GaitNCT06387459
Feasibility of Fabric Orthosis for Knee Support in Elderly Gait Improvement
A study testing Fabric-Type Knee Extensor Muscle-Mimicking Orthosis in people with Gait and Fall, run by Seoul National University Hospital at 1 site in South Korea.
Trial summary
This pilot clinical trial assesses the safety and feasibility of a novel fabric-type orthosis designed to mimic the knee extensor muscles and improve gait in elderly patients with mobility impairments due to conditions like sarcopenia, diabetes, or knee osteoarthritis. Read more about this study
- Who is it for?
- Ages 65 years and older
- Conditions the study is for
- Gait, Fall, Orthotic Devices
- What is being tested?
- Fabric-Type Knee Extensor Muscle-Mimicking Orthosis
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 30 participants
- Where
- 1 siteSouth Korea
- Study dates
- 31 Jul 2024to 14 May 2026
- Phase
- Interventional
- Are there results?
- None posted in the registry
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 65 years and older
- All sexes
- No healthy volunteers
- Older adult
Who may be able to join
- Eligibility for participation in the study requires that all the following criteria are met:
- Age: Participants must be 65 years of age or older.
- Comprehension and Compliance: Able to fully understand and comply with the instructions and study procedures.
- Mobility-Impacting Conditions: Must have at least one of the following conditions affecting mobility: (1)Sarcopenia:
- Muscle Strength: Handgrip strength of <28 kg for men and <18 kg for women.
- Muscle Function: Short Physical Performance Battery (SPPB) score of 8 or less.
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- Muscle Mass: Bioelectrical impedance analysis (BIA) showing muscle mass <7.0 kg/m² for men and <5.7 kg/m² for women. (2)Diabetes:
- Diagnosed distal symmetric polyneuropathy.
- Sensory impairments in toes or feet. (3)Knee Osteoarthritis:
- Kellgren-Lawrence grade ≥2.
- Persistent pain (≥3 months) with a severity of at least 3 on the Numerical Rating Scale (NRS).
Who cannot join
- Individuals meeting any of the following criteria will be excluded from study participation:
- Inability to Consent: Unable to provide informed consent or not willing to participate in the study procedures.
- Severe Sensory or Motion Limitations: Including severe visual or vestibular impairments that could increase the risk of falling.
- Communication Barriers: Significant hearing, speech, or language problems that would hinder communication with study personnel.
- Independent Walking Inability: Cannot walk independently without the aid of a walking device.
- Other Significant Diseases or Conditions:
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- Neurological disorders that affect walking ability (e.g., stroke, Parkinson's disease).
- Orthopedic or musculoskeletal conditions severely affecting lower limb function.
- Severe cardiovascular conditions including uncontrolled hypertension or heart failure.
- Respiratory diseases requiring regular oxygen therapy.
- Active cancer treatment or cancer treatment within the past 3 years (except basal cell carcinoma or localized prostate cancer).
- Severe psychiatric disorders like schizophrenia or bipolar disorder.
- Other Exclusionary Factors:
- Past severe orthopedic surgeries on lower limbs which might affect gait and mobility.
- Severe back pain or any other condition affecting mobility not already listed.
Trial locations and contacts
1 site in 1 country.
South Korea1 site, 1 recruiting
- Recruiting
Seoul National University Hospital
Seoul, Jongno, 03080
junghyun kim, Ph. D., 82+1059657182, kiking0@naver.com
About this study
Official title: Safety and Feasibility of Knee Extensor Muscle-mimicking, Fabric-type Orthosis on Gait in Geriatric Patients: Pilot Clinical Trial
This pilot clinical trial assesses the safety and feasibility of a novel fabric-type orthosis designed to mimic the knee extensor muscles and improve gait in elderly patients with mobility impairments due to conditions like sarcopenia, diabetes, or knee osteoarthritis. The study aims to test this orthosis in a real- world setting to see if it can enhance mobility and stability for elderly individuals, potentially reducing falls and improving quality of life. A total of 30 participants aged 65 and older will be recruited to use this orthosis across multiple sessions, where their gait will be analyzed under various conditions to measure the device's impact on walking speed, stability, and muscle activation.
