View Clinical Trial (Medical Research Study)
Musculoskeletal Measurements in Transfemoral Amputees
| City: |
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Miami |
| State: |
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Florida |
| Zip Code: |
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33125 |
| Conditions: |
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Lower Limb Loss |
| Purpose: |
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The aim of this study was to identify posture asymmetries in transfemoral amputees utilizing
clinical evaluation measures. The purposes of this investigation were: 1) to measure the
limb length indirectly to determine the proportion of participants with LLD and to quantify
the mean amount of discrepancy. The investigators hypothesized that a majority of
transfemoral amputees would present with a short prosthetic limb. 2) To measure pelvic tilt
to determine if transfemoral amputees undergo musculoskeletal adaptations similar to those
reported in the literature. The investigators hypothesized that transfemoral amputees would
present with a greater degree of anterior pelvic tilt and pelvic innominate asymmetry than
what has been previously reported. 3) To assess restriction in lateral trunk flexion and
hip extension to determine if asymmetry was present and if it was related to the increase in
anterior pelvic tilt. The investigators hypothesized that restrictions would be found in
the lateral trunk flexors and hip flexors on the amputated side contributing to posture
asymmetry at the pelvis. 4) To determine if musculoskeletal adaptations at the pelvis were
affected by prosthetic limb length, lateral trunk flexion and hip extension restrictions,
and residual limb length. The investigators hypothesized that the previously reported
posture asymmetries would contribute to musculoskeletal adaptations at the pelvis and trunk.
Results of the present study will provide a reference for clinicians when using clinical
evaluation measures to determine the presence of posture asymmetries in transfemoral
amputees. If posture asymmetries are detected, clinicians need to determine musculoskeletal
structures at fault and offer treatment solutions to prevent secondary impairments.
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| Study Summary: |
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| Criteria: |
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Inclusion Criteria:
Healthy Individuals with:
1. Unilateral transfemoral or knee disarticulation amputations between the ages 18 to
80.
2. History of at least one episode of low back pain in the past.
3. Ambulate independently of an assisted device or those who require the use of a cane
or crutches for walking on level grounds.
4. Comfortably fitted with prosthesis for a period of at least 6 months.
5. More than 12 months post-amputation.
Exclusion Criteria:
Individuals with:
1. Amputation on the contralateral limb.
2. Open wound on non-amputated side.
3. Neurological disorders such as Parkinson's disease or stroke that affect their
ability to ambulate.
4. Who require a walker or wheelchair for locomotion on level ground.
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| NCT ID: |
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NCT00909922 |
| Primary Contact: |
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Ignacio A Gaunaurd, MSPT
Phone: 305-575-7000 ext. 4477
Email: ignacio.gaunaurd@va.gov
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| Backup Contact: |
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N/A |
| Location Contact: |
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Miami, Florida 33125
United States
Mitscher Gajardo, BS
Phone: 305-575-7000
Email: mitscher.gajardo@va.gov
Site Status: Recruiting |
| Data Source: |
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ClinicalTrials.gov |
| Date Processed: |
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May 21, 2013 |
| Modifications to this listing: |
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