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Gait and Energy Expenditure in Children With Lower Limb Amputation (MAPEDE)

Recruitingn/aAges 7 Years - 17 YearsAllRennes University Hospital
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In plain words

What the trial is, and whether it could suit you

In lower limb amputation, prosthetic gait has been shown to be particularly energy-intensive. While energy expenditure has been the focus of many studies in adult amputees, this area of research is less developed for paediatric amputees. However, the increase in energy expenditure has implications for the physical, gait, and balance abilities of amputees of all ages. Combined with physical deconditioning, it exposes the patient to a greater risk of a sedentary lifestyle and weight gain, which is detrimental to their prosthetic training, autonomy, and length of hospital stay. However, this increased expenditure and deconditioning is not currently the subject of systematic evaluation in routine clinical practice for this population. In contrast to adults, the gait pattern of children amputees is poorly described, and the relation between energy expenditure and gait is rarely discussed. Oxy

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📋 Eligibility rules (as published)
Inclusion Criteria: * Minor aged 7 and over * Congenital (transverse agenesis with break in limb continuity) or acquired (any etiology) unilateral transfemoral or transtibial amputation. \[In the case of femoral agenesis, the flexion axis of the prosthetic knee must coincide with the contralateral one to optimize the analysis of the kinematic parameters of gait\]. * Definitive prosthesis in place (no restriction on choice of prosthetic components) * Legal representatives not opposing participation in the study for the child Exclusion Criteria: * Revision surgery on the residual limb within the last 3 months * Progressive pathology associated with amputation (unstabilized sarcoma for example) which can strongly influence walking and/or energy expenditure * Cognitive and/or behavioral disorders that may affect compliance or test performance * Patient already included in an interventional research protocol that could lead to bias in the present study
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What it tests

  • Gait and energy expenditure
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Where

8 sites
Fondation Hopale, Centre Jacques Calvé
Berck, France
Centre 02 - CHU Brest, Hôpital Morvan
Brest, France
Centre 04 - Hospices Civils de Lyon, Hôpital Mère Enfant Groupement Hospitalier Est
Bron, France
Centre 03 - CHU Dijon, Hôpital Le Bocage
Dijon, France
Centre 08 - Croix-Rouge Française, Centre Médico-Chirurgical de Réadaptation des Massues
Lyon, France
Centre 01 - CHU de RENNES, Hôpital Pontchaillou
Rennes, France
Hôpitaux Paris Est Val-de-Marne, Hôpital Saint-Maurice
Saint-Maurice, France
Centre 06 - Institut Robert Merle d'Aubigné, IRMA Valenton
Valenton, France
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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