Read the detailed description
Objectives:
- Primary Objective: To evaluate the safety and feasibility of the fabric-type knee extensor muscle-mimicking orthosis in improving gait among elderly patients.
- Secondary Objectives: To measure changes in walking speed, endurance, and muscle activity to infer potential benefits in daily mobility.
Study Design:
- Study Population: 30 elderly patients suffering from conditions affecting mobility (sarcopenia, diabetes, knee osteoarthritis).
- Intervention: Use of a fabric-type orthosis mimicking knee extensor function, equipped with shape-memory alloy for dynamic movement support.
- Methodology:
- Training and Adaptation: Participants will undergo an initial training session to get accustomed to the orthosis, including donning and doffing, adjustment, and use in various environments (flat surfaces, inclines).
- Assessment Protocol:
- Before wearing the orthosis-after wearing the orthosis (power off)-after wearing the orthosis (power on)
- Walking environment will include EMG (Electromyography) measurements, 6-minute walk test, 10-meter walk test, and comprehensive gait analysis using platforms like the GAITRite system.
- Seating environment will include EMG (Electromyography) measurements and TUG test. 3. Safety Monitoring: Continuous monitoring of physiological responses (blood pressure, heart rate), musculoskeletal assessments, and skin integrity checks to monitor for adverse reactions or discomfort
- Conditions
- Gait, Fall, Orthotic Devices
- Being tested
- Fabric-Type Knee Extensor Muscle-Mimicking Orthosis
- Keywords
- Geriatric patient
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Fabric-Type Knee Extensor Muscle-Mimicking OrthosisDevice
The intervention device is a fabric-based orthosis incorporating shape-memory alloy springs designed to mimic the action of knee extensor muscles. The primary function of this orthosis is to provide supplementary support to the knee joint during walking, aiming to stabilize the gait of elderly individuals affected by muscle weakness or degenerative joint conditions. Material: The orthosis is made from a lightweight, flexible fabric that allows for breathability and comfort during extended wear. Mechanism: Embedded within the fabric are shape- memory alloy springs that function similarly to biological muscles.
| Study group | Role | What they receive |
|---|---|---|
| Knee Extensor Muscle-Mimicking Orthosis | Experimental | This arm involves participants wearing a novel, lightweight fabric-type orthosis designed to mimic the function of knee extensor muscles through embedded shape-memory alloys. This intervention aims to support the knee joint during gait, enhancing stability and mobility for elderly individuals with compromised muscle function. Receives: Device: Fabric-Type Knee Extensor Muscle-Mimicking Orthosis |
What is being measured
The primary outcome is the main question the study is designed to answer.
Completion Rate
The proportion of participants who complete the study as per the protocol, which indicates the orthosis's acceptability and the study's overall manageability.
Measured: 1.Baseline (before brace application) 2.Immediately post-brace application (power off), 3.Immediately post-brace activation (power on)
Secondary outcomes (6)
Dropout Rate
Measures participant retention throughout the study, providing insights into the orthosis's usability and participant satisfaction.
Measured: 1.Baseline (before brace application) 2.Immediately post-brace application (power off), 3.Immediately post-brace activation (power on)
User Feedback
Collected using the Quebec User Evaluation of Satisfaction with assistive Technology 2.0 (QUEST 2.0), which will cover aspects such as the orthosis's comfort, ease of use, safety, and effectiveness. This feedback is vital for understanding user satisfaction and for guiding future improvements.
Measured: 1.Baseline (before brace application) 2.Immediately post-brace application (power off), 3.Immediately post-brace activation (power on)
6-Minute Walk Test
To measure the distance covered in six minutes as a test of aerobic capacity and endurance, which may improve with the use of the orthosis.
Measured: 1.Baseline (before brace application) 2.Immediately post-brace application (power off), 3.Immediately post-brace activation (power on)
10-Meter Walk Test
To assess changes in basic walking speed over a short distance, reflecting potential improvements in mobility.
