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Design, Prototyping, and Testing of a Robotic Prosthetic Leg

Primary Purpose

Amputation; Traumatic, Leg, Lower

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Phase 2 Prescribed Prosthesis
Phase 2 Robotic Prosthetic Leg
Phase 3 No Prosthesis
Phase 3 Robotic Prosthetic Leg
Phase 3 Prescribed Prosthesis
Sponsored by
Loma Linda University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Amputation; Traumatic, Leg, Lower

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Phase 2

Inclusion Criteria:

  • unilateral limb-loss.
  • amputation or knee disarticulation/transfemoral amputation
  • can walk with a variable cadence (Level K3) or play sports (Level K4)
  • uses a prosthesis for walking daily
  • can stand for 30 seconds on one limb
  • can follow one-step commands.

Exclusion Criteria:

  • Those who can not walk with a variable cadence (Level K1 and K2)
  • compromised skin on the residual limb (stump)
  • uncontrolled swelling
  • missing more than one limb

Phase 3

Inclusion Criteria:

  • unilateral knee disarticulation or transfemoral amputation.
  • can walk at a single speed (Level K2), can walk with a variable cadence (Level K3) or play sports (Level K4)
  • can follow one step commands.

Exclusion Criteria:

  • Those who do not use prosthesis for walking (Level K1)
  • compromised skin on the residual limb (stump)
  • uncontrolled swelling
  • missing more than one limb

Sites / Locations

  • Loma Linda University

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Other

Experimental

Other

Experimental

Experimental

Arm Label

Phase 2 Prescribed Prosthesis

Phase 2 Robotic Prosthetic Leg

Phase 3 Prescribed Prosthesis

Phase 3 Robotic Prosthetic Leg

Phase 3 No Prosthesis

Arm Description

Participants everyday use of prosthesis

Robotic prosthetic leg with powered knee and passive ankle

Participants everyday use of prosthesis

Robotic prosthetic leg with powered knee and passive ankle

Participant performs tasks with no prosthetic device attached

Outcomes

Primary Outcome Measures

Timed up and go test
The participant sits in a standard armchair with any assistive device used for walking nearby. The participant stands and at a self-selected walking speed, walks 3 meters, turns, and walks back to the chair, and sits down. A stopwatch records the time to of the test (in seconds).

Secondary Outcome Measures

10 meter walk test
The participant will be timed as he/she walks a known distance of 10 meters to determine his/her self-selected walking velocity (distance/time).

Full Information

First Posted
October 30, 2020
Last Updated
August 25, 2022
Sponsor
Loma Linda University
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1. Study Identification

Unique Protocol Identification Number
NCT04616378
Brief Title
Design, Prototyping, and Testing of a Robotic Prosthetic Leg
Official Title
Design, Prototyping, and Testing of a Robotic Prosthetic Leg
Study Type
Interventional

2. Study Status

Record Verification Date
August 2022
Overall Recruitment Status
Completed
Study Start Date
February 1, 2021 (Actual)
Primary Completion Date
March 30, 2022 (Actual)
Study Completion Date
March 30, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Loma Linda University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
The purpose of this graduate student research study is to test that a specifically designed and novel robotic prosthetic leg (RPL) is feasible, safe and improves symmetry, efficiency, and metabolic function during sit-to-stand and stand-to-sit transitions as compared to the subject's prescribed device, and as compared to no device at all.
Detailed Description
Phase 2 case study Two subjects will be fitted with a heart rate monitor and with an adapted waist belt with mobile phone attached. RPL alignment will be verified. The subjects will use the RPL in parallel bars 10 times and take rests as needed in a chair. The subjects will perform the timed up and go test (TUGT), 10-meter walk test (10MWT), and the 6-minute walk test (6MWT). The subjects will be fitted with retro-reflective markers. The subjects will be fitted with a portable oxygen uptake analyzer. A 4D motion-capture camera system will be used while performing TUGT and five times sit to stand (5XSTS). The subjects will perform the above tests in their prescribed daily-wear prosthesis, and then in the RPL. The subjects will complete the activities-based balance confidence (ABC) scale test. The subjects will be asked a series of open-ended questions regarding the experience, while being audio recorded. Phase 3 pilot study Twenty subjects will be randomized into three treatment arms (no prosthesis, prescribed prosthesis, RPL). The subject will be fitted with a heart rate monitor. The subject will be fitted with a portable oxygen uptake analyzer. The subject will be fitted with the RPL, and the alignment of the RPL will be confirmed before testing. The subject will be fitted with retro-reflective markers. A 4D motion-capture camera system and force-plate will be used while performing the 5XSTS test in the assigned randomized condition. The test will be performed three times in each condition. The subject will return two more times to complete the tests in the remaining randomized conditions, with a two-week washout period between sessions. The subject will be given the ABC scale test in the beginning and at the end of this study. The subject will complete the technology attitudes questionnaire (TAQ). In total, subject participation will last 1 hour per day, for three sessions, two weeks apart.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Amputation; Traumatic, Leg, Lower

