Evaluation of Heel Offloading Devices for Reducing Heel Contact Pressures in Healthy Volunteers

Sponsor
DeRoyal Industries, Inc. (Industry)
Overall Status
Completed
CT.gov ID
NCT02811965
Collaborator
Lincoln Memorial University (Other)
21
1
7
5
4.2

Study Details

Study Description

Brief Summary

Prevention of heel pressure ulceration is a major clinical concern. Clinical research has shown that heel-offloading devices are effective at preventing heel ulceration when compared to no offloading or sub-optimal offloading methods (i.e. use of a hospital pillow to offload the heel). As a result, a plethora of heel-offloading devices have been developed that utilize different designs and materials to offload the heel. Despite the availability of these devices, some healthcare facilities still employ no heel offloading or utilize sub-optimal heel offloading strategies. It is also difficult for clinicians to compare the effectiveness of different heel offloading device without conducting extensive clinical evaluations. Pressure mapping of the pressure experienced by the heel while offloaded offers a potential method to assess the effectiveness of different heel offloading strategies.

The primary hypothesis of this study is that the three tested heel offloading devices will significantly decrease the heel contact forces compared to no offloading and sub-optimal heel offloading conditions. The secondary objective is to quantify differences in heel contact forces experienced by the heel when placed in each heel offloading device to demonstrate the utility of pressure mapping as a tool to evaluate the effectiveness of different heel offloading devices.

The study will recruit 21 healthy volunteers as research subjects with 7 having a normal BMI, 7 having an overweight BMI, and 7 having an obese BMI. Pressure mapping will be conducted on each research subject for seven randomly applied conditions while the patient lies comfortably in a hospital bed. The seven conditions include no heel offloading, 3 sub-optimal offloading conditions, and offloading in 3 different heel-offloading devices. Pressure measurements corresponding to the heel will be used to determine the average peak pressure contact force for each research subject in each condition.

Condition or Disease Intervention/Treatment Phase
  • Other: Pillow Condition 1
  • Other: Pillow Condition 2
  • Device: Heel Foam Pillow
  • Device: Offloading Device A
  • Device: Offloading Device B
  • Device: Offloading Device C
N/A

Study Design

Study Type:
Interventional
Actual Enrollment :
21 participants
Allocation:
Randomized
Intervention Model:
Crossover Assignment
Intervention Model Description:
Each research subject will have pressure mapping performed on his or her right foot in the 7 conditions described for each study arm to determine the contact forces experienced by the heel in each off-loading condition. Each intervention will be randomly applied.Each research subject will have pressure mapping performed on his or her right foot in the 7 conditions described for each study arm to determine the contact forces experienced by the heel in each off-loading condition. Each intervention will be randomly applied.
Masking:
Single (Outcomes Assessor)
Primary Purpose:
Basic Science
Official Title:
Evaluation of Heel Offloading Devices for Reducing Heel Contact Pressures in Healthy Volunteers
Study Start Date :
Jun 1, 2016
Actual Primary Completion Date :
Nov 1, 2016
Actual Study Completion Date :
Nov 1, 2016

Arms and Interventions

Arm Intervention/Treatment
No Intervention: Control

Pressure mapping is performed without a heel offloading intervention applied.

Experimental: Pillow Condition 1

Pressure mapping is performed with the Pillow condition 1 intervention applied to the heel.

Other: Pillow Condition 1
The heel is offloaded by placing the heel on a standard hospital pillow.

Experimental: Pillow Condition 2

Pressure mapping is performed with the Pillow condition 2 applied to the heel.

Other: Pillow Condition 2
The heel is offloaded by placing a standard hospital pillow under the calf suspending the heel above the hospital bed mattress.

Experimental: Heel Foam Pillow

Pressure mapping is performed with the heel foam pillow device applied to the heel.

Device: Heel Foam Pillow
An economy heel offloading device constructed of egg shell foam.

Experimental: Offloading Device A

Pressure mapping is performed with Offloading Device A applied to the heel.

Device: Offloading Device A
Heel offloading device that utilizes open cell foam to offload the heel. Device has a published clinical study demonstrating effectiveness at reducing heel ulceration rate.

Experimental: Offloading Device B

Pressure mapping is performed with Offloading Device B applied to the heel.

