From Opinion to Evidence: Multi-site Evaluation of Custom Dynamic Orthosis Best Practices

Description

This study is designed to support evidence-based practice and optimal care by evaluating how different configurations of two types of carbon fiber custom dynamic orthoses (CDOs) influences outcomes following traumatic lower extremity injury.

Conditions

Foot Injury

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Study Overview

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Study Details

Study overview

This study is designed to support evidence-based practice and optimal care by evaluating how different configurations of two types of carbon fiber custom dynamic orthoses (CDOs) influences outcomes following traumatic lower extremity injury.

From Opinion to Evidence: Multi-site Evaluation of Custom Dynamic Orthosis Best Practices

From Opinion to Evidence: Multi-site Evaluation of Custom Dynamic Orthosis Best Practices

Condition
Foot Injury
Intervention / Treatment

-

Contacts and Locations

San Diego

Naval Medical Center San Diego - Clinical Biomechanics Laboratory, San Diego, California, United States, 92134

Iowa City

University of Iowa, Iowa City, Iowa, United States, 52242

Minneapolis

Minneapolis VA Health Care System - Motion Analysis Laboratory, Minneapolis, Minnesota, United States, 55417

Rochester

Mayo Clinic - Motion Analysis Lab, Rochester, Minnesota, United States, 55905

Nashville

Vanderbilt University - Zelik Lab For Biomechanics & Assistive Technology, Nashville, Tennessee, United States, 37212

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Between the ages of 18 and 65
  • * 2 or more years from a traumatic injury below the knee
  • * Ability to be fit with an orthosis
  • * Any of the following:
  • * Weakness of ankle plantarflexors (\<4/5 on manual muscle test)
  • * Limited pain-free ankle motion (dorsiflexion (DF) \<10° or plantarflexion (PF) \<20°)
  • * Mechanical pain with loading to hindfoot/midfoot (\>=4/10 Numerical pain rating scale)
  • * Fusion or candidate for fusion of the ankle or hindfoot
  • * Candidate for amputation secondary to ankle/foot injury and impairment
  • * Pain greater than 8/10 at rest
  • * Ankle weakness or spasticity as a result of spinal cord injury or central nervous system pathology
  • * Use of an orthosis including the knee
  • * Non-ambulatory
  • * Surgery on study limb anticipated in next 4 months
  • * Medical or psychological conditions that would influence functional testing (e.g., severe traumatic brain injury, stroke, heart disease, vestibular disorder)
  • * Neurologic, musculoskeletal, or other conditions limiting function of the contralateral extremity
  • * Uncorrected visual or hearing impairments
  • * Pregnancy
  • * Non-English speaking
  • * BMI \> 40

Ages Eligible for Study

18 Years to 65 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Jason Wilken,

Jason M Wilken, PT, PhD, PRINCIPAL_INVESTIGATOR, University of Iowa

Study Record Dates

2028-09-01