7. Study Design

Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
2 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Phase 2 Prescribed Prosthesis
Arm Type
Other
Arm Description
Participants everyday use of prosthesis
Arm Title
Phase 2 Robotic Prosthetic Leg
Arm Type
Experimental
Arm Description
Robotic prosthetic leg with powered knee and passive ankle
Arm Title
Phase 3 Prescribed Prosthesis
Arm Type
Other
Arm Description
Participants everyday use of prosthesis
Arm Title
Phase 3 Robotic Prosthetic Leg
Arm Type
Experimental
Arm Description
Robotic prosthetic leg with powered knee and passive ankle
Arm Title
Phase 3 No Prosthesis
Arm Type
Experimental
Arm Description
Participant performs tasks with no prosthetic device attached
Intervention Type
Other
Intervention Name(s)
Phase 2 Prescribed Prosthesis
Intervention Description
Everyday used prosthesis that was prescribed by their physician.
Intervention Type
Other
Intervention Name(s)
Phase 2 Robotic Prosthetic Leg
Intervention Description
The RPL consists of a passive-dynamic ankle, powered knee, and an on-board inertial measurement sensors with an on-board kinetic and kinematic data collection system for analysis.
Intervention Type
Other
Intervention Name(s)
Phase 3 No Prosthesis
Intervention Description
No prosthetic device is attached.
Intervention Type
Other
Intervention Name(s)
Phase 3 Robotic Prosthetic Leg
Intervention Description
The RPL consists of a passive-dynamic ankle, powered knee, and an on-board inertial measurement sensors with an on-board kinetic and kinematic data collection system for analysis.
Intervention Type
Other
Intervention Name(s)
Phase 3 Prescribed Prosthesis
Intervention Description
Everyday used prosthesis that was prescribed by their physician.
Primary Outcome Measure Information:
Title
Timed up and go test
Description
The participant sits in a standard armchair with any assistive device used for walking nearby. The participant stands and at a self-selected walking speed, walks 3 meters, turns, and walks back to the chair, and sits down. A stopwatch records the time to of the test (in seconds).
Time Frame
two weeks
Secondary Outcome Measure Information:
Title
10 meter walk test
Description
The participant will be timed as he/she walks a known distance of 10 meters to determine his/her self-selected walking velocity (distance/time).
Time Frame
one week
Other Pre-specified Outcome Measures:
Title
6 minute walk test
Description
This test measures distance walked in six minutes to assess the participant's physical endurance.
Time Frame
one week

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Phase 2 Inclusion Criteria: unilateral limb-loss. amputation or knee disarticulation/transfemoral amputation can walk with a variable cadence (Level K3) or play sports (Level K4) uses a prosthesis for walking daily can stand for 30 seconds on one limb can follow one-step commands. Exclusion Criteria: Those who can not walk with a variable cadence (Level K1 and K2) compromised skin on the residual limb (stump) uncontrolled swelling missing more than one limb Phase 3 Inclusion Criteria: unilateral knee disarticulation or transfemoral amputation. can walk at a single speed (Level K2), can walk with a variable cadence (Level K3) or play sports (Level K4) can follow one step commands. Exclusion Criteria: Those who do not use prosthesis for walking (Level K1) compromised skin on the residual limb (stump) uncontrolled swelling missing more than one limb
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Noha Daher, DrPH
Organizational Affiliation
Loma Linda University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Loma Linda University
City
Loma Linda
State/Province
California
ZIP/Postal Code
92354
Country
United States

12. IPD Sharing Statement

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Design, Prototyping, and Testing of a Robotic Prosthetic Leg

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