Effect of Robot-assisted Training on Foot Drop in Multiple Sclerosis
1 other identifier
interventional
18
1 country
1
Brief Summary
The primary aim of this study is to:
- 1.Collect pilot data on the effect of task-specific lower extremity training using the Anklebot on subjects with Multiple Sclerosis (MS) and who have foot drop;
- 2.Collect pilot data on the use of combination therapy on improving gait in subjects with MS. This therapy will use both Anklebot training and robot-assisted gait training.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_1
Started Feb 2009
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2009
CompletedFirst Submitted
Initial submission to the registry
March 27, 2009
CompletedFirst Posted
Study publicly available on registry
March 31, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2010
CompletedSeptember 20, 2013
September 1, 2013
10 months
March 27, 2009
September 18, 2013
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Ankle accuracy and stiffness
At inclusion, after 8 sessions, after 16 sessions
Secondary Outcomes (2)
Gait assessments (e.g., 6-Minute Walk, Timed 25-Foot Walk)
At inclusion, after every 4 sessions
Functional assessments (EDSS, MS Functional Composite)
At inclusion, after 8 sessions, after 16 sessions
Study Arms (2)
Arm 1
EXPERIMENTALFocused Ankle Training
Arm 2
EXPERIMENTALCombination Therapy
Interventions
The Anklebot is a robotic device that is worn via a leather boot and knee brace (Fig.1). As the participant goes through a series of ankle-training "games," the Anklebot can assist ankle movement throughout 3 planes.
The Lokomat is a motor driven exoskeleton device that employs a body weight support suspension system and treadmill. Attached to the lower limbs, the Lokomat moves the subject's legs over a treadmill through position controlled trajectories that mimic normal human gait patterns.
Eligibility Criteria
You may qualify if:
- Clinical diagnosis of MS by McDonald criteria (McDonald, Compston et al. 2001). EDSS level between 3.5-5.5, who report ambulation problems.
- Presence of unilateral foot drop that is clinically apparent to the PI or PI designate.
- Must be able to ambulate 25 feet without an assisting device.
You may not qualify if:
- Cardiovascular: recent MI \< 4 wk, uncontrolled HTN \>190/110 mmHg.
- History of uncontrolled diabetes.
- Symptoms of orthostasis when standing up.
- Circulatory problems, history of vascular claudication or pitting edema.
- Unable to fully understand instructions in order to use the equipment or the process of the study.
- Body weight over 150 kg.
- Lower extremity injuries that limit range of motion or function.
- Joint problems (hip or leg) that limit range of motion or cause pain with movement despite treatment.
- Unstable fractures.
- Pressure sores with any skin breakdown in areas in contact with the body harness or Lokomat apparatus.
- Chronic and ongoing alcohol or drug abuse.
- Pre-morbid, ongoing depression or psychosis.
- Ongoing physical therapy.
- Pregnancy (self-reported)
- PI's determination of inability to complete the test protocol
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Providence VA Medical Center
Providence, Rhode Island, 02908-4799, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Albert Lo, MD PhD
Providence VA Medical Center
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- FED
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 27, 2009
First Posted
March 31, 2009
Study Start
February 1, 2009
Primary Completion
December 1, 2009
Study Completion
January 1, 2010
Last Updated
September 20, 2013
Record last verified: 2013-09