Measured: 1.Baseline (before brace application) 2.Immediately post-brace application (power off), 3.Immediately post-brace activation (power on)
Surface Electromyography
To evaluate muscle activity patterns that indicate the orthosis's impact on muscle engagement during gait and sit to stand.
Measured: 1.Baseline (before brace application) 2.Immediately post-brace application (power off), 3.Immediately post-brace activation (power on)
Gait Analysis
Using tools like the GAITRite system to obtain detailed measurements of gait cycle characteristics, providing comprehensive insights into the functional improvements afforded by the orthosis.
Measured: 1.Baseline (before brace application) 2.Immediately post-brace application (power off), 3.Immediately post-brace activation (power on)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Apr 2024
- Study start31 Jul 2024
- Primary completion30 Jul 2025 (estimated)
- Study completion14 May 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for GaitStudies of the same condition, open and under way.
- More trials run by Seoul National University HospitalThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 30 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Seoul National University Hospital
- Sponsor type
- University, hospital or other
- Collaborators
- Ministry of Science and ICT, Republic of Korea
- Responsible party
- Sponsor
- Investigators
- hyungik shin, prof, Principal investigator, Seoul National University HospitalWoo Hyung Lee, prof, Study director, Seoul National University HospitalJung hyun Kim, prof, Study director, Seoul National University Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06387459
- Sponsor's protocol ID
- 2022M3C1A3090827
- Status last verified
- Jul 2024
- First submitted
- 22 Apr 2024
- Last updated
- 11 Jun 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 11 Jun 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Safety and Feasibility of Knee Extensor Muscle-mimicking, Fabric-type Orthosis on Gait in Geriatric Patients: Pilot Clinical Trial
- ClinicalTrials.gov ID
- NCT06387459
- Acronym / sponsor ID
- 2022M3C1A3090827
- Conditions
- Gait, Fall, Orthotic Devices
- Keywords
- Geriatric patient
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 30 participants (estimated)
- Lead sponsor
- Seoul National University HospitalUniversity, hospital or other
- Collaborators
- Ministry of Science and ICT, Republic of Korea
- Study start
- 31 Jul 2024 (actual)
- Primary completion
- 30 Jul 2025 (estimated)
- Study completion
- 14 May 2026 (estimated)
- First posted
- 29 Apr 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This pilot clinical trial assesses the safety and feasibility of a novel fabric-type orthosis designed to mimic the knee extensor muscles and improve gait in elderly patients with mobility impairments due to conditions like sarcopenia, diabetes, or knee osteoarthritis. The study aims to test this orthosis in a real- world setting to see if it can enhance mobility and stability for elderly individuals, potentially reducing falls and improving quality of life. A total of 30 participants aged 65 and older will be recruited to use this orthosis across multiple sessions, where their gait will be analyzed under various conditions to measure the device's impact on walking speed, stability, and muscle activation.
Detailed description
Objectives:
- Primary Objective: To evaluate the safety and feasibility of the fabric-type knee extensor muscle-mimicking orthosis in improving gait among elderly patients.
- Secondary Objectives: To measure changes in walking speed, endurance, and muscle activity to infer potential benefits in daily mobility.
Study Design:
- Study Population: 30 elderly patients suffering from conditions affecting mobility (sarcopenia, diabetes, knee osteoarthritis).
- Intervention: Use of a fabric-type orthosis mimicking knee extensor function, equipped with shape-memory alloy for dynamic movement support.
- Methodology:
- Training and Adaptation: Participants will undergo an initial training session to get accustomed to the orthosis, including donning and doffing, adjustment, and use in various environments (flat surfaces, inclines).
- Assessment Protocol:
- Before wearing the orthosis-after wearing the orthosis (power off)-after wearing the orthosis (power on)
- Walking environment will include EMG (Electromyography) measurements, 6-minute walk test, 10-meter walk test, and comprehensive gait analysis using platforms like the GAITRite system.
