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Evaluation of 3D Printed Myoelectric Prosthetic Devices in Children With Upper Congenital Limb Deficiency

Primary Purpose

Limb Deformities, Congenital, Upper Extremity Deformities, Congenital, Congenital Abnormalities

Status
Not yet recruiting
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
3D myoelectric prosthetic device
Sponsored by
Orlando Health, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Limb Deformities, Congenital

Eligibility Criteria

7 Years - 17 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Children between the ages of 7 to 17
  • Congenital/infant upper limb deficiency specifically transhumeral and transradial limb deficiency as identified by Limbitless Solutions.

Exclusion Criteria:

  • Non-English-speaking children and families.
  • Any shoulder or wrist disarticulation will be excluded.

Sites / Locations

  • Orlando Health Arnold Palmer Hospital for Children

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Prosthetic device

Arm Description

All subjects will receive the 3D myoelectric prosthetic device

Outcomes

Primary Outcome Measures

Quality of life and function ability will be measured through questionnaire, surveys and motor testing while using the 3D myoelectric device.
This data will be compared across the population using validated testing tools.

Secondary Outcome Measures

In-person testing of motor skills by an occupational therapist using blocks and a box.
Box and Blocks Test measures gross motor dexterity skills with an experienced occupational therapist with both dominant and non-dominant hand by moving blocks into a box in a specific timeframe while using the 3D myoelectric prosthetic device. This will be done at delivery of device, 5 months and 14 months after delivery.

Full Information

First Posted
April 25, 2022
Last Updated
September 16, 2022
Sponsor
Orlando Health, Inc.
Collaborators
Limbitless Solutions, University of Central Florida
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1. Study Identification

Unique Protocol Identification Number
NCT05547308
Brief Title
Evaluation of 3D Printed Myoelectric Prosthetic Devices in Children With Upper Congenital Limb Deficiency
Official Title
Evaluation of Gamified Training for 3D Printed Myoelectric Prosthetic Devices in Children With Upper Congenital Limb Deficiency
Study Type
Interventional

2. Study Status

Record Verification Date
September 2022
Overall Recruitment Status
Not yet recruiting
Study Start Date
November 2022 (Anticipated)
Primary Completion Date
November 2025 (Anticipated)
Study Completion Date
November 2027 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Orlando Health, Inc.
Collaborators
Limbitless Solutions, University of Central Florida

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Device Product Not Approved or Cleared by U.S. FDA
Yes
Product Manufactured in and Exported from the U.S.
No

5. Study Description

Brief Summary
This will be a prospective study over a 14-month duration with clinical evaluations throughout. Limitless Solutions will provide prosthetics and training system for study subjects that qualify for enrollment.
Detailed Description
Prosthetics for children are costly and those families who do get them often find that children don't use them for very long for a variety of reasons, including weight and ease of use. Limitless Solutions has developed technology to create personalized bionics for people with disabilities at an affordable cost. This will be a prospective study over a 14-month duration with clinical evaluations throughout. Limitless Solutions will provide prosthetics and training system for study subjects free of charge. During each visit, the study team will include an occupational therapist, a prosthetist, a study coordinator, and a research volunteer along with Limitless support staff and a supervising physician. Subject will complete quality of life questionnaires throughout their participation.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Limb Deformities, Congenital, Upper Extremity Deformities, Congenital, Congenital Abnormalities

