Investigation of the Effect of Stair Activity on Lumbal Paravertebral Mechanical Properties in Amputes.

September 27, 2021 updated by: Marmara University

Investigation of the Effect of Stair Activity on Lumbal Paravertebral Mechanical Properties in Transtibial and Transfemoral Amputes.

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.

Study Overview

Study Type

Observational

Enrollment (Actual)

28

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

      • Istanbul, Turkey, 34000
        • Yasar Tatar

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 to 55 years (Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

Male

Sampling Method

Probability Sample

Study Population

Unilateral transfemoral and transtibial amputate patients

Description

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

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

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Group 1

Transtibial amputation

The patients will be asked to go up and down 9-step stair with the highest speed they can make.

The patients will be asked to go up and down 9-step stair with the highest speed they can make.
Group 2

Transfemoral amputation

The patients will be asked to go up and down 9-step stair with the highest speed they can make.

The patients will be asked to go up and down 9-step stair with the highest speed they can make.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Evaluation of the mechanical properties of the muscle-1
Time Frame: Change from Baseline mechanical properties at following staring up and down activity, at 10 minutes after the staring up and down activity
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
Evaluation of the mechanical properties of the muscle-2
Time Frame: Change from Baseline mechanical properties at following staring up and down activity, at 10 minutes after the staring up and down activity
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
Evaluation of the mechanical properties of the muscle-3
Time Frame: Change from Baseline mechanical properties at following staring up and down activity, at 10 minutes after the staring up and down activity
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
Evaluation of the back pain
Time Frame: Change from Baseline mechanical properties at following staring up and down activity, at 10 minutes after the staring up and down activity
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
Evaluation of the pressure-pain threshold
Time Frame: Change from Baseline mechanical properties at following staring up and down activity, at 10 minutes after the staring up and down activity
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

Collaborators and Investigators

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

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

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)

February 1, 2020

Primary Completion (Actual)

April 15, 2020

Study Completion (Actual)

December 20, 2020

Study Registration Dates

First Submitted

March 24, 2020

First Submitted That Met QC Criteria

March 25, 2020

First Posted (Actual)

March 27, 2020

Study Record Updates

Last Update Posted (Actual)

October 4, 2021

Last Update Submitted That Met QC Criteria

September 27, 2021

Last Verified

September 1, 2021

More Information

Terms related to this study

Other Study ID Numbers

  • 09.2019.969

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

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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