CClinicalTrials.gg
CompletedNCT04023045Updated Oct 18, 2023Results posted

Assist-Knee: Energy-Harvesting Knee Prosthesis

An interventional study of Assist-Knee and Habitual Prosthesis in Transfemoral Amputation and Artificial Limbs, sponsored by Orthocare Innovations, LLC. Completed at 1 site in United States. Open to participants aged 21 Years to 80 Years. Per ClinicalTrials.gov, last updated 2023-10-18.

Sponsored by Orthocare Innovations, LLC · Not applicable, Interventional, and Device feasibility

Phase
Not applicable
Study type
Interventional
Enrollment
3
Allocation
Non-randomized
Ages
21 Years to 80 Years
Sex
All
01

Study summary

The purpose of this research is to validate the Assist-Knee design and function by collecting pilot data during the stand-to-sit-to-stand transition in transfemoral prosthesis users when using the Assist-Knee to harvest energy and return energy .

02

Conditions studied

  • Transfemoral Amputation
  • Artificial Limbs
03

In context

Lead sponsor

Orthocare Innovations, LLC is the lead sponsor of 7 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
21 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Unilateral transfemoral limb loss
  • At least one year post-amputation and currently successfully using a prosthesis
  • Uses modular endoskeletal prosthetic components
  • Has bilateral normal range of motion
  • Ability to perform the following activities:
  • Walking ability or ability to take steps over 10 meters
  • Upright standing stability
  • Stand-to-sit stability (i.e. go from a standing position to a seated position independently)
  • Sit-to-stand stability (i.e. rise from a seated position independently)
  • Ability to communicate individual perceptions in the English language
  • Ability to provide informed consent

Exclusion criteria

Exclusion Criteria:

  • Confounding injury or musculoskeletal problem
  • Pregnancy
  • Lower limb peripheral neuropathy
  • Symptomatic cardiovascular disease or chronic obstructive pulmonary disease
  • Not able to read and understand English
  • Use of assistive devices for sit-to-stand and stand-to-sit (e.g. canes, walkers)
05

Study design

Phase
Not applicable
Primary purpose
Device feasibility
Allocation
Non-randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
3 participants (actual)

Study arms

  • Active comparator
    Habitual Prosthesis

    Participant's prescribed prosthesis

    Device: Habitual Prosthesis

  • Experimental
    Assist-Knee

    Experimental knee prosthesis

    Device: Assist-Knee

Interventions

  • DeviceAssist-Knee

    Assist-Knee is an experimental lower limb knee prosthesis.

  • DeviceHabitual Prosthesis

    Habitual baseline prosthesis prescribed by participant's clinician.

06

What researchers measure

Primary outcomes

  1. Time to Complete Sit-to-Stand

    The amount of time, measured in seconds, needed by the subject to complete the sit-to-stand transition. At least four trials of the sit-to-stand maneuver were collected for each participant using a motion analysis system. Average and standard deviation of the time to complete the sit-to-stand transition were calculated for each participant (each participant served as their own control in this pilot study). The start of the transition was determined by participant initiation; the end of the transition was determined by the participant reaching full knee extension.

    Time frame: Collection at baseline

  2. Time to Complete Sit-to-Stand

    The amount of time, measured in seconds, needed by the subject to complete the sit-to-stand transition. At least four trials of the sit-to-stand maneuver were collected for each participant using a motion analysis system. Average and standard deviation of the time to complete the sit-to-stand transition were calculated for each participant (each participant served as their own control in this pilot study). The start of the transition was determined by participant initiation; the end of the transition was determined by the participant reaching full knee extension.

    Time frame: After acclimation to Assist-Knee (Participants are given at least 10 minutes and no more than 60 minutes to acclimate to each Assist-Knee condition for safety. After acclimating, participants will complete the maneuver to measure this outcome.)

Secondary outcomes

  1. Timed Up and Go (TUG) Test

    The Timed Up and Go (TUG) test is a validated timed functional test that involves standing up from a chair, walking forward for 3 meters, turning around, walking back to the chair for 3 meter, and sitting down. Each participant completed the TUG test for three trials. Time was measured using a stopwatch. Average and standard deviation of the time to complete the TUG test were calculated for each participant (each participant served as their own control in this pilot study).

    Time frame: Collection at baseline

  2. Timed Up and Go (TUG) Test

    The Timed Up and Go (TUG) test is a validated timed functional test that involves standing up from a chair, walking forward for 3 meters, turning around, walking back to the chair for 3 meter, and sitting down. Each participant completed the TUG test for three trials. Time was measured using a stopwatch. Average and standard deviation of the time to complete the TUG test were calculated for each participant (each participant served as their own control in this pilot study).

