MedPath

C-Brace Prospective Registry

Recruiting
Conditions
Pareses
Lower Extremity
Registration Number
NCT04640584
Lead Sponsor
Otto Bock Healthcare Products GmbH
Brief Summary

To gather prospective safety and effectiveness data for the C-Brace System following the standard of care.

Detailed Description

The purpose of the C-Brace Prospective Registry is to gather prospective baseline and follow-up data to characterize the safety and effectiveness of the C Brace. Patients casted for C-Brace fitting and willing to provide informed consent at participating clinics will be enrolled in the registry. All patients will be followed in accordance with the standard of care for a C-Brace, which will include, at a minimum, baseline evaluation, fitting, patient training/therapy sessions, follow-up at 6 months, 12 months, 24 months and 36 months after the definitive fitting of the C-Brace.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
250
Inclusion Criteria
  • Patient has been evaluated and successfully tested with the Trial Tool, and has been casted for a C-Brace.
  • Patient is able to communicate, provide feedback, understand and follow instructions during the course of the registry.
  • Patient is willing to provide informed consent.
Exclusion Criteria
  • Patient is geographically inaccessible to comply and participate in the registry.
  • Patient has not been casted for a C-Brace fitting.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Primary Efficacy: Activities-specific Balance Confidence (ABC)Changes in perceived balance confidence as assessed by the ABC score with the C-Brace system compared to baseline when assessed 12 months after the initial fitting.

Assessment of patient-perceived balance confidence for 16 activities of daily living. For each activity, subjects rate their level of confidence in doing the activity without losing their balance or becoming unsteady on a scale from 0% to 100%, with 100% being the highest level of confidence. The total score for the ABC scale is an average of all activity scores.

Primary Safety: Frequency and severity of fallingChanges in numbers of device-related adverse events experienced by C Brace users by frequency and severity compared to baseline measurement when assessed 12 months after the initial fitting

The number and percentage of patients who experience one or more adverse events during their participation in the registry will be computed along with the exact 95% binomial confidence interval. The number and percentage of subjects who experience a serious adverse event will also be tabulated along with the exact 95% binomial confidence interval. Events will also be categorized and the number of events and number of patients for each category will be presented. In addition, a complete listing of adverse events along with their relationship to the device, severity, seriousness and outcome will be constructed.

Primary Efficacy: Timed Walk TestChange in walking speed with the C-Brace measured either by a 25-ft or 10-m walk test compared to baseline measurements when assessed 12 months after initial fitting

The Timed Walk test is used to measure gait speed on either a 25-foot or 10-meter straight course timed using the middle 10 feet or 6 meters, respectively. Three trials are performed and the average of the three used. Patients are allowed the use of assistive device (such as a cane, crutches or walker) that they normally use for in home or community ambulation.

Primary Efficacy: Timed Up and Go (TUG) TestChanges in mobility, balance, risk of falling, and walking ability as measured by TUG test with the C-Brace system compared to baseline when assessed 12 months after the initial fitting.

Originally designed to test mobility skills in the elderly, the TUG is a validated test for quantifying functional mobility and risk of falling. In the TUG Test, patients are asked to stand up from a chair, walk ten feet, turn and return to the chair, and then sit on the chair. For centers routinely using the TUG as a part of their standard of care, this data (time to complete in seconds) will be collected at baseline and follow-up visits when available. Predictive results from the test are as follows: \<10s, Freely mobile; \< 20s, Mostly independent; 20-29s, Variable mobility.

Secondary Outcome Measures
NameTimeMethod
Patient Specific Functional Scale (PSFS)Changes in patient-centered activities and in the defined activity performance with C-Brace by the PSFS compared to baseline when assessed 12 months after the initial fitting.

The PSFS is a self-report measure aimed at identifying functional status limitations that are most relevant to individual patients.The PSFS is a reliable, valid, and efficient measure for detecting clinical change in persons with low back pain and knee dysfunction. Patients will be asked to identify three to five activities that they are having difficulty or are unable to perform because of their injury/condition. For the specified activities, patients will then be asked to rate their ability to perform each activity at that time (0-10 numerical scale) with '0' being unable to perform the activity, and '10' being able to perform the activity at the same level as they could prior to the injury/condition. There is no total score for this measure.

