Trial Outcomes & Findings for Functional Performance Evaluation of NU-FlexSIV Socket (NCT NCT02678247)

NCT ID: NCT02678247

Last Updated: 2021-06-15

Results Overview

Socket comfort was assessed after each socket was worn for 7 weeks. SCS is an ordinal scale where the subject responds to the question, "On a 0 to 10 scale, if 0 represents the most uncomfortable socket fit you can imagine, and 10 represents the most comfortable socket fit, how would you score the comfort of the socket of your artificial limb at the moment?"

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

30 participants

Primary outcome timeframe

7 weeks

Results posted on

2021-06-15

Participant Flow

Recruitment occurred between April 2016 and May 2019. Subjects were recruited and sockets fit and fabricated at local prosthetic clinical care facilities. Data were collected in an academic research lab.

30 subjects were randomized.

Participant milestones

Participant milestones
Measure
Ischial Containment Socket Then NU-FlexSIV Socket
Participants first received the Ischial Containment Socket which they wore for 7 weeks, then they received the NU-FlexSIV Socket which they wore for 7 weeks.
NU-FlexSIV Socket Then Ischial Containment Socket
Participants first received the NU-FlexSIV Socket which they wore for 7 weeks, then they received the Ischial Containment Socket which they wore for 7 weeks.
First Intervention (7 Weeks)
STARTED
15
15
First Intervention (7 Weeks)
COMPLETED
13
11
First Intervention (7 Weeks)
NOT COMPLETED
2
4
Second Intervention (7 Weeks)
STARTED
14
11
Second Intervention (7 Weeks)
COMPLETED
10
9
Second Intervention (7 Weeks)
NOT COMPLETED
4
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Ischial Containment Socket Then NU-FlexSIV Socket
Participants first received the Ischial Containment Socket which they wore for 7 weeks, then they received the NU-FlexSIV Socket which they wore for 7 weeks.
NU-FlexSIV Socket Then Ischial Containment Socket
Participants first received the NU-FlexSIV Socket which they wore for 7 weeks, then they received the Ischial Containment Socket which they wore for 7 weeks.
First Intervention (7 Weeks)
Withdrawal by Subject
0
2
First Intervention (7 Weeks)
Adverse Event
1
2
First Intervention (7 Weeks)
Physician Decision
1
0
Second Intervention (7 Weeks)
Withdrawal by Subject
1
1
Second Intervention (7 Weeks)
Adverse Event
2
1
Second Intervention (7 Weeks)
Physician Decision
1
0