Device: Offloading Device B
Heel offloading device that utilizes pressure absorbing filling to offload the heel. Device has a published clinical study demonstrating effectiveness at reducing heel ulceration rate

Experimental: Offloading Device C

Pressure mapping is performed with Offloading Device C applied to the heel.

Device: Offloading Device C
Heel offloading device that utilizes a similar pressure absorbing filling to Offloading Device B; however this device does not have published clinical literature demonstrating effectiveness at reducing heel ulceration in the clinic.
Other Names:
  • PRUventor® Heel Off-loading Device
  • Outcome Measures

    Primary Outcome Measures

    1. Average Contact Force Exerted on the Heel [5 minutes of pressure mapping]

      Average contact force calculated from an area of 40.32 cm^2 that encompassed the entire posterior heel. Pressure readings obtained by pressure mapping

    2. Peak Pressure Index on the Heel [5 minutes of pressure mapping]

      Peak pressure index calculated by centering a 3 X 3 region of interest (14.52 cm^2) over maximum pressure sensor reading within the region of interest encompassing the heel.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • 18 years old or older

    • No musculoskeletal injury in the past month

    • Body Mass Index (BMI) between 18.5 and 39.9

    Exclusion Criteria:
    • 17 years old or younger

    • Musculoskeletal injury in the past month

    • Pregnant or lactating female

    • History of heel pressure ulceration

    • BMI below 18.5 or above 39.9

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Lincoln Memorial University; Cedar Bluff Campus Knoxville Tennessee United States 37923

    Sponsors and Collaborators

    • DeRoyal Industries, Inc.
    • Lincoln Memorial University

    Investigators

    • Principal Investigator: Jennifer Savage, DNP, Lincoln Memorial University

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    DeRoyal Industries, Inc.
    ClinicalTrials.gov Identifier:
    NCT02811965
    Other Study ID Numbers:
    • 534
    First Posted:
    Jun 23, 2016
    Last Update Posted:
    Jan 8, 2018
    Last Verified:
    Jan 1, 2018
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Keywords provided by DeRoyal Industries, Inc.
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail
    Arm/Group Title Healthy Research Subjects
    Arm/Group Description Each research subject will have pressure mapping performed on his or her right foot in the 7 interventions listed to determine the contact forces experienced by the heel in each off-loading condition. Each intervention will be randomly applied.
    Period Title: Overall Study
    STARTED 21
    COMPLETED 21
    NOT COMPLETED 0

    Baseline Characteristics

    Arm/Group Title Healthy Research Subjects
    Arm/Group Description Each research subject will have pressure mapping performed on his or her right foot in the 7 interventions listed to determine the contact forces experienced by the heel in each off-loading condition. Each intervention will be randomly applied.
    Overall Participants 21
    Age (Count of Participants)
    <=18 years
    0
    0%
    Between 18 and 65 years
    20
    95.2%
    >=65 years
    1
    4.8%
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    36.5
    (14.1)
    Sex: Female, Male (Count of Participants)
    Female
    17
    81%
    Male
    4
    19%
    Race and Ethnicity Not Collected (Count of Participants)
    Weight, Continuous (lbs) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [lbs]
    168.6
    (43.5)
    Height, Continuous (inches) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [inches]
    65.7
    (4.2)
    Body Mass Index (BMI), Continuous (kg/m^2) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [kg/m^2]
    27.3
    (5.7)
    BMI, Categorical (Count of Participants)
    18.5 < BMI < 24.9
    8
    38.1%
    25 < BMI < 29.9
    7
    33.3%
    30 < BMI
    6
    28.6%

    Outcome Measures

    1. Primary Outcome
    Title Average Contact Force Exerted on the Heel
    Description Average contact force calculated from an area of 40.32 cm^2 that encompassed the entire posterior heel. Pressure readings obtained by pressure mapping
    Time Frame 5 minutes of pressure mapping

