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Comparative Study Evaluating the Mobility of Transtibial Amputee Patients Using the PRO-FLEX PIVOT® Foot Versus a Class III Energy Storing and Returning (ESAR) Prosthetic Foot.

Not Applicable
Recruiting
Conditions
Amputation
Registration Number
NCT06627361
Lead Sponsor
Össur Ehf
Brief Summary

The PRO-FLEX PIVOT® is ESAR prosthetic foot with an innovative technology built around three pillars:

1. The PIVOT technology: three axes of rotation (upper support, main pivot and lower support) at the ankle, which allow both a movement with more amplitude and closer to the physiological movement of the ankle, and an increase in the power of the ankle, especially in the terminal support phase.

2. The technology of the three carbon blades (plantar, upper and median), including a wider plantar blade, split in the middle of the foot with a separate toe to provide efficiency over the entire length to the big toe, bringing more power to the impulse and more control, but also increased stability until the terminal support phase.

3. An anatomical foot cosmetic, to adapt and optimize the function of the blade: of light manufacture, with an adherent sole for more stability barefoot, it guarantees physiological plantar pressure during the unwinding of the foot.

The aim of this study is to demonstrate that compared to a class III ESAR foot, the PRO-FLEX PIVOT® foot improves patient mobility with a validated score.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
30
Inclusion Criteria

Adult patient (over 18 years of age)

  • Unilateral tibial amputee and fitted for at least 6 months with a class III ESAR foot.
  • Regularly using (more than 8 hours/day) a class III ESAR foot
  • Functional class (CNEDiMTS indication)1
  • Insured person.
  • Able to answer questionnaires.
  • Providing informed and written consent to participate in the study.
  • Having a normalized PLUS-M/FC 12 score less than 50 for vascular amputee and 55 for traumatic amputee and other causes of amputation.
  • Experiencing no discomfort related to the socket indicated by a score ≥ 6 on the numerical scale from 0 to 10 (Socket Comfort Score)
Exclusion Criteria
  • Bilateral lower limb amputation
  • Femoral amputation
  • Wearing a temporary prosthesis
  • Change of socket or suspension system planned during the study.
  • Change of any functional component as torsion or choc adapter
  • Significant change in the patient's routine activities expected during the study.
  • Progressive associated pathology that may prevent patient follow-up.
  • Associated pathology that may limit the patient's mobility (e.g. disarticulation of the knee, knee pain... )
  • No osteointegration patients
  • Lack of consent
  • Adult subject to enhanced protection, deprived of liberty by judicial or administrative decision, hospitalized without consent or admitted to a health or social institution for purposes other than research.
  • Person not affiliated with or a beneficiary of a health insurance plan.
  • Patient unable to understand the study instructions

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Primary Outcome Measures
NameTimeMethod
Change of mobility of the patient28 days

Assess the foot impact on the patient mobility assessed with Prosthetic Limb Users Survey of Mobility (PLUS-M™) questionnaire. The score ranges from 21.8 (indicated lower mobility) to 71.4 (indicating higher mobility)

Secondary Outcome Measures
NameTimeMethod
Occurence of falls28 days
Variations in comfort experienced during the wearing of the foot28 days

Evaluate the impact of the foot on the comfort experienced by the patient with visual analog scale (VAS) from 0 (= not at all comfortable) to 5 (=Very comfortable)

Change in quality of life28 days

Evaluate the impact of the foot on the quality of life assessed by the Orthotics Prosthetics Users Survey (OPUS) patient Self report questionnaire. The higher the score \[0-92\], the better the perception of quality of life.

Change in satisfaction of the patient28 days

Assess the change in patient satisfaction with Quebec User Evaluation of Satisfaction with assistive Technology (QUEST = ESAT in French); Higher scores indicate greater satisfaction.

Number of patients with technical incidents28 days

Trial Locations

Locations (1)

Multiples locations

🇫🇷

Multiple Locations, France

Multiples locations
🇫🇷Multiple Locations, France
Renaud URBINELLI
Contact
0756882093
etudes@clin-experts.fr

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