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ParesesNCT04640584

C-Brace Prospective Registry

An observational study of Pareses and Lower Extremity, run by Otto Bock Healthcare Products GmbH at 76 sites in 4 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

To gather prospective safety and effectiveness data for the C-Brace System following the standard of care. Read more about this study

Who is it for?
Any age
Conditions the study is for
Pareses, Lower Extremity
What is being tested?
C-Brace
Type of treatment
Medical device
How many people
250 participants
Where
76 sitesin 4 countries
Study dates
Apr 2015to Apr 2026
How long will I take part?
12 Months
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: As the purpose of the C-Brace Registry is to characterize safety and effectiveness data in a real-world setting, the inclusion and exclusion criteria are deliberately written as open as possible to allow all patients casted for a C-Brace fitting to be included as subjects in the registry. The indications and contraindications for the C-Brace are provided in the Instructions for Use and are based on clinical presentation, not on etiology. Clinical presentations will involve lower limb paresis that may be due to a variety of etiologies, including incomplete paraplegia, post-polio syndrome, peripheral neuropathy, traumatic brain injury and muscular sclerosis.

Who may be able to join

  • Patient has been evaluated and successfully tested with the Trial Tool, and has been casted for a C-Brace.
  • Patient is able to communicate, provide feedback, understand and follow instructions during the course of the registry.
  • Patient is willing to provide informed consent.

Who cannot join

  • Patient is geographically inaccessible to comply and participate in the registry.
  • Patient has not been casted for a C-Brace fitting.

Trial locations and contacts

76 sites in 4 countries. Contact the study team or a site near you to ask about taking part.

