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| ID | Type | Description | Link |
|---|---|---|---|
| W81XWH-16-1-0738 | Other Grant/Funding Number | USAMRAA |
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| Name | Class |
|---|---|
| James A. Haley Veterans Administration Hospital | FED |
| VA New York Harbor Healthcare System | FED |
| Hanger Clinic: Prosthetics & Orthotics | OTHER |
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The purpose of the IM ABLE(Injuries Managed with Advanced Bracing for Lower Extremities) study is to determine if advanced (ADV) ankle foot orthoses (AFOs) will enable users to achieve greater levels of physical and self-reported function compared with conventional (CONV) AFOs for those ambulating at or above the independent community level of ambulation.
There were approximately 20,000 extremity trauma cases associated with the wars in Iraq and Afghanistan. Many of these individuals have experienced multiple limb-sparing surgeries and orthotic utilization. Many continue functioning with use of their orthosis while others may seek delayed amputation. It is unclear if limb salvage or amputation is more advantageous functionally or preferred following lower extremity(LE) trauma. The IDEO (Intrepid Dynamic Exoskeletal Orthosis) was developed to assist in maintaining high functional performance in patients who have experienced high energy lower extremity trauma (HELET) and limb salvage surgeries primarily effecting the LE below the level of the knee joint. The IDEO represents one "advanced" orthotic option for a traumatized and surgically spared limb however there are other "advanced" orthotic options. Problematically, few studies have reported outcomes associated with these devices. In the few studies available, sample sizes are small which greatly reduces generalizability of study findings. The purpose of the IM ABLE study is to determine if advanced (ADV) ankle foot orthoses (AFOs) will enable users to achieve greater levels of physical and self-reported function compared with conventional (CONV) AFOs for those ambulating at or above the independent community level of ambulation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Advanced orthotic brace | Experimental |
| |
| Conventional orthotic brace | Active Comparator |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Advanced orthotic brace | Device | Participants will use an advanced exoskeletal orthosis. |
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| Measure | Description | Time Frame |
|---|---|---|
| Change in Mobility | Mobility will be assessed with the Timed Up & Go test. subjects are timed while they rise from a chair, walk 3m, turn around, return to the chair and sit down again. Patients are usually permitted to use a walking aid, but not to use physical assistance. | Mobility will be assessed at Week 2 and Week 4 |
| Change in Ambulatory Function | The 2 Minute Walk Test will be used to assess ambulatory function | Ambulatory Function will be assessed at week 2 and week 4. |
| Measure | Description | Time Frame |
|---|---|---|
| Perceived Function | Perceived Function will be assessed via the EQ-5D (EuroQol 5D), a five item ordinally scaled patient self-report. | At week 2 and week 4 |
| Pain | Pain rating scale 0-10 |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| New York VA | Recruiting | New York | New York | 10010 | United States |
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| Conventional orthotic brace | Device | Participants will use the standard of care orthosis |
|
| At week 2 and week 4 |
| Safety will be measured with the Activities Balance Confidence Scale | Safety will be measured with the Activities Balance Confidence Scale, a 16 item self-report measure of perceived balance confidence | At week 2 and week 4 |
| Hanger, Inc | Recruiting | Houston | Texas | 77025 | United States |
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