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
2 other identifiers
interventional
38
2 countries
18
Brief Summary
The purpose of this multicentric study is to assess the impact of C-BRACE on mobility, endurance, confidence, participation, satisfaction, psychosocial adjustment and quality of life in community ambulators using a Stance Control Orthosis.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Apr 2022
18 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 11, 2022
CompletedFirst Posted
Study publicly available on registry
April 18, 2022
CompletedStudy Start
First participant enrolled
April 19, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 17, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
April 17, 2023
CompletedJune 23, 2023
June 1, 2023
12 months
April 11, 2022
June 22, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
PLUS-M™ - Mobility
12-items Self-reported measure of mobility as the ability to move intentionally and independently from one place to another.
2-months
Secondary Outcomes (6)
6 minutes walk test
2-months
ABC-s Activities-specific Balance Confidence - simplified
2-months
PSFS - Patient Specific Functional Scale
2-months
PIADS - Psychosocial Impact of Assistive Devices Scale
2-months
EQ-5D-5L - Quality of Life
2-months
- +1 more secondary outcomes
Study Arms (2)
C-BRACE/SCO
EXPERIMENTALThe 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).
SCO/C-BRACE
OTHERThe 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.
Interventions
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.
Eligibility Criteria
You may qualify if:
- 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
You may not qualify if:
- 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
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Otto Bock France SNClead
- EVAMEDcollaborator
Study Sites (18)
CRF Korian Le Mont Veyrier
Argonay, France
Centre Jacques Calvé Fondation Hopale
Berck, France
HIA Percy
Clamart, France
Pôle de Réadaptation de Cornouaille
Concarneau, France
Centre Hospitalier Dieppe
Dieppe, France
Hôpital Raymond-Poincaré
Garches, France
Hia Laveran
Marseille, France
IRR Louis Pierquin
Nancy, France
CRRF La Chataigneraie
Paris, France
CRRF Léopold Bellan
Paris, France
Centre Bouffard Vercelli
Perpignan, France
CRRF La Tourmaline
Saint-Herblain, France
CRF Salies de Béarn
Salies-de-Béarn, France
LADAPT Thionis
Thionville, France
Chu Rangueil
Toulouse, France
IRMA Institut Robert Merle d'Aubigné
Valenton, France
PFH Private Hochschule Göttingen
Göttingen, Germany
Katholisches Klinikum Koblenz-Montabaur
Koblenz, Germany
Related Publications (9)
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.
PMID: 32976844BACKGROUNDKaratzios 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.
PMID: 30965157BACKGROUNDChatman 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.
PMID: 9256870BACKGROUNDDemers 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.
PMID: 12206579BACKGROUNDMiddleton 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.
PMID: 24812254BACKGROUNDProbsting 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.
PMID: 27151648BACKGROUNDSchmalz 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.
PMID: 25249381BACKGROUNDFiliatrault 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.
PMID: 17466738BACKGROUNDAndrade 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.
PMID: 31912325BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- 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
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- CROSSOVER
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 11, 2022
First Posted
April 18, 2022
Study Start
April 19, 2022
Primary Completion
April 17, 2023
Study Completion
April 17, 2023
Last Updated
June 23, 2023
Record last verified: 2023-06
Data Sharing
- IPD Sharing
- Will not share