Russell L Lundstrom, MS contact

512-806-2606

russ.lundstrom@ottobock.com

76 sites in 4 countries

United States70 sites, 37 recruiting
  • Yanke Bionics - W Exchange St

    Akron, Ohio, 44302

    Completed
  • Raymond G. Murphy VA

    Albuquerque, New Mexico, 87108

    Terminated
  • Ottobock.care

    Austin, Texas, 78758

    Travis Heins, (737) 707-0058, travis.heins@ottobock.com

    Roger "Eric" Shoemaker, MS, CPO

    Recruiting
  • Western Reserve O&P

    Austintown, Ohio, 44515

    Completed
  • Cornell Orthotics & Prosthetics

    Beverly, Massachusetts, 01915

    Claire Hebert, 9789222866, claire@cornelloandp.com

    Claire Hebert, MSPO, CPO

    Recruiting
  • Orthocraft Inc. - 3856 Flatlands Ave

    Brooklyn, New York, 11234

    Herschel Sauber, CO, LPO

    Recruiting
  • ProCare Prosthetics x Ottobock.care

    Buford, Georgia, 30518

    Theresa Field, (770) 271-5581, tfieldr@procarepando.com

    Roger "Eric" Shoemaker, CPO

    Recruiting
  • Scheck & Siress: A Hanger Clinic Company

    Chicago, Illinois, 60657

    Completed
  • Wright & Filippis x Ottobock.care

    Clinton Township, Michigan, 48038

    Natalie Karabelski, CO, (586) 468-8289, natalie.k@wright-filippis.com

    Roger "Eric" Shoemaker, CPO

    Recruiting
  • New Life

    Conroe, Texas, 77384

    Completed
  • ProCare x Ottobock.care

    Conyers, Georgia, 30094

    James Kling, CPO/L, (770) 271-5581, jkling@procarepando.com

    Roger "Eric" Shoemaker, MS, CPO

    Recruiting
  • Scott Sabolich Prosthetics & Research x Ottobock.care

    Dallas, Texas, 75148

    Edwin Hassler, (214) 382- 9270, edwin.hassler@scottsabolich.com

    Gerald Stark, PhD

    Recruiting
  • Kenney Orthopedics - Danville

    Danville, Kentucky, 40422

    Completed
  • Kenney Orthopedics - Evansville

    Evansville, Indiana, 47715

    Completed
  • Cornerstone P&O

    Everett, Washington, 98203

    David Hughes, 425.339.2559, dhughes@cornerstonepo.com

    David Hughes

    Recruiting
  • Ability P&O x Ottobock.care

    Exton, Pennsylvania, 19341

    Thomas Martin, (800) 455-0058, thomas.martin@ottobock.com

    Roger "Eric" Shoemaker, MS, CPO

    Recruiting
  • AlliedOP

    Fair Lawn, New Jersey, 07410

    Kristen Lindsay, MSPO, CPO, 2017963121, klindsay@alliedop.com

    Kristen Lindsay, MSPO, CPO

    Recruiting
  • P&O Care x Ottobock.care

    Fairview Heights, Illinois, 62208

    Dylan Borrenpohl, MS, CPO, (618) 212-0006, dylan.borrenpohl@ottobock.com

    Roger "Eric" Shoemaker, CPO

    Recruiting
  • Wright & Filippis x Ottobock.care

    Farmington Hills, Michigan, 48334

    Robin Beals, BS, CPO, (248) 615-0041, robin.b@wright-filippis.com

    Roger "Eric" Shoemaker, MS, CPO

    Recruiting
  • Cascade Prosthetics & Orthotics

    Ferndale, Washington, 98248

    Larry Paise, CPO, (360) 384-1858, LarryP@Dafo.com

    Larry Paise, CPO

    Recruiting
  • Wright & Filippis x Ottobock.care

    Flint, Michigan, 48504

    Ken Steel, CO, (810) 234-6582, ken.s@wright-filippis.com

    Roger "Eric" Shoemaker, MS, CPO

    Recruiting
  • Prevail Prosthetics & Orthotics

    Fort Wayne, Indiana, 46804

    Completed
  • Baker O&P

    Fort Worth, Texas, 76104

    Michael Serrano, (817) 332-7313, michael.serrano@bakerops.net

    Michael Serrano, CO

    Recruiting
  • Ability x Ottobock.care

    Frederick, Maryland, 21702

    Curtis Kowalczyk, CO, (301) 698-4692, curtis.kowalczyk@ottobock.com

    Taffy Bowman, CPO

    Recruiting
  • Bionic Prosthetics & Orthotics

    Green Bay, Wisconsin, 54301

    Chris Welch, MSPO, CPO, (920) 435-3002, cwelch@bionicpo.com

    Daniel Chan, MBA, COA

    Recruiting
  • Jonesboro P&O x Ottobock.care

    Harrison, Arkansas, 72601

    Active, not recruiting
  • Hanger Clinic - Houston

    Houston, Texas, 77025

    Active, not recruiting
  • Michael E. DeBakey VA

    Houston, Texas, 77030

    Completed
  • TIRR Research Center

    Houston, Texas, 77030

    Completed
  • Reliable P&O

    Jacksonville, North Carolina, 28546

    Completed
  • Excel P&O

    Kingsport, Tennessee, 37660

    Completed
  • Wright & Filippis x Ottobock.care

    Lansing, Michigan, 48912

    Daniel Durany, CO, (517) 484-2624, dadurany@wright-filippis.com

    Roger "Eric" Shoemaker, MS, CPO

    Recruiting
  • Wright & Filippis x Ottobock.care

    Lapeer, Michigan, 48446

    Francy Lemp, CPO, (810) 664-1101, fmlemp@wright-filippis.com

    Roger "Eric" Shoemaker, MS, CPO

    Recruiting
  • Bionic Prosthetics & Orthotics

    Lenoir, North Carolina, 28645