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Control Pillow Condition 1 Pillow Condition 2 Heel Foam Pillow Offloading Device A Offloading Device B Offloading Device C
    Arm/Group Description Pressure mapping is performed without a heel offloading intervention applied. Pressure mapping is performed with the Pillow condition 1 intervention applied to the heel. Pressure mapping is performed with the Pillow condition 2 applied to the heel. Pressure mapping is performed with the heel foam pillow device applied to the heel. Pressure mapping is performed with Offloading Device A applied to the heel. Pressure mapping is performed with Offloading Device B applied to the heel. Pressure mapping is performed with Offloading Device C applied to the heel.
    Measure Participants 21 21 21 21 21 21 21
    Mean (Standard Deviation) [mmHg]
    60.25
    (13.68)
    39.74
    (10.84)
    5.57
    (3.94)
    29.34
    (7.67)
    24.50
    (9.63)
    20.72
    (10.25)
    7.00
    (12.51)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Control, Pillow Condition 1, Pillow Condition 2, Heel Foam Pillow, Offloading Device A, Offloading Device B, Offloading Device C
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.00005
    Comments A priori threshold p < 0.05
    Method Repeated Measures ANOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Control, Pillow Condition 1
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.00005
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Control, Pillow Condition 2
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.00005
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Control, Heel Foam Pillow
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.00005
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Control, Offloading Device A
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.00005
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Control, Offloading Device B
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.00005
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Control, Offloading Device C
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.00005
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Pillow Condition 1, Pillow Condition 2
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.00005
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 9
    Statistical Analysis Overview Comparison Group Selection Pillow Condition 1, Heel Foam Pillow
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.01
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 10
    Statistical Analysis Overview Comparison Group Selection Pillow Condition 1, Offloading Device A
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0002
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 11
    Statistical Analysis Overview Comparison Group Selection Pillow Condition 1, Offloading Device B
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.00005
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 12
    Statistical Analysis Overview Comparison Group Selection Pillow Condition 1, Offloading Device C
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.00005
    Comments
    Method t-test, 2 sided
    Comments
    Statistical Analysis 13
    Statistical Analysis Overview Comparison Group Selection Pillow Condition 2, Heel Foam Pillow
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.00005
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 14
    Statistical Analysis Overview Comparison Group Selection Pillow Condition 2, Offloading Device A
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.00005
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 15
    Statistical Analysis Overview Comparison Group Selection Pillow Condition 2, Offloading Device B
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.00005
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 16
    Statistical Analysis Overview Comparison Group Selection Pillow Condition 2, Offloading Device C
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.24
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 17
    Statistical Analysis Overview Comparison Group Selection Heel Foam Pillow, Offloading Device A
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.14
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 18
    Statistical Analysis Overview Comparison Group Selection Heel Foam Pillow, Offloading Device B
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0093
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 19
    Statistical Analysis Overview Comparison Group Selection Heel Foam Pillow, Offloading Device C
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.00005
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 20
    Statistical Analysis Overview Comparison Group Selection Offloading Device A, Offloading Device B
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.14
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 21
    Statistical Analysis Overview Comparison Group Selection Offloading Device A, Offloading Device C
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.00005
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 22
    Statistical Analysis Overview Comparison Group Selection Offloading Device B, Offloading Device C
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.00005
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    2. Primary Outcome
    Title Peak Pressure Index on the Heel
    Description Peak pressure index calculated by centering a 3 X 3 region of interest (14.52 cm^2) over maximum pressure sensor reading within the region of interest encompassing the heel.
    Time Frame 5 minutes of pressure mapping

