Measuring Postoperative Mobility, Gait Symmetry and Feedback Following TJA

August 14, 2023 updated by: Christopher Pelt, University of Utah

Measuring Postoperative Mobility, Gait Symmetry and Feedback With New Technology Following Total Joint Arthroplasty

The objectives of this study are:

  1. The investigators plan to evaluate and validate the use of a novel wireless insole device (Loadsol) that provides real-time biofeedback on post-operative mobility and weight bearing following total joint arthroplasty.
  2. The investigators plan to utilize the wireless insole device to determine if biofeedback is sufficient for improving gait symmetry following total joint arthroplasty.
  3. The investigators plan to determine if there is a correlation between patient reported outcomes and measured postoperative weight bearing.

Study Overview

Status

Active, not recruiting

Detailed Description

In orthopaedic and trauma surgery post-operative mobility is very important. Six-month mortality and patient satisfaction has been associated with mobility. Elderly patients may suffer from severe complications caused by immobility due to a high prevalence of comorbidities.

Measuring postoperative mobility has primarily been based on advanced technology and complicated gait laboratories (treadmill, force plate, videoanalysis). The recent introduction of mobile insole force devices, such as the pedoped loadsol® (Novel) may allow for a cost-effective and clinically relevant use of providing biofeedback.

Using video analysis to evaluate the insole device will allow for measurements in realistic situations like walking stairs, stand up from a chair, sit down, turning and walking. The investigators had previously completed this in the lab setting and further the feedback mode of the loadsol will be used for training the patients in terms of symmetry after a total knee replacement.

This study may have an important influence on the aftercare of the investigators patients. Determining the postoperative mobility and evaluating gait analysis in real time will allow the investigators to compare between different operative approaches, operative techniques, Implants and more. If the feedback mode is working as expected the investigators might use it in the close future in the investigators standard aftercare for all patients.

Study Type

Observational

Enrollment (Estimated)

150

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Utah
      • Salt Lake City, Utah, United States, 84108
        • University of Utah Orthopaedic Center

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Sampling Method

Non-Probability Sample

Study Population

Patients who plan or recently underwent (up to 8 weeks postoperatively) primary total joint arthroplasty

Description

Inclusion Criteria:

  • Planned or recently underwent (up to 8 weeks postoperatively) primary total joint arthroplasty
  • Free walking before surgery, no devices needed
  • Age >/=18 years
  • Preoperative outcomes scores (PF CAT, PROMIS Global Health, KOOS JR)
  • Written informed consent

Exclusion Criteria:

  • Index procedure is a revision total joint arthroplasty
  • Total knee or hip arthroplasty on the contralateral side within 1 one year of index procedure
  • Severe medical comorbidity (ASA>/=3)
  • Participant is planning TJA on another joint within next 12 months
  • Significant symptoms on contralateral knee/hip/ankle that could impede performance on study

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Observational Models: Cohort
  • Time Perspectives: Prospective

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Peak Vertical Ground Reaction Forces (vGRF)
Time Frame: 6-weeks
Gait analysis of vertical ground reaction forces generated while performing routine exercises
6-weeks
Peak Vertical Ground Reaction Forces (vGRF)
Time Frame: 6-months
Gait analysis of vertical ground reaction forces generated while performing
6-months
Peak Vertical Ground Reaction Forces (vGRF)
Time Frame: 12-months
Gait analysis of vertical ground reaction forces generated while performing
12-months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Christopher Pelt, MD, University of Utah

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

May 5, 2018

Primary Completion (Estimated)

May 1, 2025

Study Completion (Estimated)

May 1, 2025

Study Registration Dates

First Submitted

September 12, 2018

First Submitted That Met QC Criteria

September 13, 2018

First Posted (Actual)

September 17, 2018

Study Record Updates

Last Update Posted (Actual)

August 15, 2023

Last Update Submitted That Met QC Criteria

August 14, 2023

Last Verified

August 1, 2023

More Information

Terms related to this study

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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