Activity TrackerChanges of C-Brace utilization at 12 months compared to baseline measurement estimated by the activity tracker

On the day the patient is casted for the C-Brace the patient's current orthosis will be affixed with an activity monitor to record the number of steps the patient takes with the orthosis. The patient will be sent home with a prepaid envelope and be instructed to mail back the activity monitor 16 days later, in order to capture 14 whole days of step count data. The step counts will be downloaded from the device the day the activity monitor is returned to the Investigator. The C-Brace will also be affixed with the same activity monitor following the same process for when the activity monitor was attached to the previous orthosis.

Berg Balance Scale (BBS)Changes in static and dynamic balance abilities as measured by the BBS compared to baseline when assessed 12 months after initial fitting with C-Brace.

The BBS is a 14-item scale designed to measure static and dynamic balance in adults in a clinical setting. The range in score for the BBS is 0 to 56, with higher scores indicating better balance. Points for each item are deducted if the time or distance requirements are not met, the patient's performance requires supervision, or the patient requires assistance from support or examiner. The points reached in each item were summed up to the total score.

Trial Locations

Locations (62)

Pacific Medical

๐Ÿ‡บ๐Ÿ‡ธ

Richland, Washington, United States

Thompson's O&P

๐Ÿ‡บ๐Ÿ‡ธ

Spokane, Washington, United States

Jonesboro P&O x Ottobock.care

๐Ÿ‡บ๐Ÿ‡ธ

Rogers, Arkansas, United States

Bionics Orthotics & Prosthetics

๐Ÿ‡บ๐Ÿ‡ธ

San Diego, California, United States

ABI P&O

๐Ÿ‡บ๐Ÿ‡ธ

San Diego, California, United States

West Coast Brace & Limb - Palm Harbor

๐Ÿ‡บ๐Ÿ‡ธ

Palm Harbor, Florida, United States

Hanger - Sarasota

๐Ÿ‡บ๐Ÿ‡ธ

Sarasota, Florida, United States

West Coast Brace & Limb - Tampa

๐Ÿ‡บ๐Ÿ‡ธ

Tampa, Florida, United States

ProCare Prosthetics x Ottobock.care

๐Ÿ‡บ๐Ÿ‡ธ

Buford, Georgia, United States

ProCare x Ottobock.care

๐Ÿ‡บ๐Ÿ‡ธ

Conyers, Georgia, United States

Scheck & Siress: A Hanger Clinic Company

๐Ÿ‡บ๐Ÿ‡ธ

Chicago, Illinois, United States

P&O Care x Ottobock.care

๐Ÿ‡บ๐Ÿ‡ธ

Saint Louis, Missouri, United States

Kenney Orthopedics - Evansville

๐Ÿ‡บ๐Ÿ‡ธ

Evansville, Indiana, United States

Prevail Prosthetics & Orthotics

๐Ÿ‡บ๐Ÿ‡ธ

Fort Wayne, Indiana, United States

Bionic Prosthetics & Orthotics

๐Ÿ‡บ๐Ÿ‡ธ

Green Bay, Wisconsin, United States

Kenney Orthopedics - Danville

๐Ÿ‡บ๐Ÿ‡ธ

Danville, Kentucky, United States

Kenney Orthopedics - Lexington

๐Ÿ‡บ๐Ÿ‡ธ

Lexington, Kentucky, United States

Ability x Ottobock.care

๐Ÿ‡บ๐Ÿ‡ธ

York, Pennsylvania, United States

Dankmeyer

๐Ÿ‡บ๐Ÿ‡ธ

Linthicum, Maryland, United States

Medical Center Orthotics & Prosthetics

๐Ÿ‡บ๐Ÿ‡ธ

Silver Spring, Maryland, United States

Cornell Orthotics & Prosthetics

๐Ÿ‡บ๐Ÿ‡ธ