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Control Pillow Condition 1 Pillow Condition 2 Heel Foam Pillow Offloading Device A Offloading Device B Offloading Device C
    Arm/Group Description Pressure mapping is performed without a heel offloading intervention applied. Pressure mapping is performed with the Pillow condition 1 intervention applied to the heel. Pressure mapping is performed with the Pillow condition 2 applied to the heel. Pressure mapping is performed with the heel foam pillow device applied to the heel. Pressure mapping is performed with Offloading Device A applied to the heel. Pressure mapping is performed with Offloading Device B applied to the heel. Pressure mapping is performed with Offloading Device C applied to the heel.
    Measure Participants 21 21 21 21 21 21 21
    Mean (Standard Deviation) [mmHg]
    120.15
    (23.88)
    69.93
    (17.63)
    10.97
    (8.42)
    48.06
    (9.87)
    39.88
    (18.01)
    32.18
    (14.71)
    12.51
    (8.26)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Control, Pillow Condition 1, Pillow Condition 2, Heel Foam Pillow, Offloading Device A, Offloading Device B, Offloading Device C
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.00005
    Comments A priori threshold p<0.05.
    Method Repeated Measures ANOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Control, Pillow Condition 1
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.00005
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Control, Pillow Condition 2
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.00005
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Control, Heel Foam Pillow
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.00005
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Control, Offloading Device A
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.00005
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Control, Offloading Device B
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.00005
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Control, Offloading Device C
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.00005
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Pillow Condition 1, Pillow Condition 2
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.00005
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 9
    Statistical Analysis Overview Comparison Group Selection Pillow Condition 1, Heel Foam Pillow
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0011
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 10
    Statistical Analysis Overview Comparison Group Selection Pillow Condition 1, Offloading Device A
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.00005
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 11
    Statistical Analysis Overview Comparison Group Selection Pillow Condition 1, Offloading Device B
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.00005
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 12
    Statistical Analysis Overview Comparison Group Selection Pillow Condition 1, Offloading Device C
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.00005
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 13
    Statistical Analysis Overview Comparison Group Selection Pillow Condition 2, Heel Foam Pillow
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.00005
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 14
    Statistical Analysis Overview Comparison Group Selection Pillow Condition 2, Offloading Device A
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.00005
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 15
    Statistical Analysis Overview Comparison Group Selection Pillow Condition 2, Offloading Device B
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.00005
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 16
    Statistical Analysis Overview Comparison Group Selection Pillow Condition 2, Offloading Device C
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.53
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 17
    Statistical Analysis Overview Comparison Group Selection Heel Foam Pillow, Offloading Device A
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.092
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 18
    Statistical Analysis Overview Comparison Group Selection Heel Foam Pillow, Offloading Device B
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0044
    Comments
    Method t-test, 2 sided
    Comments
    Statistical Analysis 19
    Statistical Analysis Overview Comparison Group Selection Heel Foam Pillow, Offloading Device C
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.00005
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 20
    Statistical Analysis Overview Comparison Group Selection Offloading Device A, Offloading Device B
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.084
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 21
    Statistical Analysis Overview Comparison Group Selection Offloading Device A, Offloading Device C
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.00005
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments
    Statistical Analysis 22
    Statistical Analysis Overview Comparison Group Selection Offloading Device B, Offloading Device C
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.00005
    Comments P-value adjusted with Holm-Bonferroni Correction for multiple comparison. A priori threshold p<0.05.
    Method t-test, 2 sided
    Comments

    Adverse Events

    Time Frame
    Adverse Event Reporting Description
    Arm/Group Title Control Pillow Condition 1 Pillow Condition 2 Heel Foam Pillow Offloading Device A Offloading Device B Offloading Device C
    Arm/Group Description Pressure mapping is performed without a heel offloading intervention applied. Pressure mapping is performed with the Pillow condition 1 intervention applied to the heel. Pressure mapping is performed with the Pillow condition 2 applied to the heel. Pressure mapping is performed with the heel foam pillow device applied to the heel. Pressure mapping is performed with Offloading Device A applied to the heel. Pressure mapping is performed with Offloading Device B applied to the heel. Pressure mapping is performed with Offloading Device C applied to the heel.
    All Cause Mortality
    Control Pillow Condition 1 Pillow Condition 2 Heel Foam Pillow Offloading Device A Offloading Device B Offloading Device C
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN)
    Serious Adverse Events
    Control Pillow Condition 1 Pillow Condition 2 Heel Foam Pillow Offloading Device A Offloading Device B Offloading Device C
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/21 (0%) 0/21 (0%) 0/21 (0%) 0/21 (0%) 0/21 (0%) 0/21 (0%) 0/21 (0%)
    Other (Not Including Serious) Adverse Events
    Control Pillow Condition 1 Pillow Condition 2 Heel Foam Pillow Offloading Device A Offloading Device B Offloading Device C
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/21 (0%) 0/21 (0%) 0/21 (0%) 0/21 (0%) 0/21 (0%) 0/21 (0%) 0/21 (0%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days. The sponsor cannot require changes to the communication and cannot extend the embargo.

    Results Point of Contact

    Name/Title Jennifer Savage, DNP, APN, FNP-BC
    Organization Lincoln Memorial University
    Phone
    Email jennifer.savage@lmunet.edu
    Responsible Party:
    DeRoyal Industries, Inc.
    ClinicalTrials.gov Identifier:
    NCT02811965
    Other Study ID Numbers:
    • 534
    First Posted:
    Jun 23, 2016
    Last Update Posted:
    Jan 8, 2018
    Last Verified:
    Jan 1, 2018