Actively Recruiting

Phase Not Applicable
Age: 25Years - 55Years
All Genders
ID07188415

Lower Extremity Gait, Mobility and Balance Confidence in Charcot-Marie-Tooth Patients With Cavovarus Foot Deformity

Led by Bopha Chrea · Updated on 2025-09-23

66

Participants Needed

1

Research Sites

21 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are studying how ankle-foot orthoses (AFOs) and surgical correction affect walking, balance, and mobility in people with Charcot-Marie-Tooth disease (CMT), a common inherited nerve condition. CMT often causes walking difficulties that reduce quality of life and lead to frequent falls, mainly from tripping and balance problems. This research aims to better understand the benefits and limits of AFO use compared to surgery, especially for those with a brace-able foot deformity called cavovarus. The study includes two groups: one with CMT patients who had surgical correction but do not use AFOs, and another with CMT patients who use prescribed AFOs but have not had surgery. Participants in the AFO group will perform tests both with and without their braces. The study will take place in a gait lab where mobility and balance will be assessed using various tests and measurements. During the study, participants will complete mobility and balance tests such as the Four-Square Step Test, walking speed measurement, balance confidence questionnaire, falls frequency questionnaire, and gait biomechanics analysis. These assessments will help researchers compare how surgery and AFOs affect walking and balance. The study runs until 2027, and the findings aim to guide better treatment decisions for people with CMT and cavovarus foot deformity.

CONDITIONS

Brief Title

CMT Gait, Mobility, Balance - AOFAS Grant

Who Can Participate

Age: 25Years - 55Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Clinical diagnosis and genetic confirmation of Charcot-Marie-Tooth disease (CMT)
  • Between the ages of 12 and 75 years
  • Able to walk at a slow to moderate pace without an ankle-foot orthosis (AFO)
  • Able to read and write in English and provide written informed consent
  • For the NonOP group: prescribed an AFO for daily activities
  • For the OP group: surgical correction of CMT cavovarus foot deformity focused on muscle balancing and hindfoot correction
Not Eligible

You will not qualify if you...

  • Other causes or risk factors for peripheral neuropathy (e.g., diabetes, alcohol abuse)
  • Uncorrected visual impairment
  • History of musculoskeletal injury requiring surgery
  • Loss of plantar protective sensation
  • Pain greater than 4 out of 10 while walking or increase in pain during testing greater than 2 out of 10
  • Concern by the examiner that the individual will not complete the study
  • For the NonOP group: previous surgical correction of CMT cavovarus foot deformity focused on muscle balancing and hindfoot correction

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Implementation

Duration - Varies by participant

Participants either undergo surgical correction or use prescribed ankle-foot orthoses depending on their group assignment.

Participants in the NonOP group complete study procedures both with and without their AFOs; visit frequency depends on individual assessments.

Monitoring

Duration - Up to study completion

Participants' gait, mobility, balance confidence, and fall frequency are assessed to understand effects of surgery or AFO use.

Visit schedules vary depending on group and assessment requirements.

Trial Site Locations

Total: 1 location

1

University of Iowa Medical Campus - North Liberty (MCNL)

North Liberty, Iowa, United States, 52713

Actively Recruiting

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Research Team

B

Bopha Chrea, MD

L

Lauren Crowe, BS

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

CROSSOVER

Primary Purpose

OTHER

Number of Arms

2

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