Prosthetic Socket Interface Design on Socket Comfort, Residual Limb Health, and Function for the Transfemoral Amputee
2 other identifiers
interventional
15
1 country
1
Brief Summary
The primary objective of this clinical trial is to determine if the Dynamic Socket and Sub-Ischial alternative interface designs improve socket comfort, residual limb health, increase function and be preferred over the standard of care Ischial Ramus Containment (IRC) interface for the military and veteran living with transfemoral limb loss.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Jun 2016
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 8, 2015
CompletedFirst Posted
Study publicly available on registry
May 16, 2016
CompletedStudy Start
First participant enrolled
June 1, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 30, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
March 30, 2018
CompletedApril 3, 2018
March 1, 2018
1.8 years
December 8, 2015
March 30, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Skin Temperature
Continuous skin temperature measurement (Celsius) will be taken during treadmill walking at self-selected comfortable speed
Accommodation with new prosthetic sockets is approximately 10 days
Perspiration
Perspiration will be measured by tare weight (grams) following treadmill walking.
Accommodation with new prosthetic sockets is approximately 10 days
Vertical Interface Movement (Pistoning)
Pistoning will be defined as the numerical difference of interface to skeletal movement (cm) between simulated swing (lifting the prosthetic side) and stance (single support on the prosthetic side) as measured by coronal X-Ray.
Accommodation with new prosthetic sockets is approximately 10 days
Secondary Outcomes (3)
Balance and Stability
Accommodation with new prosthetic sockets is approximately 10 days
Comfort
Accommodation with new prosthetic sockets is approximately 10 days
Preference
Accommodation with new prosthetic sockets is approximately 10 days
Study Arms (3)
Socket 1 (Ischial Ramus Containment)
ACTIVE COMPARATORThis arm included unilateral transfemoral amputees who were assessed while using the Ischial Ramus Containment socket.
Socket 2 (Dynamic Socket IRC)
ACTIVE COMPARATORThis arm included unilateral transfemoral amputees who were assessed while using the Dynamic Socket Ischial Ramus Containment socket.
Socket 3 (Sub-Ischial Interface)
ACTIVE COMPARATORThis arm included unilateral transfemoral amputees who were assessed while using the Sub-Ischial Interface socket.
Interventions
Ischial Ramus Containment (IRC) is the standard of care socket
Dynamic Socket Ischial Ramus Containment (IRC) is a comparator study socket
Sub-Ischial Interface (Sub-I) is a comparator study socket
Eligibility Criteria
You may qualify if:
- Unilateral above the knee amputees of non-dysvascular etiology
- lbs
- ≥ 1 yr. of prosthetic experience
- Independent community ambulator
- Self-reported ability to walk for 20min consecutively
You may not qualify if:
- Above the knee amputees of dysvascular etiologies
- Body weight \<100 or \>275 lbs
- Does not speak English or Spanish
- Use of an assistive device (i.e. canes, walkers)
- Transtibial, hip disarticulation, hemipelvectomy, partial foot and bilateral amputees
- Known skin issues
- Known cognitive impairment
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of South Floridalead
- United States Department of Defensecollaborator
Study Sites (1)
University of South Florida
Tampa, Florida, 33612, United States
Related Publications (1)
Kahle JT, Miro RM, Ho LT, Porter MR, Lura DJ, Carey SL, Lunseth P, Swanson AE, Highsmith MJ. Effect of transfemoral prosthetic socket interface design on gait, balance, mobility, and preference: A randomized clinical trial. Prosthet Orthot Int. 2021 Aug 1;45(4):304-312. doi: 10.1097/PXR.0000000000000013.
PMID: 33856157DERIVED
Study Officials
- PRINCIPAL INVESTIGATOR
Jason Highsmith, PhD, CP, PT
University of South Florida
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- OTHER
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 8, 2015
First Posted
May 16, 2016
Study Start
June 1, 2016
Primary Completion
March 30, 2018
Study Completion
March 30, 2018
Last Updated
April 3, 2018
Record last verified: 2018-03
Data Sharing
- IPD Sharing
- Will share