Baseline Characteristics

Data missing for subjects who withdrew before first data collection session.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ischial Containment Socket Then NU-FlexSIV Socket
n=15 Participants
Participants wore the Ischial Containment Socket for 7 weeks then wore the NU-FlexSIV Socket for 7 weeks.
NU-FlexSIV Socket Then Ischial Containment Socket
n=15 Participants
Participants wore the NU-FlexSIV Socket for 7 weeks then wore the Ischial Containment Socket for 7 weeks.
Total
n=30 Participants
Total of all reporting groups
Sex: Female, Male
Female
1 Participants
n=15 Participants
6 Participants
n=15 Participants
7 Participants
n=30 Participants
Sex: Female, Male
Male
14 Participants
n=15 Participants
9 Participants
n=15 Participants
23 Participants
n=30 Participants
Age, Continuous
50.6 years
STANDARD_DEVIATION 13.7 • n=14 Participants • Data missing for subjects who withdrew before first data collection session.
39.9 years
STANDARD_DEVIATION 11.6 • n=11 Participants • Data missing for subjects who withdrew before first data collection session.
45.9 years
STANDARD_DEVIATION 13.7 • n=25 Participants • Data missing for subjects who withdrew before first data collection session.
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=15 Participants
1 Participants
n=15 Participants
3 Participants
n=30 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
12 Participants
n=15 Participants
10 Participants
n=15 Participants
22 Participants
n=30 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=15 Participants
4 Participants
n=15 Participants
5 Participants
n=30 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=15 Participants
0 Participants
n=15 Participants
0 Participants
n=30 Participants
Race (NIH/OMB)
Asian
0 Participants
n=15 Participants
0 Participants
n=15 Participants
0 Participants
n=30 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=15 Participants
0 Participants
n=15 Participants
0 Participants
n=30 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=15 Participants
4 Participants
n=15 Participants
8 Participants
n=30 Participants
Race (NIH/OMB)
White
10 Participants
n=15 Participants
7 Participants
n=15 Participants
17 Participants
n=30 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=15 Participants
0 Participants
n=15 Participants
0 Participants
n=30 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=15 Participants
4 Participants
n=15 Participants
5 Participants
n=30 Participants
Time Since Amputation
27.6 years
STANDARD_DEVIATION 17.1 • n=14 Participants • Data missing for subjects who withdrew before first data collection session.
17.6 years
STANDARD_DEVIATION 12.7 • n=11 Participants • Data missing for subjects who withdrew before first data collection session.
23.2 years
STANDARD_DEVIATION 15.8 • n=25 Participants • Data missing for subjects who withdrew before first data collection session.
Cause of Amputation
Trauma
9 Participants
n=15 Participants
6 Participants
n=15 Participants
15 Participants
n=30 Participants
Cause of Amputation
Cancer
4 Participants
n=15 Participants
3 Participants
n=15 Participants
7 Participants
n=30 Participants
Cause of Amputation
Vascular
1 Participants
n=15 Participants
1 Participants
n=15 Participants
2 Participants
n=30 Participants
Cause of Amputation
Infection
0 Participants
n=15 Participants
1 Participants
n=15 Participants
1 Participants
n=30 Participants
Cause of Amputation
Unknown
1 Participants
n=15 Participants
4 Participants
n=15 Participants
5 Participants
n=30 Participants
K-Level Classification
K3
4 Participants
n=15 Participants
3 Participants
n=15 Participants
7 Participants
n=30 Participants
K-Level Classification
K4
11 Participants
n=15 Participants
12 Participants
n=15 Participants
23 Participants
n=30 Participants
Amputee Mobility Predictor with Prosthesis
43.2 score: 0-47
STANDARD_DEVIATION 1.8 • n=14 Participants • Data missing for subjects who withdrew before first data collection session.
42.1 score: 0-47
STANDARD_DEVIATION 3.2 • n=11 Participants • Data missing for subjects who withdrew before first data collection session.
42.7 score: 0-47
STANDARD_DEVIATION 2.6 • n=25 Participants • Data missing for subjects who withdrew before first data collection session.

PRIMARY outcome

Timeframe: 7 weeks

Population: Cross-sectional analysis was conducted with the 19 participants who completed the 7-week data collection visit for this outcome measure for each socket.

Socket comfort was assessed after each socket was worn for 7 weeks. SCS is an ordinal scale where the subject responds to the question, "On a 0 to 10 scale, if 0 represents the most uncomfortable socket fit you can imagine, and 10 represents the most comfortable socket fit, how would you score the comfort of the socket of your artificial limb at the moment?"

Outcome measures

Outcome measures
Measure
NU-FlexSIV Socket
n=19 Participants
Participants wore the NU-FlexSIV Socket for 7 weeks
Ischial Containment Socket
n=19 Participants
Participants wore the Ischial Containment Socket for 7 weeks
Socket Comfort Score (SCS) Between IC Socket and NU-FlexSIV Sockets at 7 Weeks.
8.5 score on a scale
Standard Deviation 1.1
6.8 score on a scale
Standard Deviation 1.8

SECONDARY outcome

Timeframe: 7 weeks

Population: Cross-sectional analysis was conducted with the 19 participants who completed the 7-week data collection visit for this outcome measure for each socket.

Walking speed was assessed after each socket was worn for 7 weeks. Participants walked along a 12 meter, level walkway at their normal self-selected speed. Marker based motion capture was used to assess walking speed (m/s).

