C-BRACE Versus SCO in Community Ambulators
Mobility and Quality of Life in Community Ambulators With Knee Locking Deficiency Using a Microprocessor Controlled Knee Ankle Foot Orthosis and a Stance Control Orthosis: Randomized Crossover Trial
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Aurélie LACROIX
- Phone Number: +33786295203
- Email: aurelie.lacroix@ottobock.com
Study Contact Backup
- Name: Benoit PONSAN
- Phone Number: +33605572244
- Email: benoit.ponsan@ottobock.com
Study Locations
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Argonay, France
- CRF Korian Le Mont Veyrier
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Berck, France
- Centre Jacques Calvé Fondation Hopale
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Clamart, France
- HIA Percy
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Concarneau, France
- Pôle de Réadaptation de Cornouaille
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Dieppe, France
- Centre Hospitalier Dieppe
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Garches, France
- Hôpital Raymond-Poincaré
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Marseille, France
- Hia Laveran
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Nancy, France
- IRR Louis Pierquin
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Paris, France
- CRRF La Chataigneraie
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Paris, France
- CRRF Léopold Bellan
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Perpignan, France
- Centre Bouffard Vercelli
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Saint-Herblain, France
- CRRF La Tourmaline
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Salies-de-Béarn, France
- CRF Salies de Béarn
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Thionville, France
- LADAPT Thionis
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Toulouse, France
- CHU Rangueil
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Valenton, France
- IRMA Institut Robert Merle d'Aubigné
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Göttingen, Germany
- PFH Private Hochschule Göttingen
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Koblenz, Germany
- Katholisches Klinikum Koblenz-Montabaur
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- person with knee locking deficiency
- person using a SCO (Stance Control Orthosis) for at least three months, walking with a swing phase on a flat ground, without walking aid or with one cane or one crutch.
- person having the ability to walk at 3km/h (measured with 10 meters walk test) with the SCO in unlocked mode.
- person with a stable stance phase on the contralateral side
Exclusion Criteria:
- person with deficient or unstable contralateral knee, including person using a Knee-Ankle Foot Orthosis on the contralateral limb
- person walking using two canes, two crutches, one or two underarm crutches or a walker
- person with health condition not compatible with the study protocol
- person under 18 years old
- person unwilling / unable to follow the entire study protocol / instructions
- person who did not give her written consent to participate to the study or unable to personally give her consent
- person with knee and/or hip flexion contracture >10°
- person with genu varum / valgum > 10° (not reducible)
- person with moderate to severe spasticity
- person with leg length discrepancy > 15cm
- person who necessitate the use of an orthoprosthesis
- person with body weight > 125kg
- person with unstable trunk in standing position
- person with cognitive impairments
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: C-BRACE/SCO
The patient is first fitted during 2 months with the C-BRACE orthosis, them, after 2 weeks wash-out period, the patient is fitted with its Stance Controlled Orthosis (SCO).
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The C-BRACE is a custom made Knee-Ankle-Foot-Orthosis with a microprocessor-controlled hydraulic knee-joint articulation.
The C-BRACE technology offers to a patient with knee locking deficiencies the following advantages: approximation of the physiological gait pattern, stability while standing and walking, adaptation to various surfaces, inclines, gait situations and walking speeds.
The SCO is a custom made Knee-Ankle-Foot-Orthosis with a knee-joint locked during stance phase and released during swing phase.
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Other: SCO/C-BRACE
The patient is using its Stance controlled orthosis (SCO) during 2 months, then, after 2 weeks wash-out period, the patient is fitted with the C-BRACE orthosis.
|
The C-BRACE is a custom made Knee-Ankle-Foot-Orthosis with a microprocessor-controlled hydraulic knee-joint articulation.
The C-BRACE technology offers to a patient with knee locking deficiencies the following advantages: approximation of the physiological gait pattern, stability while standing and walking, adaptation to various surfaces, inclines, gait situations and walking speeds.
The SCO is a custom made Knee-Ankle-Foot-Orthosis with a knee-joint locked during stance phase and released during swing phase.
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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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PLUS-M™ - Mobility
Time Frame: 2-months
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12-items Self-reported measure of mobility as the ability to move intentionally and independently from one place to another.
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2-months
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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6 minutes walk test
Time Frame: 2-months
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Distance walked in 6 minutes
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2-months
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ABC-s Activities-specific Balance Confidence - simplified
Time Frame: 2-months
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15-items self-reported measure of the perceived balance confidence an individual has while completing various ambulatory activities on 4-levels scale.
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2-months
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PSFS - Patient Specific Functional Scale
Time Frame: 2-months
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Patients will be asked to identify three activities that they are having difficulty or are unable to perform because of their condition.
