Preliminary Biomechanical and Usability Study of an Active Ankle-Foot Orthesis for Stroke Survivors
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
This research will present the biomechanical assessment of a robotic device for ankle assistance during gait on stroke's survivors with hemiparesis.
The device is composed by a passive orthosis structure which allows one degree of freedom (DOF) among the sagittal plane and it includes two servomotors attached to the user's foot through velcro strips.
Gait pattern through an optoelectronic motion capture system will be analyzed. Additionally, ergonomic and comfort aspects will be measured by an adapted spanish version of Quebec User Evaluation of Satisfaction with assistive Technology (QUEST)
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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XII Región
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Punta Arenas, XII Región, Chile, 6211525
- Corporación de Rehabilitación Club de Leones Cruz del Sur
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Hemiparesis caused by a stroke.
- Age between 18 and 65 years old.
- Post-stroke time more than 6 months.
- Independent walking.
- Minimum 90 degrees of dorsiflexion.
- Muscle tone in plantar flexors less than of equal to 3 on the Modified Ashworth scale.
- Ability to follow instructions.
- Voluntary participation.
Exclusion Criteria:
- Skin alterations in the lower limb.
- Peripherical vascular alterations.
- Alterations in sensitivity in the lower limb.
- Pain of musculoskeletal origin in lower extremities or spine.
- History of frequent falls.
- Cancer
- Previous history or suspected seizures.
- Patient who does not sign the informed consent.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Robot-assisted Gait
Participants will receive assisted gait with a motorized ankle foot orthosis.
Patient´s gait will be analyzed by a photogrammetry system during device assistance.
Session will involve 1 hour of supervised training.
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The motorized ankle foot orthosis is a powered lower extremity assistance device with an actuated ankle joint.
A novel control software has been design and implemented in this device, which allows precise joint movement and recording of data from training session.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Gait Deviation Index without assistance
Time Frame: Baseline
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Gait Deviation Index will be calculated for each patient using a 3D VICON infra-red camera system.
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Baseline
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Gait Deviation Index assisted by motorized ankle foot orthosis
Time Frame: Day 1
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Gait Deviation Index will be calculated for each patient using a 3D VICON infra-red camera system.
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Day 1
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Patient satisfaction with device: Quebec User Evaluation of Satisfaction with Assistive Technology
Time Frame: Day 1
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Measured with QUEST scale.
The Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST 2.0) is a 12-item outcome measure that assesses user satisfaction with two components, Device and Services.
Scores of 1 indicate dissatisfaction and scores of 5 indicate high satisfaction
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Day 1
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Pennycott A, Wyss D, Vallery H, Klamroth-Marganska V, Riener R. Towards more effective robotic gait training for stroke rehabilitation: a review. J Neuroeng Rehabil. 2012 Sep 7;9:65. doi: 10.1186/1743-0003-9-65.
- Nadeau S, Duclos C, Bouyer L, Richards CL. Guiding task-oriented gait training after stroke or spinal cord injury by means of a biomechanical gait analysis. Prog Brain Res. 2011;192:161-80. doi: 10.1016/B978-0-444-53355-5.00011-7.
- Belagaje SR. Stroke Rehabilitation. Continuum (Minneap Minn). 2017 Feb;23(1, Cerebrovascular Disease):238-253. doi: 10.1212/CON.0000000000000423.
- Shi B, Chen X, Yue Z, Yin S, Weng Q, Zhang X, Wang J, Wen W. Wearable Ankle Robots in Post-stroke Rehabilitation of Gait: A Systematic Review. Front Neurorobot. 2019 Aug 13;13:63. doi: 10.3389/fnbot.2019.00063. eCollection 2019.
- Young AJ, Ferris DP. State of the Art and Future Directions for Lower Limb Robotic Exoskeletons. IEEE Trans Neural Syst Rehabil Eng. 2017 Feb;25(2):171-182. doi: 10.1109/TNSRE.2016.2521160. Epub 2016 Jan 27.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CorporacionRCLCS0003
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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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