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RECRUITINGINTERVENTIONAL

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

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

Important: This information is not medical advice. Talk to your doctor about whether a clinical trial is right for you.

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.

Who May Be Eligible (Plain English)

Who May Qualify: - 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.) - 6 months since amputation Who Should NOT Join This Trial: - Unstable heart condition - Including unstable angina, uncontrolled cardiac dysrhythmia, acute myocarditis, hypertension, and acute pericarditis - Acute systemic infection - Active cancer treatment - Traumatic or cancer related amputation etiology Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language
Inclusion Criteria: * 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.) * 6 months since amputation Exclusion Criteria: * Unstable heart condition * Including unstable angina, uncontrolled cardiac dysrhythmia, acute myocarditis, hypertension, and acute pericarditis * Acute systemic infection * Active cancer treatment * Traumatic or cancer related amputation etiology

Treatments Being Tested

BEHAVIORAL

Error-augmentation gait training

Split-belt treadmill training to enhance between-limb asymmetry during treadmill walking, which is intended to force compensation and correction of step asymmetry during treadmill walking. The error-augmentation gait training program is delivered in 8 sessions over 4 weeks.

BEHAVIORAL

Error-correction gait training

Metronome will be set to cue participants to overcorrect between-limb step asymmetry during treadmill walking, through use of asymmetrical metronome tones in a 2:1 ratio. The error-correction gait training program is delivered in 8 sessions over 4 weeks.

BEHAVIORAL

Supervised walking

An active comparator intervention, in which a supervised treadmill walking program is delivered without attempt to correct step asymmetry. The supervised walking program is delivered in 8 sessions over 4 weeks.

Locations (2)

Rocky Mountain Regional VA Medical Center, Aurora, CO
Aurora, Colorado, United States
Hunter Holmes McGuire VA Medical Center, Richmond, VA
Richmond, Virginia, United States