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Optimizing Gait Rehabilitation for Veterans With Non-traumatic Lower Limb Amputation
Sponsor: VA Office of Research and Development
Summary
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.
Official title: Optimizing Gait Rehabilitation for Veterans With Non-Traumatic Lower Limb Amputation
Key Details
Gender
All
Age Range
40 Years - 89 Years
Study Type
INTERVENTIONAL
Enrollment
54
Start Date
2019-10-09
Completion Date
2026-10-31
Last Updated
2025-11-18
Healthy Volunteers
No
Interventions
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.
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.
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