Patients will then be asked to rate their ability to perform each activity on a numerical scale ('0' being unable to perform the activity, and '10' being able to full perform the activity).
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2-months
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PIADS - Psychosocial Impact of Assistive Devices Scale
Time Frame: 2-months
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26-items questionnaire that assess the effects of an assistive device on functional independence, well-being and quality of life from the person's disability's point of view.
Each item is noted on a 7-points Likert scale going from -3 (maximum negative impact) to +3 (maximum positive impact).
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2-months
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EQ-5D-5L - Quality of Life
Time Frame: 2-months
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Self-reported measure of health status composed of 5 dimensions: mobility, ability to self-care, ability to undertake usual activities, pain and discomfort, anxiety and depression.
Each dimension is rated on a 5-point scale.
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2-months
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QUEST 2.0 - Satisfaction
Time Frame: 2-months
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12-items self-reported measure on patient's satisfaction regarding the technology of the device and the services around the device.
It allows the patient to express himself on the 3 most important criteria to him.
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2-months
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Chair: François GENET, Prof. med, CHU Raymond Poincaré Garches France
- Study Chair: Frank BRAATZ, Prof. med, PFH Private Hochschule Göttingen Germany
- Study Chair: Axel RUETZ, Dr. med., Katholisches Klinikum Koblenz-Montabaur Germany
Publications and helpful links
General Publications
- Deems-Dluhy S, Hoppe-Ludwig S, Mummidisetty CK, Semik P, Heinemann AW, Jayaraman A. Microprocessor Controlled Knee Ankle Foot Orthosis (KAFO) vs Stance Control vs Locked KAFO: A Randomized Controlled Trial. Arch Phys Med Rehabil. 2021 Feb;102(2):233-244. doi: 10.1016/j.apmr.2020.08.013. Epub 2020 Sep 22.
- Karatzios C, Loiret I, Luthi F, Leger B, Le Carre J, Saubade M, Muff G, Benaim C. Transcultural adaptation and validation of a French version of the Prosthetic Limb Users Survey of Mobility 12-item Short-Form (PLUS-M/FC-12) in active amputees. Ann Phys Rehabil Med. 2019 May;62(3):142-148. doi: 10.1016/j.rehab.2019.02.006. Epub 2019 Apr 6.
- Chatman AB, Hyams SP, Neel JM, Binkley JM, Stratford PW, Schomberg A, Stabler M. The Patient-Specific Functional Scale: measurement properties in patients with knee dysfunction. Phys Ther. 1997 Aug;77(8):820-9. doi: 10.1093/ptj/77.8.820.
- Demers L, Monette M, Descent M, Jutai J, Wolfson C. The Psychosocial Impact of Assistive Devices Scale (PIADS): translation and preliminary psychometric evaluation of a Canadian-French version. Qual Life Res. 2002 Sep;11(6):583-92. doi: 10.1023/a:1016397412708.
- Middleton A, Fritz SL, Lusardi M. Walking speed: the functional vital sign. J Aging Phys Act. 2015 Apr;23(2):314-22. doi: 10.1123/japa.2013-0236. Epub 2014 May 2.
- Probsting E, Kannenberg A, Zacharias B. Safety and walking ability of KAFO users with the C-Brace(R) Orthotronic Mobility System, a new microprocessor stance and swing control orthosis. Prosthet Orthot Int. 2017 Feb;41(1):65-77. doi: 10.1177/0309364616637954. Epub 2016 Jul 10.
- Schmalz T, Probsting E, Auberger R, Siewert G. A functional comparison of conventional knee-ankle-foot orthoses and a microprocessor-controlled leg orthosis system based on biomechanical parameters. Prosthet Orthot Int. 2016 Apr;40(2):277-86. doi: 10.1177/0309364614546524. Epub 2014 Sep 23.
- Filiatrault J, Gauvin L, Fournier M, Parisien M, Robitaille Y, Laforest S, Corriveau H, Richard L. Evidence of the psychometric qualities of a simplified version of the Activities-specific Balance Confidence scale for community-dwelling seniors. Arch Phys Med Rehabil. 2007 May;88(5):664-72. doi: 10.1016/j.apmr.2007.02.003.
- Andrade LF, Ludwig K, Goni JMR, Oppe M, de Pouvourville G. A French Value Set for the EQ-5D-5L. Pharmacoeconomics. 2020 Apr;38(4):413-425. doi: 10.1007/s40273-019-00876-4.
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
- BP-11-PT007
- 2022-A00116-37 (Other Identifier: ANSM)
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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