Beverly, Massachusetts, United States

Wright & Filippis x Ottobock.care

๐Ÿ‡บ๐Ÿ‡ธ

Madison Heights, Michigan, United States

Limb Lab

๐Ÿ‡บ๐Ÿ‡ธ

Omaha, Nebraska, United States

AlliedOP

๐Ÿ‡บ๐Ÿ‡ธ

Mount Laurel, New Jersey, United States

MedEast Post-op & Surgical

๐Ÿ‡บ๐Ÿ‡ธ

Mount Laurel, New Jersey, United States

Body in Motion

๐Ÿ‡บ๐Ÿ‡ธ

Toms River, New Jersey, United States

Raymond G. Murphy VA

๐Ÿ‡บ๐Ÿ‡ธ

Alburquerque, New Mexico, United States

Orthocraft Inc. - 3856 Flatlands Ave

๐Ÿ‡บ๐Ÿ‡ธ

Brooklyn, New York, United States

VA NY Harbor

๐Ÿ‡บ๐Ÿ‡ธ

Manhattan, New York, United States

Prosthetics in Motion

๐Ÿ‡บ๐Ÿ‡ธ

New York, New York, United States

Reliable P&O

๐Ÿ‡บ๐Ÿ‡ธ

Jacksonville, North Carolina, United States

O&P of Pinehurst

๐Ÿ‡บ๐Ÿ‡ธ

Pinehurst, North Carolina, United States

Atlantic Prosthetic Services

๐Ÿ‡บ๐Ÿ‡ธ

Wilmington, North Carolina, United States

Yanke Bionics - W Exchange St

๐Ÿ‡บ๐Ÿ‡ธ

Akron, Ohio, United States

Western Reserve O&P

๐Ÿ‡บ๐Ÿ‡ธ

Austintown, Ohio, United States

Ability P&O x Ottobock.care

๐Ÿ‡บ๐Ÿ‡ธ

Exton, Pennsylvania, United States

Titleman Orthopedic

๐Ÿ‡บ๐Ÿ‡ธ

Philadelphia, Pennsylvania, United States

elizur Corporation

๐Ÿ‡บ๐Ÿ‡ธ

Pittsburg, Pennsylvania, United States

South County Artificial Limb and Brace

๐Ÿ‡บ๐Ÿ‡ธ

Wakefield, Rhode Island, United States

Carolina Ottobock.care

๐Ÿ‡บ๐Ÿ‡ธ

Spartanburg, South Carolina, United States

Excel P&O

๐Ÿ‡บ๐Ÿ‡ธ

Kingsport, Tennessee, United States

Restorative Health Services

๐Ÿ‡บ๐Ÿ‡ธ

Murfreesboro, Tennessee, United States

Ottobock.care

๐Ÿ‡บ๐Ÿ‡ธ

Austin, Texas, United States

New Life

๐Ÿ‡บ๐Ÿ‡ธ

Conroe, Texas, United States

Scott Sabolich Prosthetics & Research x Ottobock.care

๐Ÿ‡บ๐Ÿ‡ธ

Dallas, Texas, United States

Baker O&P

๐Ÿ‡บ๐Ÿ‡ธ

Fort Worth, Texas, United States

Hanger Clinic - Houston

๐Ÿ‡บ๐Ÿ‡ธ

Houston, Texas, United States

Michael E. DeBakey VA

๐Ÿ‡บ๐Ÿ‡ธ

Houston, Texas, United States

TIRR Research Center

๐Ÿ‡บ๐Ÿ‡ธ

Houston, Texas, United States

South Texas Veterans Health Care System

๐Ÿ‡บ๐Ÿ‡ธ

San Antonio, Texas, United States

Freedom P & O - 356 E 600 S

๐Ÿ‡บ๐Ÿ‡ธ

Saint George, Utah, United States

Hunter Holmes McGuire VA

๐Ÿ‡บ๐Ÿ‡ธ

Richmond, Virginia, United States

VA O&P

๐Ÿ‡บ๐Ÿ‡ธ

Roanoke, Virginia, United States

Cornerstone P&O

๐Ÿ‡บ๐Ÿ‡ธ

Everett, Washington, United States

Cascade Prosthetics & Orthotics

๐Ÿ‡บ๐Ÿ‡ธ

Ferndale, Washington, United States

Hanger Clinic - Renton

๐Ÿ‡บ๐Ÿ‡ธ

Renton, Washington, United States

Neuromuscular-orthotics.com.au

๐Ÿ‡ฆ๐Ÿ‡บ

Clayton, Victoria, Australia

Pohlig BmbH

๐Ÿ‡ฉ๐Ÿ‡ช

Traunstein, Bavaria, Germany

Ottobock Gรถttingen

๐Ÿ‡ฉ๐Ÿ‡ช

Gรถttingen, Deutschland, Germany

John+Bamberg GmbH & Co. KG

๐Ÿ‡ฉ๐Ÿ‡ช

Hanover, Lower Saxony, Germany

Katholisches Klinikum Koblenz-Montabaur

๐Ÿ‡ฉ๐Ÿ‡ช

Koblenz, Rhineland-Palatinate, Germany

Hyogo Rehabilitation Hospital

๐Ÿ‡ฏ๐Ÿ‡ต

Kobe, Hyogo, Japan

ยฉ Copyright 2025. All Rights Reserved by MedPath