    Time frame: After acclimation to Assist-Knee (Participants are given at least 10 minutes and no more than 60 minutes to acclimate to each Assist-Knee condition for safety. After acclimating, participants will complete the maneuver to measure this outcome.)

  3. Time to Complete Stand-to-Sit

    The amount of time, measured in seconds, needed by the subject to complete the stand-to-sit transition. At least four trials of the stand-to-sit maneuver were collected for each participant using a motion analysis system. Average and standard deviation of the time to complete the stand-to-sit transition were calculated for each participant (each participant served as their own control in this pilot study). The start of the transition was determined by participant initiation; the end of the transition was determined by the participant being seated on a chair.

    Time frame: Collection at baseline

  4. Time to Complete Stand-to-Sit

    The amount of time, measured in seconds, needed by the subject to complete the stand-to-sit transition. At least four trials of the stand-to-sit maneuver were collected for each participant using a motion analysis system. Average and standard deviation of the time to complete the stand-to-sit transition were calculated for each participant (each participant served as their own control in this pilot study). The start of the transition was determined by participant initiation; the end of the transition was determined by the participant being seated on a chair.

    Time frame: After acclimation to Assist-Knee (Participants are given at least 10 minutes and no more than 60 minutes to acclimate to each Assist-Knee condition for safety. After acclimating, participants will complete the maneuver to measure this outcome.)

  5. Percentage of Body Weight on Contralateral Limb at 65 Degrees Knee Flexion

    The percentage of body weight on the contralateral limb was determined for both stand-to-sit and sit-to-stand transitions at 65 degrees knee flexion. A force plate under the contralateral limb recorded the amount of loading on the limb during the stand-to-sit and sit-to-stand transitions. The amount of contralateral limb loading at 65 degrees knee flexion was determined and divided by the participant's total loading due to overall body weight. This value was then converted to a percentage.

    Time frame: Collection at baseline

  6. Percentage of Body Weight on Contralateral Limb at 65 Degrees Knee Flexion

    The percentage of body weight on the contralateral limb was determined for both stand-to-sit and sit-to-stand transitions at 65 degrees knee flexion. A force plate under the contralateral limb recorded the amount of loading on the limb during the stand-to-sit and sit-to-stand transitions. The amount of contralateral limb loading at 65 degrees knee flexion was determined and divided by the participant's total loading due to overall body weight. This value was then converted to a percentage.

    Time frame: After acclimation to Assist-Knee (Participants are given at least 10 minutes and no more than 60 minutes to acclimate to each Assist-Knee condition for safety. After acclimating, participants will complete the maneuver to measure this outcome.)

07

Results

Posted Oct 7, 2022
Limitations and caveats
This clinical trial collected data with a small number of participants. These results may not be generalizable to the entire population. Furthermore, this clinical trial used the Assist-Knee experimental prototype which is in a proof-of-concept stage. There is a potential for the outcome measures to improve as the Assist-Knee device design is refined through development.

Participant flow

Individuals were recruited from a sample of convenience in the local area between 07/15/2019 and 02/26/2020.

Habitual Prosthesis Condition
Participant flow — Habitual Prosthesis Condition
MilestoneHabitual ProsthesisAssist-Knee (Settings 1)Assist-Knee (Settings 2)
Started300
Completed300
Not completed000
Assist-Knee (Settings 1) Condition
Participant flow — Assist-Knee (Settings 1) Condition
MilestoneHabitual ProsthesisAssist-Knee (Settings 1)Assist-Knee (Settings 2)
Started030
Completed030
Not completed000
Assist-Knee (Settings 2) Condition
Participant flow — Assist-Knee (Settings 2) Condition
MilestoneHabitual ProsthesisAssist-Knee (Settings 1)Assist-Knee (Settings 2)
Started003
Completed003
Not completed000

Outcome measures

PrimaryTime to Complete Sit-to-Stand

The amount of time, measured in seconds, needed by the subject to complete the sit-to-stand transition. At least four trials of the sit-to-stand maneuver were collected for each participant using a motion analysis system. Average and standard deviation of the time to complete the sit-to-stand transition were calculated for each participant (each participant served as their own control in this pilot study). The start of the transition was determined by participant initiation; the end of the transition was determined by the participant reaching full knee extension.