Outcome measures

Outcome measures
Measure
NU-FlexSIV Socket
n=19 Participants
Participants wore the NU-FlexSIV Socket for 7 weeks
Ischial Containment Socket
n=19 Participants
Participants wore the Ischial Containment Socket for 7 weeks
Walking Speed Between the IC Socket and NU-FlexSIV Socket at 7 Weeks.
1.14 m/s
Standard Deviation 0.20
1.13 m/s
Standard Deviation 0.17

SECONDARY outcome

Timeframe: 7 weeks

Population: Cross-sectional analysis was conducted with the 19 participants who completed the 7-week data collection visit for this outcome measure for each socket.

Step length was assessed after each socket was worn for 7 weeks. Participants walked along a 12 meter, level walkway at their normal self-selected speed. Marker based motion capture was used to assess step length (cm).

Outcome measures

Outcome measures
Measure
NU-FlexSIV Socket
n=19 Participants
Participants wore the NU-FlexSIV Socket for 7 weeks
Ischial Containment Socket
n=19 Participants
Participants wore the Ischial Containment Socket for 7 weeks
Step Length Between the IC Socket and NU-FlexSIV Socket at 7 Weeks.
70.26 cm
Standard Deviation 10.20
68.56 cm
Standard Deviation 9.63

SECONDARY outcome

Timeframe: 7 weeks

Population: Cross-sectional analysis was conducted with the 19 participants who completed the 7-week data collection visit for this outcome measure for each socket.

Hip extension was assessed after each socket was worn for 7 weeks. Participants walked along a 12 meter, level walkway at their normal self-selected speed. Marker based motion capture was used to assess hip extension (degrees).

Outcome measures

Outcome measures
Measure
NU-FlexSIV Socket
n=19 Participants
Participants wore the NU-FlexSIV Socket for 7 weeks
Ischial Containment Socket
n=19 Participants
Participants wore the Ischial Containment Socket for 7 weeks
Hip Extension Between the IC Socket and NU-FlexSIV Socket at 7 Weeks.
-3.30 degrees
Standard Deviation 8.65
-3.10 degrees
Standard Deviation 8.67

SECONDARY outcome

Timeframe: 7 weeks

Population: Cross-sectional analysis was conducted with the 19 participants who completed the 7-week data collection visit for this outcome measure for each socket.

Hip range of motion was assessed after each socket was worn for 7 weeks. Participants walked along a 12 meter, level walkway at their normal self-selected speed. Marker based motion capture was used to assess hip range of motion (degrees).

Outcome measures

Outcome measures
Measure
NU-FlexSIV Socket
n=19 Participants
Participants wore the NU-FlexSIV Socket for 7 weeks
Ischial Containment Socket
n=19 Participants
Participants wore the Ischial Containment Socket for 7 weeks
Hip Range of Motion Between the IC Socket and NU-FlexSIV Socket 7 Weeks.
44.34 degrees
Standard Deviation 4.90
43.30 degrees
Standard Deviation 5.22

SECONDARY outcome

Timeframe: 7 weeks

Population: Cross-sectional analysis was conducted with the 19 participants who completed the 7-week data collection visit for this outcome measure for each socket.

Trunk motion was assessed after each socket was worn for 7 weeks. Participants walked along a 12 meter, level walkway at their normal self-selected speed. Marker based motion capture was used to assess trunk motion (degrees).

Outcome measures

Outcome measures
Measure
NU-FlexSIV Socket
n=19 Participants
Participants wore the NU-FlexSIV Socket for 7 weeks
Ischial Containment Socket
n=19 Participants
Participants wore the Ischial Containment Socket for 7 weeks
Trunk Motion Between the IC Socket and NU-FlexSIV Socket at 7 Weeks.
3.61 degrees
Standard Deviation 3.23
3.73 degrees
Standard Deviation 3.70

SECONDARY outcome

Timeframe: 7 weeks

Population: Cross-sectional analysis was conducted with the 19 participants who completed the 7-week data collection visit for this outcome measure for each socket.

