Impairment-focused versus task-focused walking training for above-knee amputees
Impairment Oriented Versus Task Oriented Gait Training In Transfemoral Amputee Rehabilitation.
This trial will see if impairment-focused strengthening exercises or task-focused real-life walking practice helps adults (18–40) with a single above-knee amputation walk better after a 10-day training program.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 40 (estimated) |
| Ages | 18 Years to 40 Years |
| Sex | All |
| Sponsor | Foundation University Islamabad Academic / other |
| Locations | 1 site (Islamabad, Punjab Province) |
| Trial ID | NCT07578051 on ClinicalTrials.gov |
What this trial studies
In a randomized controlled trial at Foundation University in Islamabad, 40 unilateral transfemoral amputees aged 18–40 are randomly assigned to two 10-day rehabilitation programs. Both groups receive pre-gait training and corrective walking exercises; Group A receives impairment-oriented strengthening (hip abductors, extensors, flexors, adductors, bridging) with specified holds and repetitions while Group B practices task-oriented functional activities (lateral trunk bending, obstacle stepping, lateral step-ups, walking to visual markers, sit-to-stand with glute focus). Outcome measures include spatiotemporal gait parameters and the Amputee Mobility Predictor (AMP). The design tests which approach produces greater short-term improvements in gait and mobility.
Who should consider this trial
Good fit: Adults 18–40 with a unilateral transfemoral amputation who are medically cleared for physical therapy and willing to attend the program are ideal candidates.
Not a fit: Those with residual limb complications that interfere with mobility, neurological disorders, joint problems in the intact limb, significant cognitive impairment (MoCA <25), uncontrolled diabetes, or current enrollment in another study may not benefit or be eligible.
Why it matters
Potential benefit: If successful, this could help clinicians choose a more effective short-term gait training method to improve walking speed, symmetry, and overall mobility for above-knee amputees.
How similar studies have performed: Task-oriented gait training has shown benefits in other lower-limb amputation and neurological rehabilitation studies, so this trial compares two established approaches in this specific population.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age 18-40 years * Unilateral transfemoral amputees * Cleared by physicians for participation in physical therapy * Willing Exclusion Criteria: * Residual limb complication that interfere with mobility * History of neurological disorders * Any joint complication in intact limb * Currently enrolled in another research study * Mild to severe cognitive impairment (MoCA) i.e , score less than 25 , Uncontrolled diabetes
Where this trial is running
Islamabad, Punjab Province
- Foundation University College of Physical Therapy — Islamabad, Punjab Province, Pakistan (Recruiting)
Study contacts
- Principal investigator: Saliha Bibi, DPT — Foundation University Islamabad
- Study coordinator: Saliha Bibi, DPT
- Email: bibisaliha1293@gmail.com
- Phone: 03171501156
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.