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The aim of this study is to investigate the effects of the implantable drop foot stimulator "ActiGait" (Ottobock Health Care, Duderstadt, Germany) on gait in hemiparetic patients. While several studies investigated the effects of implanted systems on walking speed and gait endurance, only a few studies have focused on the system's impact on kinematics and long-term outcomes. Therefore, our aim was to further investigate the effects of the implanted system ActiGait on gait kinematics and spatiotemporal parameters with a 1-year follow-up period.
Patients with a neurologic condition leading to drop foot during swing phase in gait are treated by the implentation of the AcitGait system (which has a CE-certificate in Europe).
The aim of this study is to investigate the effect of the device on gait with a follow-up period of one year. Patients are assessed before implantation and at one-year follow up. At baseline, they are asked to walk without any assistive device, as well as with surface electrical stimulation of the peroneal nerve. At follow-up, they are asked to walk with the ActiGait system switched off and switched on.
Outcome assessments include a 10m-walking test and gait analysis with a VICON 3D-camera system. This allows to extract spatio-temporal parameters (as steps per minute, step length,...) as well as kinematic data (e.g. joint ankles during the gait cycle). All outcome data is analyzed using statistical tests.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ActiGait | Experimental | Patients who get the ActiGait implant |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ActiGait | Device | implanted device for peroneal nerve stimulation |
|
| Measure | Description | Time Frame |
|---|---|---|
| kinematic gait parameters | Kinematic gait parameters are recorded and analysed using a 3D VICON infra-red camera system. | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| spatio-temporal parameters | Spatio-temproal parameters are recorded and analysed using a 3D VICON infra-red camera system. | 1 year |
| 10-m-walking test | The 10-m-walking test is a standardised clinical test where the patient is asked to walk for 10m at the fastest convenient walking speed and time is taken. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Oskar C Aszmann, MD | Medical University of Vienna | Study Director |
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All IPD from the mentioned outcome parameters are planned to be made available to other researchers.
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upon publication in a scientific journal
publically available
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| ID | Term |
|---|---|
| D020233 | Gait Disorders, Neurologic |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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patients meeting the inclusion criteria are included
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| 1 year |
| Visual Analogue Scale for Health | Using a 100mm Visual Analogue Scale (VAS) patients are asked to mark their current health status between 0 (worst possible health) and 100 (best possible health). | 1 year |