UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000034581
Receipt number R000039219
Scientific Title Clinical study to verify the effectiveness of a knee ankle foot orthosis with MR fluid in the knee joint
Date of disclosure of the study information 2018/10/20
Last modified on 2023/12/08 17:36:08

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Basic information

Public title

Clinical study to verify the effectiveness of a knee ankle foot orthosis with MR fluid in the knee joint

Acronym

Effectiveness of MR-KAFO

Scientific Title

Clinical study to verify the effectiveness of a knee ankle foot orthosis with MR fluid in the knee joint

Scientific Title:Acronym

Effectiveness of MR-KAFO

Region

Japan


Condition

Condition

stroke

Classification by specialty

Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this research is to verify whether the knee ankle foot orthosis (KAFO) with (magneto-rheological (MR) fluid in the knee joint (MR-KAFO) would be more useful than the conventional KAFO.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase I


Assessment

Primary outcomes

Evaluation items are neurological findings, severity of paralysis (Brunnstrome stage, SIAS), measurement of range of motion in the joints, manual muscle testing in the sound side, activities of daily living (FIM), walking evaluation. In addition, we listen to opinions on whether physical therapists are easy to use in their gait training.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Factorial

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

The MR-KAFO is used for gait training of patients with severe hemiplegia due to acute onset stroke.

Interventions/Control_2

Medical histories are investigated for patients who have performed gait training using a conventional KAFO.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

41 years-old <=

Age-upper limit

90 years-old >=

Gender

Male and Female

Key inclusion criteria

1) Patients with acute first stroke, who receive rehabilitation training from the earliest onset
2) Patients with severe hemiplegia, who can not walk with the AFO

Key exclusion criteria

1) Patients who have no adaptation for gait training due to prolonged consciousness disturbance
2) Patients who do not understand the contents of gait training at all or refuse to train, because of severe aphasia or higher brain dysfunction.
3) Patients who are strongly tired and can not perform the gait training, because of complications such as heart diseases and kidney diseases.

Target sample size

20


Research contact person

Name of lead principal investigator

1st name Kozo
Middle name
Last name Hanayama

Organization

Kawasaki Medical School

Division name

Rehabilitation Medicine

Zip code

701-0192

Address

577 Matsushima, Kurashiki-City, Okayama

TEL

0864621111

Email

hanayama@med.kawasaki-m.ac.jp


Public contact

Name of contact person

1st name Kozo
Middle name
Last name Hanayama

Organization

Kawasaki Medical School

Division name

Rehabilitation Medicine

Zip code

701-0192

Address

577 Matsushima, Kurashiki-City, Okayama

TEL

0864621111

Homepage URL


Email

hanayama@med.kawasaki-m.ac.jp


Sponsor or person

Institute

Kawasaki Medical School

Institute

Department

Personal name



Funding Source

Organization

Kawasaki Medical School

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor

Kawasaki University of Medical Welfare

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kawasaki Medical School

Address

577 Matsushima, Kurashiki-City, Okayama

Tel

086-462-1111

Email

kmsrec@med.kawasaki-m.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

川崎医科大学附属病院


Other administrative information

Date of disclosure of the study information

2018 Year 10 Month 20 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

10

Results

MR-KAFO is a brace which can adjust the braking force of the knee joint according to the gait cycle. We use a MR-KAFO for some stroke patients with hemiplegia. As a result, it was possible to train for them to walk with a gait closer to normal gait than with conventional ring-lock knee joint KAFO or AFO (Ankle Foot Orthosis). MR-KAFO may be indicated for a relatively long period of time in stroke patients with severe to moderate paralysis.

Results date posted

2023 Year 12 Month 08 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Age: mean 50.0 (SD 21.9)
Sex:1 women, 9 men
Disease: 5 cerebral infarction, 5 cerebral hemorrhage

Participant flow

10 participants agreed. There were no exclusions or dropouts.

Adverse events

None

Outcome measures

Number of days to change from a Knee Ankle Foot Orthosis (KAFO) to an Ankle Foot Orthosis (AFO)
Ambulation
FIM walk (FIM; Functional Independent Measurement)

Plan to share IPD

None

IPD sharing Plan description



Progress

Recruitment status

Terminated

Date of protocol fixation

2018 Year 10 Month 20 Day

Date of IRB

2018 Year 12 Month 05 Day

Anticipated trial start date

2020 Year 11 Month 01 Day

Last follow-up date

2023 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This study is terminated because we decided that we needed to significantly change the protocol.


Management information

Registered date

2018 Year 10 Month 20 Day

Last modified on

2023 Year 12 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000039219


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name