Lower-Extremity Functional Status was assessed after each socket was worn for 7 weeks. The OPUS Lower-Extremity Functional Status measure is a self-report instrument that assesses functional status in persons who use orthoses and prostheses. It is comprised of 20 items rated on a 5-point rating scale. Responses to items are summed to produce a total score for the measure (0 to 80) with higher scores representing better functional status.

Outcome measures

Outcome measures
Measure
NU-FlexSIV Socket
n=19 Participants
Participants wore the NU-FlexSIV Socket for 7 weeks
Ischial Containment Socket
n=19 Participants
Participants wore the Ischial Containment Socket for 7 weeks
Orthotics and Prosthetics Users' Survey (OPUS) Lower-Extremity Functional Status Measure Between the IC Socket and NU-FlexSIV Socket at 7 Weeks
58.3 score on a scale
Standard Deviation 10.4
55.5 score on a scale
Standard Deviation 13.9

SECONDARY outcome

Timeframe: 7 weeks

Population: Cross-sectional analysis was conducted with the 19 participants who completed the 7-week data collection visit for this outcome measure for each socket.

Health Related Quality of life was assessed after each socket was worn for 7 weeks. The OPUS Health Related Quality of Life measure is self-report instrument comprised of 23 items that are evaluated with a 5-point rating scale. Responses to items are summed to produce a total score for the index (0 to 92) with higher scores representing better quality of life.

Outcome measures

Outcome measures
Measure
NU-FlexSIV Socket
n=19 Participants
Participants wore the NU-FlexSIV Socket for 7 weeks
Ischial Containment Socket
n=19 Participants
Participants wore the Ischial Containment Socket for 7 weeks
Orthotics andProsthetics Users' Survey (OPUS) Health Related Quality of Life Index Between the IC Socket and NU-FlexSIV Socket at 7 Weeks.
69.1 score on a scale
Standard Deviation 17.1
70.2 score on a scale
Standard Deviation 16.3

SECONDARY outcome

Timeframe: 7 weeks

Population: Cross-sectional analysis was conducted with the 19 participants who completed the 7-week data collection visit for this outcome measure for each socket.

Satisfaction with Device was assessed after each socket was worn for 7 weeks. The OPUS Satisfaction with Device measure is a set of 11 items rated on a 5-point rating scale. Responses to items are summed to produce a total score. 9 items were used in this study for a possible score of 9 to 45 with higher scores representing better satisfaction.

Outcome measures

Outcome measures
Measure
NU-FlexSIV Socket
n=19 Participants
Participants wore the NU-FlexSIV Socket for 7 weeks
Ischial Containment Socket
n=19 Participants
Participants wore the Ischial Containment Socket for 7 weeks
Orthotics and Prosthetics Users' Survey (OPUS) Satisfaction With Device Between the IC Socket and NU-FlexSIV Socket at 7 Weeks.
35.1 score on a scale
Standard Deviation 6.5
32.5 score on a scale
Standard Deviation 7.3

SECONDARY outcome

Timeframe: 7 weeks

Population: Cross-sectional analysis was conducted with the 19 participants who completed the 7-week data collection visit for this outcome measure for each socket.

The 5-Times Rapid-Sit-to-Stand Test was assessed after each socket was worn for 7 weeks. Participants were asked to rise from a chair of standard height five times as fast as possible with their arms folded across their chests. Performance was timed.

Outcome measures

Outcome measures
Measure
NU-FlexSIV Socket
n=17 Participants
Participants wore the NU-FlexSIV Socket for 7 weeks
Ischial Containment Socket
n=17 Participants
Participants wore the Ischial Containment Socket for 7 weeks
5-Times Rapid Sit-to-Stand Test (RSTS) Between the IC Socket and NU-FlexSIV Socket at 7 Weeks.
12.7 seconds
Standard Deviation 4.5
14.8 seconds
Standard Deviation 8.8

SECONDARY outcome

Timeframe: 7 weeks

Population: Cross-sectional analysis was conducted with the 19 participants who completed the 7-week data collection visit for this outcome measure for each socket.

