Influence of Prosthetic Foot Stiffness on Transtibial Osseointegrated Bone-Anchored Limb Outcomes
University of Colorado, Denver
60 participants
Nov 25, 2025
INTERVENTIONAL
Conditions
Summary
A clinical trial utilizing cross-over study design in which individuals with transtibial amputation using either a bone-anchored limb or standard socket prosthesis will perform activities of daily living with varying prosthetic foot stiffness categories to complete the following 4 Specific Aims: 1) Determine the influence of prosthetic foot stiffness on dynamic bone-implant loading, 2) Determine how prosthetic foot stiffness influences function, pain, and multi-joint biomechanics outcomes, 3) Establish how prosthetic foot stiffness influences osseoperception and fall risk, and 4) Establish target ranges of optimal foot stiffness based on the sensitivity biomechanical outcomes to variability in foot stiffness.
Eligibility
Inclusion Criteria7
- Unilateral transtibial amputation due to traumatic, congenital, or cancer-related causes
- > 12-months bone-anchored limb implantation surgery (Bone Anchored Limb group)
- > 12-months limb amputation (Socket Control group)
- Non-vascular amputation etiology
- Low profile prosthetic foot (nominal)
- Can walk unassisted for 5-minutes
- > 18 years old
Exclusion Criteria6
- Major amputation on contralateral limb
- Vascular amputation etiology
- Neurologic pathology that impairs coordination/balance
- Regular assistive device use required for community ambulation
- Inflammatory diseases or diabetes
- Pregnancy or breastfeeding
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Interventions
Each participant will complete a motion capture collection, tests of physical function, and sensory tests in their currently prescribed prosthetic foot.
Each participant will complete a motion capture collection, tests of physical function, and sensory tests in a prosthetic foot that is two categories stiffer than their currently prescribed prosthetic foot.
Each participant will complete a motion capture collection, tests of physical function, and sensory tests in a prosthetic foot that is two categories softer than their currently prescribed prosthetic foot.
Locations(1)
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NCT07263945