60 Participants Needed

Carbon Fiber Orthosis for Healthy Subjects

(CuffForce Trial)

JM
KM
Overseen ByKirsten M Anderson, BSE
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University of Iowa
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to understand how forces operate inside carbon fiber orthoses (special braces) using sensors. The study could improve future designs and instructions for using these braces. It involves three groups: healthy adults, people using ankle-foot orthoses (AFOs) without nerve damage, and those using AFOs with nerve damage. Suitable candidates include healthy adults who can hop and squat without pain, AFO users who can walk 50 feet unaided, and those with or without peripheral neuropathy (nerve damage affecting feeling in the limbs). As an unphased study, this trial offers participants the chance to contribute to innovative research that could enhance brace design and usage.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It seems focused on physical testing with orthoses, so it's unlikely that medication use is a concern, but please confirm with the study coordinators.

What prior data suggests that this carbon fiber orthosis is safe for use in healthy subjects?

Research shows that carbon fiber braces, like the ones being tested, are generally easy to use. These braces support and stabilize the ankle and foot. Made from carbon fiber, they are both strong and lightweight. This material stores and returns energy during movement, making walking or standing easier.

Studies indicate that people, including those in the military, have used these braces safely to aid recovery and improve movement. No significant evidence of serious harm has been found from using these braces. Most users report better performance and comfort when wearing them.

For those considering joining a trial with similar braces, evidence suggests they are safe and can be very helpful for those needing extra support in their lower legs.12345

Why are researchers excited about this trial?

Researchers are excited about the carbon fiber orthosis because it explores how different proximities and tightness levels of the orthosis cuff might optimize support and comfort for users. Unlike traditional orthoses, which often have a one-size-fits-all approach, this study is investigating personalized adjustments to the orthosis, potentially offering more effective mobility assistance. By understanding these variations, the trial could lead to more tailored and efficient orthotic solutions, enhancing user experience and effectiveness.

What evidence suggests that this orthosis is effective for assessing forces within CDOs?

Research has shown that custom-made carbon fiber braces, known as carbon fiber custom dynamic orthoses (CDOs), can significantly improve mobility and reduce pain. One study found that 92% of patients reported better movement, and many experienced less pain. Other studies have found that these braces can help people walk faster and move more easily. The benefits stem from the CDO's design, which uses a carbon fiber piece to store and release energy, facilitating movement. In this trial, participants will be assigned to different groups to test the effects of wearing a CDO with varying proximal cuff tightness or without a CDO. Overall, CDOs have proven effective in enhancing mobility and comfort.678910

Who Is on the Research Team?

JW

Jason Wilken, PT,PhD

Principal Investigator

University of Iowa

Are You a Good Fit for This Trial?

This trial is for healthy adults aged 18-65 with no lower extremity or spine pain, open wounds, infections, or disorders affecting work/exercise in the past 6 months. Participants must be able to hop and squat without pain and provide informed consent in English.

Inclusion Criteria

I can do a full squat without feeling pain.
Ability to read and write in English and provide written informed consent
I am healthy with no recent pain, wounds, infections, or conditions that limit my activity.
See 1 more

Exclusion Criteria

I do not have visual or hearing impairments that affect my walking or understanding instructions.
I had surgery or couldn't use my leg properly for more than 6 weeks due to an injury.
My BMI is over 35.
See 6 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Baseline Testing

Participants complete baseline testing including comfort and pain assessments, and force measurements while sitting, standing, and walking with and without CDOs.

1 week
1 visit (in-person)

Experimental Testing

Participants complete study activities with CDOs fastened at different tightness levels (Loose, Moderate, Tight) and self-selected tightness, with force measurements taken.

1-2 weeks
Multiple visits (in-person)

Follow-up

Participants are monitored for any delayed effects or feedback on comfort and usability of the CDOs.