    Kayla Watts, (828) 758-0002, lenoir@bionicpo.com

    Daniel Chan, MBA, COA

    Recruiting
  • Kenney Orthopedics - Lexington

    Lexington, Kentucky, 40503

    Withdrawn
  • Dankmeyer

    Linthicum, Maryland, 21090

    Angela Bryl, (410) 636-8114, abryl@dankmeyer.com

    Angela Bryl

    Recruiting
  • Wright & Filippis x Ottobock.care

    Livonia, Michigan, 48150

    Matthew Cinader, MSOP, CPO, (734) 421-8400

    Roger "Eric" Shoemaker, MS, CPO

    Recruiting
  • Wright & Filippis x Ottobock.care

    Madison Heights, Michigan, 48071

    Mike Hoisington, BS, CO, (586) 804-6124, mike.h@wright-filippis.com

    Roger "Eric" Shoemaker, MS, CPO

    Recruiting
  • VA NY Harbor

    Manhattan, New York, 10010

    Completed
  • Bionic Prosthetics & Orthotics

    Merrillville, Indiana, 46410

    Daniel Chan, MBA, COA, (219) 791-9200, danielchan@bionicpo.com

    Daniel Chan, MBA, COA

    Recruiting
  • AlliedOP

    Mount Laurel, New Jersey, 08054

    Macy Oteri, 856-273-6400, moteri@alliedop.com

    Kristen Lindsay, MSPO, CPO

    Recruiting
  • MedEast Post-op & Surgical

    Mount Laurel, New Jersey, 08054

    Completed
  • Restorative Health Services

    Murfreesboro, Tennessee, 37129

    Completed
  • Prosthetics in Motion

    New York, New York, 10001

    Completed
  • Limb Lab

    Omaha, Nebraska, 68106

    Vincent Lau, MS, CPO, 402-899-9110

    Andrew Nelson, MS, CPO

    Recruiting
  • West Coast Brace & Limb - Palm Harbor

    Palm Harbor, Florida, 34684

    Danielle Tobler, (727) 785-0100, danielle.tobler@wcbl.com

    Bridget Lawler

    Recruiting
  • Titleman Orthopedic

    Philadelphia, Pennsylvania, 19083

    Completed
  • O&P of Pinehurst

    Pinehurst, North Carolina, 28374

    Completed
  • elizur Corporation

    Pittsburgh, Pennsylvania, 15237

    Withdrawn
  • Hanger Clinic - Renton

    Renton, Washington, 98057

    Completed
  • Pacific Medical

    Richland, Washington, 99352

    Kevin Stoddard, CO, LO, (509) 371-9660, kstoddard@pacmedical.com

    Riley Liddell, MS, LCPO

    Recruiting
  • Hunter Holmes McGuire VA

    Richmond, Virginia, 23249

    Completed
  • VA O&P

    Roanoke, Virginia, 24012

    Completed
  • Limb Lab

    Rochester, Minnesota, 55904

    Andrew Nelson, 507-322-3457, andrew@limblab.com

    Andrew Nelson

    Recruiting
  • Jonesboro P&O x Ottobock.care

    Rogers, Arkansas, 72758

    Terminated
  • South Texas Veterans Health Care System

    San Antonio, Texas, 78229

    Terminated
  • Bionics Orthotics & Prosthetics

    San Diego, California, 92117

    Emily Rau, MSPO, CPO, 8582709972, erau@bionicsoandp.com

    Emily Rau, MSPO, CPO

    Recruiting
  • ABI P&O

    San Diego, California, 92120

    Completed
  • Hanger - Sarasota

    Sarasota, Florida, 34233

    Active, not recruiting
  • Medical Center Orthotics & Prosthetics

    Silver Spring, Maryland, 20910

    Completed
  • Carolina Ottobock.care

    Spartanburg, South Carolina, 29303

    John Lundquist, BOCP, COF, CPed, (864) 541-0028, jlundquist@carolinaop.com

    Roger "Eric" Shoemaker, MS, CPO

    Recruiting
  • Thompson's O&P

    Spokane, Washington, 99202

    Completed
  • P&O Care x Ottobock.care

    St Louis, Missouri, 63131

    Luke Brewer, (314) 775-2041, luke.brewer@ottobock.com

    Roger "Eric" Shoemaker, MS, CPO

    Recruiting
  • Freedom P & O - 356 E 600 S

    St. George, Utah, 84770

    Withdrawn
  • West Coast Brace & Limb - Tampa

    Tampa, Florida, 33617

    Walt Raynor, (813) 985-4499, walt.raynor@wcbl.com

    Bridget Lawler

    Recruiting
  • Body in Motion

    Toms River, New Jersey, 08755

    John Caputo, (732) 244-8700

    John Caputo

    Recruiting
  • South County Artificial Limb and Brace

    Wakefield, Rhode Island, 02879

    Withdrawn
  • Atlantic Prosthetic Services

    Wilmington, North Carolina, 28412

    Bob Collins, (910) 350-0067, bob@apswilm.com

    Bob Collins

    Recruiting
  • Ability x Ottobock.care

    Wyomissing, Pennsylvania, 19610

    Taffy Bowman, CPO, (610) 709-6459, taffy.bowman@ottobock.com

    Roger "Eric" Shoemaker, MS, CPO

    Recruiting
  • Ability x Ottobock.care

    York, Pennsylvania, 17401

    Jonah Rhymer, MPO, CPO, (717) 851-0156, jonah.rhymer@abilitypo.com

    Roger "Eric" Shoemaker, MS, CPO

    Recruiting

Other trials in United States

Germany4 sites, 4 recruiting
  • Ottobock Göttingen

    Göttingen, Deutschland, 37075

    Heiko Drewitz, +49 5513075122, heiko.drewitz@ottobock.de

    Frank Braatz, Prof.

