Exoskeletons for Spinal Cord Injury: A Feasibility Study
An Open, Longitudinal, Prospective, Non-randomized, Self-Controlled Feasibility Study to Investigate the Effect of the ReWalk™ Device on Mobility Outcomes in Patients With Chronic Spinal Cord Injury.
1 other identifier
interventional
10
1 country
1
Brief Summary
In this study, 10 volunteer participants with chronic spinal cord injury will undergo a 10-week training schedule for ambulation with the ReWalk™ device. The ReWalk™ consists of a lightweight brace-support suit containing motors at the hip and knee joints, rechargeable batteries and a computerized control system carried in a backpack. ReWalk™ users control their ambulation through subtle changes in centre of gravity and upper-body movements. Before, during and after training sessions the volunteers will perform standardised assessments and complete questionnaires to assess the functional and psychological effects of the exoskeleton. Functional outcomes primarily focus on ambulation outcomes and psychological outcomes primarily focus on predisposition and perceptions of disability. The outcomes of this pilot study will assist the investigators in the preparations of randomised controlled trail for assessing the efficacy of the ReWalk™ device in a neurorehabilitation setting.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_4
Started Jun 2013
Shorter than P25 for phase_4
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
June 1, 2013
CompletedFirst Submitted
Initial submission to the registry
July 22, 2013
CompletedFirst Posted
Study publicly available on registry
September 17, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2013
CompletedSeptember 17, 2013
September 1, 2013
6 months
July 22, 2013
September 16, 2013
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
10-meter walking test (10MWT)
Change in score between 0 and 10 weeks.
10 weeks
Secondary Outcomes (4)
6-minutes walk test (6MWT)
10 weeks
Timed Up and Go (TUG) test
10 weeks
Assistive Technology Device Predisposition Assessment© (ATDPA) Questionnaire
10 weeks
Appraisals of Disability: Primary and Secondary Scale (ADAPSS) Questionnaire
10 weeks
Other Outcomes (2)
Stair management
10 weeks
Obstacle course
10 weeks
Study Arms (1)
ReWalk™ device
EXPERIMENTALSelf-controlled group; single cohort.
Interventions
Twenty one-hour ReWalk™ training sessions are scheduled for each participant over a 10-week period.
Eligibility Criteria
You may qualify if:
- American Spinal Injury Association (ASIA) Impairment Scale (AIS) grade A, B \& C (Lower Extremity Motor Score \<20)
- Motor level of injury from Cervical level 7 to Lumbar level 1, according to ASIA guidelines
- Male and non-pregnant, non-lactating female
- Age 18-55 years old
- At least 12 months after injury
- Able to stand or maintain upright position with or without using a standing device (e.g., 'Easy stand')
- Able to sit with hips and knees ≥90° flexion
- Height of 160 to 190 cm
- Weight of \<100 kg
You may not qualify if:
- History of severe neurological injuries other than spinal cord injury (eg. Multiple Sclerosis, Cerebral Palsy, Amyotrophic Lateral Sclerosis, Traumatic Brain Injury, Stroke)
- Concurrent medical diseases (eg. infections, circulatory, heart or lung, pressure sores) interfering with the study
- Unstable spine or unhealed limbs or pelvic fractures
- Limited range of motion (\<90°) hip and knee joints, including severe contractures
- Severe spasticity (Ashworth grade 4; ie. Affected part(s) rigid in flexion or extension) or uncontrolled clonus
- Diagnosis of severe osteoporosis/penia as proven with pQCT or DXA.
- Psychiatric or cognitive conditions that may interfere with the trial
- Previous use of any exoskeletal robotic device
- Patients incapable of providing informed consent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
National Spinal Injuries Centre, Stoke Mandeville Hospital
Aylesbury, Buckinghamshire, HP21 8AL, United Kingdom
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Joost J. van Middendorp, MD, PhD
Stoke Mandeville Spinal Foundation
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NA
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 22, 2013
First Posted
September 17, 2013
Study Start
June 1, 2013
Primary Completion
December 1, 2013
Study Completion
December 1, 2013
Last Updated
September 17, 2013
Record last verified: 2013-09