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
20 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Prosthetic device
Arm Type
Experimental
Arm Description
All subjects will receive the 3D myoelectric prosthetic device
Intervention Type
Device
Intervention Name(s)
3D myoelectric prosthetic device
Intervention Description
All subjects will use the 3D Prosthetic device and complete a variety of quality of life questionnaires.
Primary Outcome Measure Information:
Title
Quality of life and function ability will be measured through questionnaire, surveys and motor testing while using the 3D myoelectric device.
Description
This data will be compared across the population using validated testing tools.
Time Frame
baseline thru 14 months post baseline.
Secondary Outcome Measure Information:
Title
In-person testing of motor skills by an occupational therapist using blocks and a box.
Description
Box and Blocks Test measures gross motor dexterity skills with an experienced occupational therapist with both dominant and non-dominant hand by moving blocks into a box in a specific timeframe while using the 3D myoelectric prosthetic device. This will be done at delivery of device, 5 months and 14 months after delivery.
Time Frame
baseline thru 14 months post baseline
Other Pre-specified Outcome Measures:
Title
Children's Hand-use Experience Questionnaire
Description
Children's Hand-use Experience Questionnaire is in PDF format We have developed the questionnaire to evaluate the experience of children and adolescents in using the affected hand or hand prostheses in activities where usually two hands are needed.
Time Frame
baseline thru 14 months post baseline
Title
PedsQL TM (Pediatric Quality of Life Inventory TM)
Description
The PedsQL Measurement Model is a questionnaire that is designed to measure health-related quality of life in healthy children and adolescents and those with acute and chronic health conditions.
Time Frame
baseline thru 14 months post baseline
Title
The use of the GUESS system for video gaming using the myoelectric device.
Description
The GUESS is a psychometrically validated and comprehensive gaming scale with nine subscales (e.g., Usability/Playability, Creative Freedom, and Social Connectivity) and 55 items in total. The GUESS is intended for any playtesting and game evaluation purposes.
Time Frame
baseline thru 14 months post baseline
Title
The Pediatric Outcome Data Collection Instrument is a survey
Description
The Pediatric Outcomes Data Collection Instrument (PODCI) is an outcomes assessment tool developed to allow measurement of health-related quality of life in children with disorders having musculoskeletal impact. This can be patient or parent reported and addresses activities of daily living.
Time Frame
baseline thru 14 months post baseline
Title
Psychosocial questionnaire to be completed by both patient and parent
Description
This survey is designed to qualitatively identify any influence the use of the prosthetic device has throughout the study and for qualitative comparison across the patient population.
Time Frame
14 month post baseline

10. Eligibility

Sex
All
Minimum Age & Unit of Time
7 Years
Maximum Age & Unit of Time
17 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Children between the ages of 7 to 17 Congenital/infant upper limb deficiency specifically transhumeral and transradial limb deficiency as identified by Limbitless Solutions. Exclusion Criteria: Non-English-speaking children and families. Any shoulder or wrist disarticulation will be excluded.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Albert Manero, PhD
Phone
407 823-6757
Email
contact@limbitless-solutions.org
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Albert Manero, PhD
Organizational Affiliation
Limbitless Solutions
Official's Role
Study Director
Facility Information:
Facility Name
Orlando Health Arnold Palmer Hospital for Children
City
Orlando
State/Province
Florida
ZIP/Postal Code
32806
Country
United States
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Denise R. Lopez, APRN MSN
Email
denise.lopez@orlandohealth.com
First Name & Middle Initial & Last Name & Degree
Jason Keeler, MS
Email
jason.keeler@orlandohealth.com
First Name & Middle Initial & Last Name & Degree
Mark A. Birnbaum, MD
First Name & Middle Initial & Last Name & Degree
James E. Toledano, MD

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
20803406
Citation
Blough DK, Hubbard S, McFarland LV, Smith DG, Gambel JM, Reiber GE. Prosthetic cost projections for servicemembers with major limb loss from Vietnam and OIF/OEF. J Rehabil Res Dev. 2010;47(4):387-402. doi: 10.1682/jrrd.2009.04.0037.
Results Reference
result
PubMed Identifier
17051527
Citation
Canfield MA, Honein MA, Yuskiv N, Xing J, Mai CT, Collins JS, Devine O, Petrini J, Ramadhani TA, Hobbs CA, Kirby RS. National estimates and race/ethnic-specific variation of selected birth defects in the United States, 1999-2001. Birth Defects Res A Clin Mol Teratol. 2006 Nov;76(11):747-56. doi: 10.1002/bdra.20294.
Results Reference
result
Links:
URL
http://limbitless-solutions.org/about-us/
Description
Limbitless Solutions, Inc.
URL
http://www.cdc.gov/ncbddd/birthdefects/ul-limbreductiondefects.html
Description
Facts about Upper and Lower Limb Reduction Defects

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Evaluation of 3D Printed Myoelectric Prosthetic Devices in Children With Upper Congenital Limb Deficiency

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