Time frame:
Collection at baseline
Reported as:
Mean · seconds
Time to Complete Sit-to-Stand
secondsHabitual Prosthesis
Participant A1.6 ± 0.1
Participant B2.2 ± 0.2
Participant C1.4 ± 0.2
Statistical analysis
  • Habitual Prosthesis ·
PrimaryTime to Complete Sit-to-Stand

The amount of time, measured in seconds, needed by the subject to complete the sit-to-stand transition. At least four trials of the sit-to-stand maneuver were collected for each participant using a motion analysis system. Average and standard deviation of the time to complete the sit-to-stand transition were calculated for each participant (each participant served as their own control in this pilot study). The start of the transition was determined by participant initiation; the end of the transition was determined by the participant reaching full knee extension.

Time frame:
After acclimation to Assist-Knee (Participants are given at least 10 minutes and no more than 60 minutes to acclimate to each Assist-Knee condition for safety. After acclimating, participants will complete the maneuver to measure this outcome.)
Reported as:
Mean · seconds
Time to Complete Sit-to-Stand
secondsAssist-Knee (Settings 1)Assist-Knee (Settings 2)
Participant A3.4 ± 0.62.7 ± 0.2
Participant B6.4 ± 1.33.8 ± 0.5
Participant C2.4 ± 0.52.9 ± 0.5
Statistical analysis
  • Assist-Knee (Settings 1) vs Assist-Knee (Settings 2) ·
SecondaryTimed Up and Go (TUG) Test

The Timed Up and Go (TUG) test is a validated timed functional test that involves standing up from a chair, walking forward for 3 meters, turning around, walking back to the chair for 3 meter, and sitting down. Each participant completed the TUG test for three trials. Time was measured using a stopwatch. Average and standard deviation of the time to complete the TUG test were calculated for each participant (each participant served as their own control in this pilot study).

Time frame:
Collection at baseline
Reported as:
Mean · seconds
Timed Up and Go (TUG) Test
secondsHabitual Prosthesis
Participant A7.1 ± 0.5
Participant B13.7 ± 1.0
Participant C12.3 ± 0.8
Statistical analysis
  • Habitual Prosthesis ·
SecondaryTimed Up and Go (TUG) Test

The Timed Up and Go (TUG) test is a validated timed functional test that involves standing up from a chair, walking forward for 3 meters, turning around, walking back to the chair for 3 meter, and sitting down. Each participant completed the TUG test for three trials. Time was measured using a stopwatch. Average and standard deviation of the time to complete the TUG test were calculated for each participant (each participant served as their own control in this pilot study).

Time frame:
After acclimation to Assist-Knee (Participants are given at least 10 minutes and no more than 60 minutes to acclimate to each Assist-Knee condition for safety. After acclimating, participants will complete the maneuver to measure this outcome.)
Reported as:
Mean · seconds
Timed Up and Go (TUG) Test
secondsAssist-Knee (Settings 1)Assist-Knee (Settings 2)
Participant A12.3 ± 1.112.8 ± 0.8
Participant B25.0 ± 3.022.0 ± 1.4
Participant C20.8 ± 3.518.8 ± 1.5
Statistical analysis
  • Assist-Knee (Settings 1) vs Assist-Knee (Settings 2) ·
SecondaryTime to Complete Stand-to-Sit

The amount of time, measured in seconds, needed by the subject to complete the stand-to-sit transition. At least four trials of the stand-to-sit maneuver were collected for each participant using a motion analysis system. Average and standard deviation of the time to complete the stand-to-sit transition were calculated for each participant (each participant served as their own control in this pilot study). The start of the transition was determined by participant initiation; the end of the transition was determined by the participant being seated on a chair.

Time frame:
Collection at baseline
Reported as:
Mean · seconds
Time to Complete Stand-to-Sit
secondsHabitual Prosthesis
Participant A2.7 ± 0.1
Participant B4.1 ± 1.0
Participant C1.6 ± 0.2
Statistical analysis
  • Habitual Prosthesis ·
SecondaryTime to Complete Stand-to-Sit

The amount of time, measured in seconds, needed by the subject to complete the stand-to-sit transition. At least four trials of the stand-to-sit maneuver were collected for each participant using a motion analysis system. Average and standard deviation of the time to complete the stand-to-sit transition were calculated for each participant (each participant served as their own control in this pilot study). The start of the transition was determined by participant initiation; the end of the transition was determined by the participant being seated on a chair.

