- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06013631
Effects of Prosthesis Training on Pain, Prosthesis Satisfaction and Ambulatory Status of Lower Limb Amputees
Effects of Prosthesis Training With and Without Phantom Exercises on Pain, Prosthesis Satisfaction and Ambulatory Status of Lower Limb Amputees
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Amputation is a catastrophic incident in a person's life which resulted in psychological, social and physical consequences. Loss of extremity resulted in negative impact on patient's body and perception as well. Phantom limb pain (PLP) can be defined by discomfort or pain in lost part of limb experienced by lower limb amputees. Phantom limb pain is physically and mentally draining condition which affects patient's daily activities like personal care and functional independence.
Phantom limb pain is highly prevalent condition among lower limb amputees. It is associated with negative effect on mental and physical health conditions. There are studies conducted on prosthesis training for prosthesis satisfaction.
However, according to researcher knowledge effects of prosthesis training along with phantom exercises have not been measured on prosthesis satisfaction. This study will encourage future studies on this topic and will help in developing state of art treatment of phantom limb discomfort associated with lower limb subtraction. As managing phantom discomfort can result in better prosthesis satisfaction and eventually ease the ambulatory status of patient.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Fiza Komal, MS
- Phone Number: +923317681871
- Email: drfiza.komal@gmail.com
Study Contact Backup
- Name: Ayesha Jamil, M.Phil
- Phone Number: +923244481031
- Email: ayesha.jamil@uipt.uol.edu.pk
Study Locations
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Punjab
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Lahore, Punjab, Pakistan, 5400
- Recruiting
- The University of Lahore
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Contact:
- Fiza Komal, MS
- Phone Number: +923317681871
- Email: drfiza.komal@gmail.com
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Contact:
- Ayesha Jamil, M.Phil
- Phone Number: +923244481031
- Email: ayesha.jamil@uipt.uol.edu.pk
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Principal Investigator:
- Fiza Komal, MS
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age: 18-60 years
- Gender: male/female
- Unilateral lower limb amputees (trans-femoral, trans-tibial) and using prosthesis and having phantom limb pain will be included.
- Limb deficiency and phantom limb questionnaire was used for screening of patients
Exclusion Criteria:
- Severe systematic illness
- Psychological issues
- Hearing/ visual impairment
- Malignancies
- Infectious disease
- Neuropathic pain except PLP and residual limb pain
- Any disorder that restricts movement of opposed limb, limited range of motion in sound limb
- Taking pain relief medications
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Phantom Exercises
The phantom exercises involved visualizing and then trying to perform the movements of the phantom limb.
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The phantom exercises involved visualizing and then trying to perform the movements of the phantom limb.
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Active Comparator: Prosthesis Training
Training for prostheses at the appropriate amputation level will be provided.
Conventional gait training protocols include Tandem walk, within parallel bar, controlled environment, full length Mirror on one side, weight shifting, shifting onto the Prosthetic Side, Pelvic rotation, Stepping on multiple heights and positions, Tandem walk, within parallel bar, and weight shifting.
Gait training will last six weeks in total.
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Training for prostheses at the appropriate amputation level will be provided.
Conventional gait training protocols include Tandem walk, within parallel bar, controlled environment, full length Mirror on one side, weight shifting, shifting onto the Prosthetic Side, Pelvic 22 rotation, Stepping on multiple heights and positions, Tandem walk, within parallel bar, and weight shifting.
Gait training will last six weeks in total.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Prosthesis satisfaction level
Time Frame: It will be assessed at 6th week after the application of intervention.
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To check prosthesis satisfaction of the amputees, Trinity Amputation and Prosthesis Experience Scales (TAPES) will be used.
It assesses prosthetic satisfaction on the basis of the functional, aesthetic, and weight subscales.
TAPES evaluates how well people adjust to physical limitations that may have an impact on social behavior.Scores range from 5 to 25, with higher scores indicating greater levels of adjustment.
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It will be assessed at 6th week after the application of intervention.
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Phantom Limb Pain Intensity
Time Frame: Pain intensity will be assessed at baseline and any change in pain intensity will be measured at 6th week of intervention.
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To check prosthesis satisfaction of the amputees, Trinity Amputation and Prosthesis Experience Scales (TAPES) will be used. It assesses prosthetic satisfaction on the basis of the functional, aesthetic, and weight subscales. TAPES evaluates how well people adjust to physical limitations that may have an impact on social behavior. visual analogue scale (VAS) can be used to aid someone to assess the strength of particular moods and experiences, such as pain. The visual analogue scale for pain is a conventional, with the lowest likely discomfort at one end and no pain at the other. |
Pain intensity will be assessed at baseline and any change in pain intensity will be measured at 6th week of intervention.
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Ambulation Status
Time Frame: Ambulation status will be observed at baseline and any change will be assessed at 6th week of intervention.
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. The Amputee Mobility Predictor (AMP) analyses an amputee's movement with or without a prosthesis in order to determine their potential for ambulation.
A rapid and simple to use assessment instrument called the Amputee Mobility Predictor (AMP) was used to estimate the functional condition of lower-limb amputees both with and without the use of a prosthesis.
AMPPRO 0- 42 (47 if assistive device is included) and AMPPRO 0-38 (43 if assistive device is included).
Higher scores indicate better mobility,
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Ambulation status will be observed at baseline and any change will be assessed at 6th week of intervention.
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Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Ashfaq Ahmad, PhD, The University of Lahore
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- Fiza Komal
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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