Clinical trial Recruiting at 1 site Interventional Ages 18 to 80

Using TENS to restore localized limb sensations and improve phantom limb perception after above- or below-knee amputation

Official title: Transcutaneous Electrical Nerve Stimulation for Restoring Somatotopic Sensory Feedback in Lower Limb Amputees and Improving Phantom Limb Perception

Run by Campus Bio-Medico University · NCT07448350 · Data updated 2026-11-12

This program tests whether a four-week course of transcutaneous electrical nerve stimulation (TENS) combined with conventional rehabilitation can restore somatotopic sensations and improve phantom limb perception in adults with a single above- or below-knee amputation.

Quick facts

Study typeInterventional
Ages18 Years to 80 Years
SexAll
Enrollment15 (estimated)
SponsorCampus Bio-Medico University
Academic / other
Locations1 site (Rome, Rome)
StatusRecruiting
StartedMay 5, 2026
Main results expectedOctober 31, 2027
Study endsDecember 31, 2027
Registry record updatedOctober 22, 2026
Trial IDNCT07448350 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18–80 with a single above- or below-knee amputation at least two months earlier, stable clinical status, intact residual-limb skin, able to walk with a prosthesis, cognitively intact, and with no prior TENS experience are ideal candidates.

Probably not a fit

People with bilateral amputation, open wounds on the residual limb, implanted electronic medical devices, pregnancy, significant cognitive deficits, or who cannot walk with a prosthesis are unlikely to benefit or be eligible.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Adults with unilateral transtibial or transfemoral amputation receive a four-week, clinic-based program combining TENS and conventional rehabilitation delivered five days per week. Sessions include repeated sensory mapping to locate optimal electrode positions over the tibial or sciatic nerve, stimulus intensity discrimination training, and rehabilitation treatments, with evaluation sessions spaced through the course. Most sessions last about 60 minutes and evaluation sessions about 90 minutes, and all enrolled participants receive the same intervention (no randomization). The aim is to track changes in phantom limb perception, posture, balance, and gait following the TENS-enhanced rehabilitation program.

Why it matters

Potential benefit: If successful, this approach could restore more natural, localized limb sensations, reduce phantom limb discomfort, and improve posture, balance, and walking function.

How similar studies have gone: Small clinical reports and prior peripheral nerve stimulation studies have shown reductions in phantom pain and altered sensation, but restoring precise somatotopic sensory feedback in lower-limb amputees remains relatively novel and not yet widely proven.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age between 18 and 80 years;
* unilateral TTA or TFA at least two months prior the study;
* stable clinical conditions;
* skin integrity;
* absence of cognitive deficits;
* able to walk using the prosthesis;
* no previous experience with TENS.

Exclusion Criteria:

* Bilateral amputation;
* open wounds or sores on the residual limb;
* cognitive deficits;
* pregnancy;
* presence of implanted medical device (e.g., cardiac defibrillators, pacemakers or infusion pumps);
* refusal to sign the informed consent.

Where it's running

  • Don Gnocchi Foundation
    Rome, Rome, Italy
    Recruiting

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.