Stump hyperhidrosis in lower limb amputees MedDRA version: 16.1 Level: PT Classification code 10020642 Term: Hyperhidrosis System Organ Class: 10040785 - Skin and subcutaneous tissue disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Lower limb amputation at any level. - Evolution of time since the amputation: 6 months or more. - Prosthesis wearers. - Activity level: K2-K4. - Excessive sweating of the stump that produces alteration in the use / fit of the prosthesis. - Approval and signing of informed consent. - Age >18. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 10 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 8
Exclusion criteria
Exclusion criteria: - Having another type of treatment for excessive sweating of the stump. - Existence of contraindications to the use of botulinum toxin: hypersensitivity to the molecule, myasthenia gravis, Eaton-Lambert syndrome, amyotrophic lateral sclerosis, peripheral neuromuscular disorders. - Having a pacemaker. - Cutaneous impairment in the stump: infection or loss of skin integrity. - Pregnancy or lactation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Check the effectiveness of botulinum toxin type A free of complexing proteins used by iontophoresis to decrease sweating of lower limb stump.;Secondary Objective: - Assess comfort / tolerability/adverse effects of the technique - Determine the duration of effect - Assess if there are significant changes in patients? quality of life - Assess if significant changes occur in six minutes walking test - Assess if there is any impact on the level of pain on the stump and the phantom limb;Primary end point(s): Questionnaire: - How much sweat do you have during the day? (VAS 0-10) - How much does sweat interfere in the placement of the prosthesis? (VAS 0-10) - How long can you walk without losing adhesion of the prosthesis? (timed) - How many times a day do you have to remove the prosthesis to dry the stump and the socket? - How much pain do you have in the amputation stump? (VAS 0-10) - How much phantom limb pain do you have? (VAS 0-10);Timepoint(s) of evaluation of this end point: One week before and 15 days after placebo intervention,15 days, 1.5 months, 2.5 months and 3.5 months after real intervention. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): - Pain / Discomfort during the procedure (VAS 0-10) - Scale of quality of life: SF-36. - 6 minute walking test - Complications / adverse effects.;Timepoint(s) of evaluation of this end point: One week before and 15 days after placebo intervention,15 days, 1.5 months, 2.5 months and 3.5 months after real intervention. | — |
Countries
Spain
Contacts
Hospital Universitari de Tarragona Joan XXIII