    Recruiting
  • John+Bamberg GmbH & Co. KG

    Hanover, Lower Saxony, 30625

    Sebastian Klug, sebastian.klug@john-bamberg.de

    Frank Braatz

    Recruiting
  • Katholisches Klinikum Koblenz-Montabaur

    Koblenz, Rhineland-Palatinate, 56073

    Bärbel Heger, a.ruetz@kk-km.de

    Axel Rütz, MD

    Recruiting
  • Pohlig BmbH

    Traunstein, Bavaria, 83278

    Annabell Jahn, +49 861-7085-200, annabell.jahn@pohlig.net

    Frank Braatz

    Recruiting

Other trials in Germany

Australia1 site, 1 recruiting
  • Neuromuscular-orthotics.com.au

    Clayton, Victoria, 3168

    Tia Wedge, +613 1300 411 666, Tia@neuromuscular-orthotics.com.au

    Sarah Anderson

    Not yet recruiting

Other trials in Australia

Japan1 site, 1 recruiting
  • Hyogo Rehabilitation Hospital

    Kobe, Hyōgo, 651-2181

    Takashi Oshima, 000-000-0000, t_ooshima@hwc.or.jp

    Recruiting

Other trials in Japan

About this study

Official title: A Prospective Registry of Patients Fitted With a Microprocessor-controlled Knee Ankle Foot Orthosis

To gather prospective safety and effectiveness data for the C-Brace System following the standard of care.

Read the detailed description

The purpose of the C-Brace Prospective Registry is to gather prospective baseline and follow-up data to characterize the safety and effectiveness of the C Brace. Patients casted for C-Brace fitting and willing to provide informed consent at participating clinics will be enrolled in the registry. All patients will be followed in accordance with the standard of care for a C-Brace, which will include, at a minimum, baseline evaluation, fitting, patient training/therapy sessions, follow-up at 6 months, 12 months, 24 months and 36 months after the definitive fitting of the C-Brace.

Being tested
C-Brace
Medical subject headings
Paresis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • C-BraceDevice

    Also called Microprocessor-controlled Stance and Swing Orthosis (MP-SSCO)

    The C-Brace consists of individually fabricated thigh, calf and foot components. An ankle joint, unilateral or bilateral fitting, or an individual spring element connects the foot and calf components. The sensor system continuously measures the flexion of the knee joint and its angular acceleration. This allows the C-Brace to detect the user's current walking phase, so it can regulate the hydraulic resistances as well as control the flexion and extension of the knee joint.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Primary Efficacy: Timed Walk Test

    The Timed Walk test is used to measure gait speed on either a 25-foot or 10-meter straight course timed using the middle 10 feet or 6 meters, respectively. Three trials are performed and the average of the three used. Patients are allowed the use of assistive device (such as a cane, crutches or walker) that they normally use for in home or community ambulation.

    Measured: Change in walking speed with the C-Brace measured either by a 25-ft or 10-m walk test compared to baseline measurements when assessed 12 months after initial fitting

  2. Primary Efficacy: Timed Up and Go (TUG) Test

    Originally designed to test mobility skills in the elderly, the TUG is a validated test for quantifying functional mobility and risk of falling. In the TUG Test, patients are asked to stand up from a chair, walk ten feet, turn and return to the chair, and then sit on the chair. For centers routinely using the TUG as a part of their standard of care, this data (time to complete in seconds) will be collected at baseline and follow-up visits when available. Predictive results from the test are as follows: <10s, Freely mobile; < 20s, Mostly independent; 20-29s, Variable mobility.

    Measured: Changes in mobility, balance, risk of falling, and walking ability as measured by TUG test with the C-Brace system compared to baseline when assessed 12 months after the initial fitting.

