Vibro-tactile Pressure Feedback of the Prosthetic Foot for Trans-tibial Amputees
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
The study is divided into three phases. The initial phase lasts 6 to 8 weeks for each subject. For subjects of group 2 the length of the initial phase depends on the progression of the re-innervation. The initial phase ends, when the subject can perceive the tactile stimulate at the re-innervated area of the skin. During the initial phase, all subjects get a new prosthesis. To minimize the adjusting to the new prosthesis only a new socket, which houses the vibro-tactile Feedback system, is fabricated and the old prosthetic food is re-used. After a period of 3 weeks minimum, where the subjects use the new prosthesis, a gait analysis and an assessment of the sensitivity of the skin at the stump are performed.
Subsequently the intervention phase starts and the vibro-tactile feedback system is activated. For a period of 6 months the subjects use the new prostheses with the integrated vibro-tactile feedback system in daily living. After 2 and 4 months, the subjects visit the study site for an assessment of the sensitivity of the skin. After 6 months a second gait analysis and an other assessment of the sensitivity of the skin a the stump are performed. Afterwards the vibro-tactile feedback-system is disabled.
During the observing phase the subjects use the prosthesis with the disabled vibro-tactile feedback system for 4 months.
During all three phases the subjects answer the questionnaires every 2 months.
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Agnes Sturma, MSc
- Phone Number: 61098 +43140400
- Email: agnes.sturma@meduniwien.ac.at
Study Contact Backup
- Name: Oskar Aszmann
- Phone Number: 69860 +43140400
- Email: oskar.aszmann@meduniwien.ac.at
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- unilateral trans-tibial amputation
- uses a prostheses already for more than 1 year
- sufficient touch sensitivity at the stump
- unimpaired contralateral lower extremity
Exclusion Criteria:
- psychiatric disorder
- cognitive restrictions
- pregnant or breast feeding women
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Trans-tibial Amputees
Unilateral Trans-tibial Amputees that use vibro-tactile feedback for six months in daily living
|
The device measures the force between the prosthetic food and the ground.
With this signals, vibratators are triggered.
The vibrators are housed by the prosthetic socket and stimulate the stump.
|
|
Experimental: Trans-tibial Amputees with TSR
Unilateral Trans-tibial Amputees that use vibro-tactile feedback for six months in daily living.
The subjects underwent a functional nerv-transfer surgery prior to participation, where the proximal part of the sural nerv was to the distal part of the saphenous nerv.
|
The device measures the force between the prosthetic food and the ground.
With this signals, vibratators are triggered.
The vibrators are housed by the prosthetic socket and stimulate the stump.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Trinity Amputation and Prosthesis Experience Scales-Revised (TAPES-R)
Time Frame: 1 year
|
The Trinity Amputation and Prosthesis Experience Scales-Revised (TAPES-R) is a multidimensional instrument designed to examine the psychosocial processes involved in adjusting to amputation and a prosthesis.
TAPES consists of 9 subscales, with possible scores depending on the single subscale.
The range is from 0-12 to 0-25 (depending on the number of items and answer possibilities).
|
1 year
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Fall Efficacy Scale International Version (FES-I)
Time Frame: 1 year
|
The Fall Efficacy Scale International Version (FES-I) is a questionaire that assesses the fear of falling.
Scores can range from 16-64, with a higher score indicating a higher fear of falling.
|
1 year
|
|
Pain Visual analoge scale (VAS)
Time Frame: 1 year
|
The pain is measured with a Visual analoge scale form 0 to 10. O indicates no pain, while 10 is the worst pain the person can imagine.
|
1 year
|
|
Number of falls within the last two months
Time Frame: 1 Year
|
Subjects report the number a falls within the last two months.
|
1 Year
|
|
Gait parameters
Time Frame: 6 months
|
Two gait analysis are performed with a 3D video-based marker system.
Standard gait parameters (as cardence, speed, step length and weight) as well as kinematic and kinetic parameters are calculated.
|
6 months
|
|
two point discrimination
Time Frame: 6 months
|
the two point discrimination (in mm) at the skin of the stump is assessed
|
6 months
|
|
touch perception threshold
Time Frame: 6 months
|
the touch percertion at the skin of the stump is assessed with mono filaments
|
6 months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Agnes Sturma, MSc, Medical University Vienna
Study record dates
Study Major Dates
Study Start (Anticipated)
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
Other Study ID Numbers
- 2238/2017
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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