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| ID | Type | Description | Link |
|---|---|---|---|
| 2017-01621 | Other Identifier | SNCTP (Swiss National Clinical Trials Portal) |
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| Name | Class |
|---|---|
| Cort X Sensorics GmbH | UNKNOWN |
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It has been observed that patients subjected to amputations develop so called receptive fields, which time of occurrence and localization over time are yet not examined systematically.
This clinical trial aims to investigate the reliability in detecting these receptive fields as well as their incidence and changes over time.
Further it aims to evaluate the acute effect of a stimulating system ("Phantom Stimulator" (Cort X Sensorics, Spaichingen, Germany)) on selected gait parameters measured tough a gait analysis system ("OprtoGait" (Microgate, Bolzano, Italy)) as well as on phantom sensations measured through a questionnaire.
It has been observed that patients subjected to amputations develop so called receptive fields, which time of occurrence and localization over time are yet not examined systematically.
A receptive field is defined as skin area anywhere on the same side of the body as the amputation, which when stimulated by others, causes phantom sensations in the amputated extremity.
This clinical trial aims to investigate the reliability in detecting these receptive fields as well as their incidence and changes over time.
Further it aims to evaluate the acute effect of the stimulating system ("Phantom Stimulator" (Cort X Sensorics, Spaichingen, Germany)) on selected gait parameters measured tough a gait analysis system ("OprtoGait" (Microgate, Bolzano, Italy)) as well as on phantom sensations measured through a questionnaire.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| First setting ON | Other | This arm performs the Gait analysis the first time after the familiarization phase with the stimulator in the modality ON. The second time the gait analysis is performed in the OFF modality. |
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| First setting OFF | Other | This arm performs the Gait analysis the first time after the familiarization phase with the stimulator in the modality OFF. The second time the gait analysis is performed in the ON modality. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Phantom Stimulator, Cort X Sensorics, Spaichingen, Germany | Device | This system consists of a pressure sensing insole connected to regular TENS-Electrode patches which are applied to the receptive fields of the patients (evoking the sensation of heel and forefoot). The individually adjusted stimulation intensity on the systems regulatory box through a socked screw is set at the beginning of the testing phase, and not changed anymore. The current is applied to mimic the roll-off-sensation while walking. This is done by locating two sets of electrodes on the receptive fields representing the heel and the ball of the foot respectively. Now the current is applied in an alternating manner coordinated with the walking of the participant. The coordination is made able through the pressure sensing insole. |
| Measure | Description | Time Frame |
|---|---|---|
| Description of receptive Fields Size in cm2 | The primary outcomes are the changes in size over time. Here the size is described in cm2. The Fields size will be recorded by drawing them on the skin with eyeliner and subsequently taking photos. Later, these photos are analysed with the computer program Photoshop. | 4-5 Weeks (7 hours) |
| Description of receptive Fields Position in % overlapping from first measurement | The primary outcomes are the changes in Position over time. Here the position is described in % overlapping with respect to the first measurement. The Fields position will be recorded by drawing them on the skin with eyeliner and subsequently taking photos. Later, these photos are put together and compared with the computer program Photoshop. | 4-5 Weeks (7 hours) |
| Measure | Description | Time Frame |
|---|---|---|
| Change in gait parameters through Phantom Stimulator | The secondary outcomes are the change in selected gait parameters through the application of the stimulating system ("Phantom Stimulator" (Cort X Sensorics, Spaichingen, Germany)). These parameters are measured with the gait analysis system Optogait. The selected parameters are step length (cm), width (cm), cadence (steps/min) and speed (m/s). |
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Inclusion criteria for descriptive study:
a. Lower limb amputation (independently of side or height of amputation)
Inclusion criteria for Phantom stimulator:
Exclusion criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Marion Grögli, Dr. med. | Reahklinik Bellikon | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rehaklinik Bellikon | Bellikon | Canton of Aargau | 5454 | Switzerland |
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| Label | URL |
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| Website of study site | View source |
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IPD is used only internally the study concerning the Phantom Stimulator (Cort X Sensorics, Spaichingen Germany). The IPD is shared with the responsible investigative parties of the Rehaklinik Bellikon only.
It will be available to the participant after completion of the study. The data obtained from the Study results in a publication after completion of the study.
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Nov 15, 2017 | Nov 15, 2017 | Prot_SAP_000.pdf |
| ICF | No | No | Yes | Informed Consent Form | Nov 15, 2017 | Nov 15, 2017 | ICF_001.pdf |
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| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
| D010591 | Phantom Limb |
| ID | Term |
|---|---|
| D010468 | Perceptual Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
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The primary outcomes are the changes in size and position over time and their timed occurrence after the amputation of these receptive fields as well as the inter-/intratester reliability in their detection.
The secondary outcomes are the change in selected gait parameters and phantom sensations through the application of the stimulating system ("Phantom Stimulator" (Cort X Sensorics, Spaichingen, Germany)).
The primary outcome is of mere descriptive nature. Therefore, no control group is created and the participants are not blinded or randomized.
For the secondary outcomes, every tested subject serves as its own control (cross over). The gait analysis as well as the questionnaire are performed three times. The two measurements after the first familiarization measurements are performed in a randomized order.
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As this study is described as single blinded, the only entity of the trial not aware of the group or sequence of the participant is the participant itself.
The other personell involved in the trial needs to be aware of the position of the participant within the study so to apply the right measures.
In this case the participant is unaware of the fact whether his stimulation system is turned on or off.
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| 1/2 Day (3 hours) |
| Change in phantom sensations through Phantom Stimulator | The secondary outcomes are the change in phantom sensations through the application of the stimulating system ("Phantom Stimulator" (Cort X Sensorics, Spaichingen, Germany)). These changes are measured through a questionnaire witch uses the Visual Analogue Scale (values from 1 - 10). | 1/2 Day (3 hours) |
| D010149 | Pain, Postoperative |
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012816 | Signs and Symptoms |
| D010146 | Pain |