  3. Primary Efficacy: Activities-specific Balance Confidence (ABC)

    Assessment of patient-perceived balance confidence for 16 activities of daily living. For each activity, subjects rate their level of confidence in doing the activity without losing their balance or becoming unsteady on a scale from 0% to 100%, with 100% being the highest level of confidence. The total score for the ABC scale is an average of all activity scores.

    Measured: Changes in perceived balance confidence as assessed by the ABC score with the C-Brace system compared to baseline when assessed 12 months after the initial fitting.

  4. Primary Safety: Frequency and severity of falling

    The number and percentage of patients who experience one or more adverse events during their participation in the registry will be computed along with the exact 95% binomial confidence interval. The number and percentage of subjects who experience a serious adverse event will also be tabulated along with the exact 95% binomial confidence interval. Events will also be categorized and the number of events and number of patients for each category will be presented. In addition, a complete listing of adverse events along with their relationship to the device, severity, seriousness and outcome will be constructed.

    Measured: Changes in numbers of device-related adverse events experienced by C Brace users by frequency and severity compared to baseline measurement when assessed 12 months after the initial fitting

Secondary outcomes (3)
  1. Patient Specific Functional Scale (PSFS)

    The PSFS is a self-report measure aimed at identifying functional status limitations that are most relevant to individual patients.The PSFS is a reliable, valid, and efficient measure for detecting clinical change in persons with low back pain and knee dysfunction. Patients will be asked to identify three to five activities that they are having difficulty or are unable to perform because of their injury/condition. For the specified activities, patients will then be asked to rate their ability to perform each activity at that time (0-10 numerical scale) with '0' being unable to perform the activity, and '10' being able to perform the activity at the same level as they could prior to the injury/condition. There is no total score for this measure.

    Measured: Changes in patient-centered activities and in the defined activity performance with C-Brace by the PSFS compared to baseline when assessed 12 months after the initial fitting.

  2. Activity Tracker

    On the day the patient is casted for the C-Brace the patient's current orthosis will be affixed with an activity monitor to record the number of steps the patient takes with the orthosis. The patient will be sent home with a prepaid envelope and be instructed to mail back the activity monitor 16 days later, in order to capture 14 whole days of step count data. The step counts will be downloaded from the device the day the activity monitor is returned to the Investigator. The C-Brace will also be affixed with the same activity monitor following the same process for when the activity monitor was attached to the previous orthosis.

    Measured: Changes of C-Brace utilization at 12 months compared to baseline measurement estimated by the activity tracker

  3. Berg Balance Scale (BBS)

    The BBS is a 14-item scale designed to measure static and dynamic balance in adults in a clinical setting. The range in score for the BBS is 0 to 56, with higher scores indicating better balance. Points for each item are deducted if the time or distance requirements are not met, the patient's performance requires supervision, or the patient requires assistance from support or examiner. The points reached in each item were summed up to the total score.

    Measured: Changes in static and dynamic balance abilities as measured by the BBS compared to baseline when assessed 12 months after initial fitting with C-Brace.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Nov 2020
  2. Study startApr 2015
  3. Primary completionApr 2026 (estimated)
  4. Study completionApr 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
250 participants (estimated)
Target duration
12 Months
IDs, dates and publications
ClinicalTrials.gov ID
NCT04640584
Sponsor's protocol ID
PD-PS00120018A-001
Status last verified
Apr 2025
First submitted
17 Nov 2020
Last updated
30 Apr 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Lundstrom RL, Klenow TD, Morris A, Pobatschnig B, Hibler KD, Kannenberg AH. The C-Brace(R) microprocessor controlled stance and swing orthosis improves safety, mobility, and quality of life at one year: Interim results from a prospective registry. J Rehabil Assist Technol Eng. 2024 Aug 9;11:20556683241269539. doi: 10.1177/20556683241269539. eCollection 2024 Jan-Dec.

    PubMed 39132469

Questions about this trial

What is this clinical trial studying?

An observational study of Pareses and Lower Extremity, run by Otto Bock Healthcare Products GmbH at 76 sites in 4 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 30 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 76 sites in United States, Germany, Australia, Japan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Russell L Lundstrom, MS (512-806-2606, russ.lundstrom@ottobock.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Primary Efficacy: Timed Walk Test (time frame: Change in walking speed with the C-Brace measured either by a 25-ft or 10-m walk test compared to baseline measurements when assessed 12 months after initial fitting). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04640584, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Apr 2025.

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