Study of the Wearable Walkasins Device to Improve Walking, Balance, and Physical Activity in Adults with Peripheral Neuropathy
Led by RxFunction Inc. · Updated on 2026-06-25
18
Participants Needed
1
Research Sites
30 weeks
Total Duration
AI-Summary
What this Trial Is About
Researchers are evaluating whether sensory stimulations from a wearable neuroprosthesis device called Walkasins can increase physical activity and improve walking quality in adults aged 60 and older with peripheral neuropathy PN. The study focuses on whether Walkasins enhances daily activity patterns and balance in this population, who experience sensory loss in their feet leading to balance impairments. This is a prospective within-participant study conducted over one year, where participants serve as their own control.
Participants will undergo baseline assessments including balance, walking tests, questionnaires, and a 10-day monitoring period of habitual physical activity without using Walkasins. After these baseline measures, participants receive the Walkasins device, which includes an insole and an ankle strap that delivers gentle vibrations to provide sensory feedback. They will wear the device daily for 10 weeks while repeating activity monitoring and assessments to track changes in physical activity and gait quality.
Throughout the study, participants will perform balance and walking tasks, including a six-minute walk test without assistive devices, and complete questionnaires about medical history, balance confidence, and sleep. They will wear an activity monitor activPAL for 10 days at baseline, at the start of Walkasins use, and after 10 weeks of use. Researchers will measure outcomes such as metabolic equivalent activity scores, step counts, sedentary time, and various physical function tests to understand the devices impact on mobility and balance over approximately 12 weeks.
CONDITIONS
Brief Title
Wearable Sensory Prosthesis to Improve Coordination, Walking, and Physical Activity
Research Team
D
Dorian Rose, PT, MS, PhD, FAPTA
H
Hannah Grimes
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This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
Factors
Walkasins Sensory Prosthesis
Structured Rehabilitation Therapy
What it is
A wearable external sensory prosthesis (Walkasins) that provides tactile cues to the lower leg to compensate for lost foot pressure sensation and improve balance and gait.
A supervised physical therapy program including structured balance, gait, and strength training to reduce fall risk and improve walking in older adults with peripheral neuropathy.
Role in trial
Investigational intervention given to every eligible participant in the study to evaluate its impact on walking, balance, and physical activity.
Best-practice therapy commonly received by patients outside the study for the same purpose of improving balance and walking ability.
Primary use
Designed to provide sensory feedback to improve balance, gait, physical activity, and reduce sedentary time in older adults with neuropathy-related balance impairment.
Aims to enhance balance and mobility, increase physical activity, and prevent falls using tailored exercises and supervised movement training.
How it is given or performed
Participants wear the device on the lower leg during standing and walking; tactile cues are produced by the device to reflect real-time foot pressure.
Therapy is delivered through supervised in-person sessions with a physical therapist, including balance training, gait exercises, and strength work, usually over several weeks.
Evidence status
Efficacy under ongoing investigation in this trial and smaller published studies. Preliminary results from prior Walkasins research show improvements in gait, balance, and reduced falls after 10 and 26 weeks of use.
Established efficacy for improving balance, mobility, and reducing falls in older adults with peripheral neuropathy; multiple trials confirm significant functional benefit.
Important limitations
Limited by small sample size to date and lack of direct comparison with active rehabilitation. Long-term benefit and optimal use with standard therapy are not yet established.
Requires regular visits and active participation, which may not be feasible for all patients; individual results can vary based on program adherence and comorbidities.
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
Who Can Participate
Age: 60Years +
All Genders
Eligibility Criteria
You may qualify if you...
Be 60 years of age or older
Have a diagnosis of peripheral neuropathy with loss of sensation on the soles of the feet
Show balance impairment with single-leg stance time less than 23 seconds
Be able to walk independently for at least 6 minutes without using a cane or walker (rest breaks allowed)
Be willing to use the Walkasins device as directed
Agree to participate in all physical activity monitoring and study assessments
You will not qualify if you...
Under 60 years of age
No diagnosis of peripheral neuropathy with plantar sensory loss
Have acute thrombophlebitis including deep vein thrombosis
Have severe peripheral vascular disease
Untreated lymphedema
Untreated wounds, swelling, infections, or skin eruptions on the lower leg near where the device would be worn
Untreated fractures in the foot or ankle
Other neurological or musculoskeletal conditions significantly affecting walking
Use of ankle-foot orthosis that prevents wearing Walkasins
Weigh more than 300 pounds
Cannot feel vibration from the Walkasins device
Do not have balance impairment defined as single-leg stance time less than 23 seconds
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Baseline Assessment
Duration - Approximately 2 weeks
Participants complete balance and walking tests, questionnaires, and wear an activity monitor for 10 days without using Walkasins to establish baseline measurements.
1 visit and 10 days of activity monitoring
Walkasins Use Period
Duration - 10 weeks
Participants receive the Walkasins device and wear it daily for 10 weeks. They also wear an activity monitor for 10 days at the start and end of this period to track changes in physical activity and walking.
2 monitoring periods of 10 days each plus device use
Follow-up Assessment
Duration - 1 to 2 weeks
Participants repeat balance and walking tests, questionnaires, and activity monitoring to measure effects after 10 weeks of Walkasins use.
1 visit and 10 days of activity monitoring
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
OTHER
Number of Arms
1
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Published Research Related To This Trial
The Effects of a Wearable Sensory Prosthesis on Gait and Balance Function After 10 Weeks of Use in Persons With Peripheral Neuropathy and High Fall Risk - The walk2Wellness Trial.
Extended effects of a wearable sensory prosthesis on gait, balance function and falls after 26 weeks of use in persons with peripheral neuropathy and high fall risk-The walk2Wellness trial.