasar Tatar | Istanbul |
| Lead Sponsor | Collaborator |
|---|---|
| Marmara University |
Turkey,
Devan H, Hendrick P, Ribeiro DC, Hale LA, Carman A. Asymmetrical movements of the lumbopelvic region: is this a potential mechanism for low back pain in people with lower limb amputation? Med Hypotheses. 2014 Jan;82(1):77-85. doi: 10.1016/j.mehy.2013.11.012. Epub 2013 Nov 16. — View Citation
Hendershot BD, Bazrgari B, Nussbaum MA. Persons with unilateral lower-limb amputation have altered and asymmetric trunk mechanical and neuromuscular behaviors estimated using multidirectional trunk perturbations. J Biomech. 2013 Jul 26;46(11):1907-12. doi: 10.1016/j.jbiomech.2013.04.018. Epub 2013 May 29. — View Citation
Highsmith MJ, Kahle JT, Kaluf B, Miro RM, Mengelkoch LJ, Klenow TD. PSYCHOMETRIC EVALUATION OF THE HILL ASSESSMENT INDEX (HAI) AND STAIR ASSESSMENT INDEX (SAI) IN HIGH-FUNCTIONING TRANSFEMORAL AMPUTEES. Technol Innov. 2016 Sep;18(2-3):193-201. doi: 10.21300/18.2-3.2016.193. — View Citation
Hu X, Lei D, Li L, Leng Y, Yu Q, Wei X, Lo WLA. Quantifying paraspinal muscle tone and stiffness in young adults with chronic low back pain: a reliability study. Sci Rep. 2018 Sep 25;8(1):14343. doi: 10.1038/s41598-018-32418-x. — View Citation
Kelly-Martin R, Doughty L, Garkavi M, Wasserman JB. Reliability of modified adheremeter and digital pressure algometer in measuring normal abdominal tissue and C-section scars. J Bodyw Mov Ther. 2018 Oct;22(4):972-979. doi: 10.1016/j.jbmt.2018.02.017. Epub 2018 Feb 17. — View Citation
Michaud SB, Gard SA, Childress DS. A preliminary investigation of pelvic obliquity patterns during gait in persons with transtibial and transfemoral amputation. J Rehabil Res Dev. 2000 Jan-Feb;37(1):1-10. — View Citation
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Primary | Evaluation of the mechanical properties of the muscle-1 | Viscoelastic stiffness [N/m] will be measured in MyotonPro 3 (MYO, Tallin, Estonia | Change from Baseline mechanical properties at following staring up and down activity, at 10 minutes after the staring up and down activity | |
| Primary | Evaluation of the mechanical properties of the muscle-2 | Oscillation frequency (Hz) will be measured in MyotonPro 3 (MYO, Tallin, Estonia | Change from Baseline mechanical properties at following staring up and down activity, at 10 minutes after the staring up and down activity | |
| Primary | Evaluation of the mechanical properties of the muscle-3 | Mechanical stiffness (N/m) will be measured in MyotonPro 3 (MYO, Tallin, Estonia | Change from Baseline mechanical properties at following staring up and down activity, at 10 minutes after the staring up and down activity | |
| Primary | Evaluation of the back pain | Pain will be evaluated by using Visual analog scale ranging 0 (no pain)- 10 (worst pain) | Change from Baseline mechanical properties at following staring up and down activity, at 10 minutes after the staring up and down activity | |
| Primary | Evaluation of the pressure-pain threshold | The pressure-pain threshold (lbs) will be measured in algometer commander (JTECH MEDICAL, MM036_K, 2016) | Change from Baseline mechanical properties at following staring up and down activity, at 10 minutes after the staring up and down activity |