The Four-Square-Step Test was assessed after each socket was worn for 7 weeks. Four sticks were placed flat on the floor in a cross that denoted a square. Participants were asked to complete a stepping sequence as fast as possible. Performance was timed.

Outcome measures

Outcome measures
Measure
NU-FlexSIV Socket
n=19 Participants
Participants wore the NU-FlexSIV Socket for 7 weeks
Ischial Containment Socket
n=19 Participants
Participants wore the Ischial Containment Socket for 7 weeks
Four-Square-Step Test (FSST) Between the IC Socket and NU-FlexSIV Socket at 7 Weeks.
9.7 seconds
Standard Deviation 2.0
9.5 seconds
Standard Deviation 2.1

SECONDARY outcome

Timeframe: 7 weeks

Population: Cross-sectional analysis was conducted with the 19 participants who completed the 7-week data collection visit for this outcome measure for each socket.

The T-Test was assessed after each socket was worn for 7 weeks. Four markers were set out so a "T" could be traced among them. The subject was asked to move as fast as possible between the markers, moving forwards, sideways and backwards. Performance was timed and reported in seconds.

Outcome measures

Outcome measures
Measure
NU-FlexSIV Socket
n=19 Participants
Participants wore the NU-FlexSIV Socket for 7 weeks
Ischial Containment Socket
n=19 Participants
Participants wore the Ischial Containment Socket for 7 weeks
T-Test of Agility (T-Test) Between the IC Socket and NU-FlexSIV Socket at 7 Weeks.
41.8 seconds
Standard Error 13.3
41.4 seconds
Standard Error 12.4

Adverse Events

Ischial Containment Socket

Serious events: 0 serious events
Other events: 14 other events
Deaths: 0 deaths

NU-FlexSIV Socket

Serious events: 0 serious events
Other events: 18 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Ischial Containment Socket
n=25 participants at risk
Participants wore the Ischial Containment Socket for 7 weeks.
NU-FlexSIV Socket
n=25 participants at risk
Participants wore the NU-FlexSIV Socket for 7 weeks.
Injury, poisoning and procedural complications
residual limb skin issue
28.0%
7/25 • Number of events 7 • 7 weeks for each intervention.
36.0%
9/25 • Number of events 9 • 7 weeks for each intervention.
Injury, poisoning and procedural complications
fall during testing
8.0%
2/25 • Number of events 2 • 7 weeks for each intervention.
4.0%
1/25 • Number of events 1 • 7 weeks for each intervention.
Injury, poisoning and procedural complications
low back pain
8.0%
2/25 • Number of events 2 • 7 weeks for each intervention.
4.0%
1/25 • Number of events 1 • 7 weeks for each intervention.
Injury, poisoning and procedural complications
prosthetic foot came loose
4.0%
1/25 • Number of events 1 • 7 weeks for each intervention.
4.0%
1/25 • Number of events 1 • 7 weeks for each intervention.
Injury, poisoning and procedural complications
residual limb volume changes
4.0%
1/25 • Number of events 1 • 7 weeks for each intervention.
8.0%
2/25 • Number of events 2 • 7 weeks for each intervention.
Injury, poisoning and procedural complications
muscle soreness or cramping
4.0%
1/25 • Number of events 1 • 7 weeks for each intervention.
12.0%
3/25 • Number of events 3 • 7 weeks for each intervention.
Injury, poisoning and procedural complications
socket caused pain/discomfort
16.0%
4/25 • Number of events 4 • 7 weeks for each intervention.
4.0%
1/25 • Number of events 1 • 7 weeks for each intervention.

Additional Information

Dr. Stefania Fatone, Principle Investigator

Northwestern University

Phone: 3125035717

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place