Optimizing Gait Rehabilitation for Veterans With Non-traumatic Lower Limb Amputation

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age40-89
SponsorVA Office of Research and Development

About this trial

The population of older Veterans with non-traumatic lower limb amputation is growing. Following lower limb amputation, asymmetrical movements persist during walking and likely contribute to disabling sequelae including secondary pain conditions, poor gait efficiency, impaired physical function, and compromised skin integrity of the residual limb. This study seeks to address chronic gait asymmetry by evaluating the efficacy of two error-manipulation gait training programs to improve gait symmetry for Veterans with non-traumatic lower limb amputation. Additional this study will evaluate the potential of error-manipulation training programs to improve secondary measures of disability and residual limb skin health. Ultimately, this study aims to improve conventional prosthetic rehabilitation for Veterans with non-traumatic amputation through gait training programs based in motor learning principles, resulting in improved gait symmetry and lower incidence of long-term disability after non-traumatic lower limb amputation.

Eligibility criteria

Qualifiers

Unilateral, non-traumatic, transtibial amputation

Diabetes mellitus and/or peripheral artery disease

Able to ambulate in the community without assistive device

Step length asymmetry during walking (>1.0 asymmetry index.)

Disqualifiers

Unstable heart condition

Including unstable angina, uncontrolled cardiac dysrhythmia, acute myocarditis, hypertension, and acute pericarditis

Acute systemic infection

Active cancer treatment

Trial design

Treatments tested in this trial

  • Error-augmentation gait training
  • Error-correction gait training
  • Supervised walking

Treatment groups

54 Participants
are divided into 3 treatment groups