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Carbon Fiber Orthosis Proximal Cuff
Trial Overview The study tests if sensors can reliably measure forces inside Carbon Fiber Custom Dynamic Orthoses (CDOs) on the leg. It involves using generic CDOs at different tightness levels while sitting, standing, walking, and completing questionnaires.
How Is the Trial Designed?
5Treatment groups
Experimental Treatment
Active Control
Group I: TightExperimental Treatment1 Intervention
Group II: SSCTExperimental Treatment1 Intervention
Group III: ModerateExperimental Treatment1 Intervention
Group IV: LooseExperimental Treatment1 Intervention
Group V: NoCDOActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Iowa

Lead Sponsor

Trials
486
Recruited
934,000+

Published Research Related to This Trial

A study of 283 adult neuromuscular patients using anterior shell carbon fiber ankle-foot orthoses (CFAFOs) showed that 89% of patients were satisfied or extremely satisfied with the device, indicating high acceptance and effectiveness.
The findings suggest that anterior shell CFAFOs are a suitable option for most neuromuscular patients experiencing distal leg weakness, providing a positive alternative to other orthotic styles.
One clinic's experience with carbon fiber orthoses in neuromuscular disease.Mnatsakanian, A., Kissel, JT., Terry, P., et al.[2018]
In a study of 131 adult patients using a carbon fiber custom dynamic orthosis (CDO) combined with training, 92% reported improved physical function and 69% reported reduced maximum pain, indicating high initial effectiveness of the intervention.
The improvement in pain and physical function was significantly influenced by baseline pain levels and patient characteristics such as sex, suggesting that personalized approaches may enhance outcomes.
Short-term effect of a carbon fiber custom dynamic orthosis and integrated rehabilitation on self-reported physical function, pain, speed, and agility in civilians.Williamson, JN., Grunst, MM., Lynn, J., et al.[2023]
A study of 131 adults using carbon fiber custom dynamic orthoses (CDOs) showed that most participants experienced significant long-term improvements in pain and physical function, with follow-up occurring an average of 4 years after intervention.
Long-term outcomes were strongly predicted by initial pain levels and short-term functional improvements, indicating that early progress with CDOs and training can lead to sustained benefits.
Predictors of long-term pain and function in individuals who received a custom dynamic orthosis and device-centric care pathway.Williamson, JN., Grunst, MM., Lynn, J., et al.[2023]

Citations

1.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/38064296/
Short-term effect of a carbon fiber custom dynamic orthosis ...Results: A majority of patients reported improved or greatly improved physical function (92%), maximum pain (69%), and typical pain (55%) and ...
(PDF) Outcomes Associated With the Intrepid Dynamic ...Introduction Carbon fiber custom dynamic orthoses (CDOs), a type of ankle-foot orthosis (AFO), have been shown to improve function and mobility.
Carbon Fiber Orthosis for Healthy Subjects (CuffForce Trial)A systematic review of 78 articles found that carbon fiber ankle-foot orthoses (AFOs) are effective in improving outcomes like walking speed, pain reduction, ...
Clinical Outcomes with the Intrepid Dynamic Exoskeletal ...The IDEO, used in conjunction with RTR, has been used to treat patients with a wide range of injuries and has been shown to improve functional ...
5.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/30334889/
Multisite Evaluation of a Custom Energy-Storing Carbon ...Background: The Intrepid Dynamic Exoskeletal Orthosis (IDEO) is a custom energy-storing carbon fiber ankle-foot orthosis developed for lower- ...
MCP-352-Dynamic-Exoskeletal-Orthoses-for-Lower- ...The IDEO device is a custom-made dynamic response carbon fiber ankle-foot orthoses that stabilizes ankle support while reducing forefoot ...
Ankle Orthoses, Ankle-Foot Orthoses (AFOs), and Knee- ...The Intrepid Dynamic Exoskeleton Orthosis (IDEO) is a custom molded energy-storing AFO that was reportedly developed for individuals who have suffered ...
Design of a University of the District of Columbia (UDC ...Intrepid Dynamic Exoskeletal Orthosis (IDEO) brace developed in the US Army research centers, is a custom, energy-storing carbon fiber orthosis ...
AFO DynamicCarbon fiber design provides excellent strength-to-weight ratio and dynamic motion. The tapered carbon heel stores energy and manages forces at heel strike.
Optimization of Dynamic Ankle-foot Orthosis Design for ...The Intrepid Dynamic Exoskeletal Orthosis (IDEO®) is a custom carbon fiber ankle-foot orthosis (AFO) that has helped wounded Service Members return to a ...
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