- Seating environment will include EMG (Electromyography) measurements and TUG test. 3. Safety Monitoring: Continuous monitoring of physiological responses (blood pressure, heart rate), musculoskeletal assessments, and skin integrity checks to monitor for adverse reactions or discomfort
Study design
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Knee Extensor Muscle-Mimicking Orthosis | Experimental | Device: Fabric-Type Knee Extensor Muscle-Mimicking OrthosisThis arm involves participants wearing a novel, lightweight fabric-type orthosis designed to mimic the function of knee extensor muscles through embedded shape-memory alloys. This intervention aims to support the knee joint during gait, enhancing stability and mobility for elderly individuals with compromised muscle function. |
Who may qualify
- Ages
- 65 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Older adult
Key inclusion criteria (11 listed)
- Eligibility for participation in the study requires that all the following criteria are met:
- Age: Participants must be 65 years of age or older.
- Comprehension and Compliance: Able to fully understand and comply with the instructions and study procedures.
- Mobility-Impacting Conditions: Must have at least one of the following conditions affecting mobility: (1)Sarcopenia:
Key exclusion criteria (15 listed)
- Individuals meeting any of the following criteria will be excluded from study participation:
- Inability to Consent: Unable to provide informed consent or not willing to participate in the study procedures.
- Severe Sensory or Motion Limitations: Including severe visual or vestibular impairments that could increase the risk of falling.
- Communication Barriers: Significant hearing, speech, or language problems that would hinder communication with study personnel.
- Independent Walking Inability: Cannot walk independently without the aid of a walking device.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Fabric-Type Knee Extensor Muscle-Mimicking OrthosisThe intervention device is a fabric-based orthosis incorporating shape-memory alloy springs designed to mimic the action of knee extensor muscles. The primary function of this orthosis is to provide supplementary support to the knee joint during walking, aiming to stabilize the gait of elderly individuals affected by muscle weakness or degenerative joint conditions. Material: The orthosis is made from a lightweight, flexible fabric that allows for breathability and comfort during extended wear. Mechanism: Embedded within the fabric are shape- memory alloy springs that function similarly to biological muscles. | Device | Knee Extensor Muscle-Mimicking Orthosis |
Primary outcome
Completion Rate
Time frame: 1.Baseline (before brace application) 2.Immediately post-brace application (power off), 3.Immediately post-brace activation (power on)
The proportion of participants who complete the study as per the protocol, which indicates the orthosis's acceptability and the study's overall manageability.
6 secondary outcomes
Dropout Rate
Time frame: 1.Baseline (before brace application) 2.Immediately post-brace application (power off), 3.Immediately post-brace activation (power on)
User Feedback
Time frame: 1.Baseline (before brace application) 2.Immediately post-brace application (power off), 3.Immediately post-brace activation (power on)
6-Minute Walk Test
Time frame: 1.Baseline (before brace application) 2.Immediately post-brace application (power off), 3.Immediately post-brace activation (power on)
10-Meter Walk Test
Time frame: 1.Baseline (before brace application) 2.Immediately post-brace application (power off), 3.Immediately post-brace activation (power on)
Surface Electromyography
Time frame: 1.Baseline (before brace application) 2.Immediately post-brace application (power off), 3.Immediately post-brace activation (power on)
Gait Analysis
Time frame: 1.Baseline (before brace application) 2.Immediately post-brace application (power off), 3.Immediately post-brace activation (power on)
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Jun 2025.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
hyungik shin, prof principal investigator
Seoul National University Hospital
Woo Hyung Lee, prof study director
Seoul National University Hospital
Jung hyun Kim, prof study director
Seoul National University Hospital
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Fabric-Type Knee Extensor Muscle-Mimicking Orthosis in people with Gait and Fall, run by Seoul National University Hospital at 1 site in South Korea.
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 11 inclusion and 15 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: status not confirmed, as of the sponsor's last update on 11 Jun 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in South Korea. 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?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact JungHyun Kim, prof (82+1088632341, kiking0@naver.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Completion Rate (time frame: 1.Baseline (before brace application) 2.Immediately post-brace application (power off), 3.Immediately post-brace activation (power on)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 11 Jun 2025.