Time frame:
After acclimation to Assist-Knee (Participants are given at least 10 minutes and no more than 60 minutes to acclimate to each Assist-Knee condition for safety. After acclimating, participants will complete the maneuver to measure this outcome.)
Reported as:
Mean · seconds
Time to Complete Stand-to-Sit
secondsAssist-Knee (Settings 1)Assist-Knee (Settings 2)
Participant A4.4 ± 0.43.3 ± 0.4
Participant B4.9 ± 1.74.5 ± 0.9
Participant C2.5 ± 0.12.7 ± 0.7
Statistical analysis
  • Assist-Knee (Settings 1) vs Assist-Knee (Settings 2) ·
SecondaryPercentage of Body Weight on Contralateral Limb at 65 Degrees Knee Flexion

The percentage of body weight on the contralateral limb was determined for both stand-to-sit and sit-to-stand transitions at 65 degrees knee flexion. A force plate under the contralateral limb recorded the amount of loading on the limb during the stand-to-sit and sit-to-stand transitions. The amount of contralateral limb loading at 65 degrees knee flexion was determined and divided by the participant's total loading due to overall body weight. This value was then converted to a percentage.

Time frame:
Collection at baseline
Reported as:
Mean · % body weight
Percentage of Body Weight on Contralateral Limb at 65 Degrees Knee Flexion
% body weightSIT With Habitual ProsthesisSTAND With Habitual Prosthesis
Participant A79.2 ± 2.885.9 ± 2.5
Participant B61.8 ± 11.449.0 ± 2.3
Participant C87.0 ± 3.695.8 ± 2.6
Statistical analysis
  • SIT With Habitual Prosthesis vs STAND With Habitual Prosthesis ·
SecondaryPercentage of Body Weight on Contralateral Limb at 65 Degrees Knee Flexion

The percentage of body weight on the contralateral limb was determined for both stand-to-sit and sit-to-stand transitions at 65 degrees knee flexion. A force plate under the contralateral limb recorded the amount of loading on the limb during the stand-to-sit and sit-to-stand transitions. The amount of contralateral limb loading at 65 degrees knee flexion was determined and divided by the participant's total loading due to overall body weight. This value was then converted to a percentage.

Time frame:
After acclimation to Assist-Knee (Participants are given at least 10 minutes and no more than 60 minutes to acclimate to each Assist-Knee condition for safety. After acclimating, participants will complete the maneuver to measure this outcome.)
Reported as:
Mean · % body weight
Percentage of Body Weight on Contralateral Limb at 65 Degrees Knee Flexion
% body weightSIT With Assist-Knee (Settings 1)STAND With Assist-Knee (Settings 1)SIT With Assist-Knee (Settings 2)STAND With Assist-Knee (Settings 2)
Participant A67.7 ± 7.582.0 ± 1.948.0 ± 9.483.5 ± 1.2
Participant B23.5 ± 13.727.0 ± 6.919.4 ± 10.431.3 ± 2.3
Participant C67.0 ± 1.678.6 ± 4.563.4 ± 9.976.4 ± 3.2
Statistical analysis
  • SIT With Assist-Knee (Settings 1) vs STAND With Assist-Knee (Settings 1) vs SIT With Assist-Knee (Settings 2) vs STAND With Assist-Knee (Settings 2) ·

Adverse events

Collected over Adverse event data were collected during the experimental sessions with each participant, up to 3 hours.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Study Participants0/3 (0%)0/3 (0%)0/3 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Study Participants
<=18 years0
Between 18 and 65 years1
>=65 years2
Age, Continuous
Age, Continuous(years)Study Participants
Mean69 ± 5
Sex: Female, Male
Sex: Female, Male(Participants)Study Participants
Female2
Male1
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Study Participants
Hispanic or Latino0
Not Hispanic or Latino3
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Study Participants
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American0
White3
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)Study Participants
United States3
08

Study locations

1 site
  • Orthocare Innovations, LLC
    Edmonds, Washington 98020, United States
09

References and documents

Study documents

  • Study protocol · Jul 15, 2019
  • Statistical analysis plan · Sep 6, 2022

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 18, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04023045
Lead sponsor
Orthocare Innovations, LLC
Collaborators
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Responsible party
Sponsor
First posted
Jul 17, 2019
Start date
Jul 15, 2019
Primary completion
Feb 26, 2020
Completion
Feb 26, 2020
Results posted
Oct 7, 2022
Last update
Oct 18, 2023

Study contacts

Sarah Chang, PhD
principal investigator · Orthocare Innovations, LLC

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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