Abdominal Functional Electrical Stimulation to Improve Bowel Function in Spinal Cord Injury
1 other identifier
interventional
15
1 country
1
Brief Summary
The primary objective of this study is to gather information about the effectiveness of abdominal FES to improve bowel management time (BMT) for people with chronic SCI. This study will also evaluate whether abdominal FES can improve: 1) bowel-related quality of life, 2) participant-reported bowel function, 3) bowel management strategy, 4) bladder symptoms, and 5) unplanned hospital admissions. In addition, we will also explore participant perspectives and experiences about the stimulation sessions and use of the device.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Apr 2025
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
First Submitted
Initial submission to the registry
March 28, 2024
CompletedFirst Posted
Study publicly available on registry
April 3, 2024
CompletedStudy Start
First participant enrolled
April 30, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2026
CompletedMarch 31, 2026
March 1, 2026
1 year
March 28, 2024
March 26, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Bowel Management Time (BMT)
This is measured by recording start and end time of bowel management session in study diary.
Daily (Weeks 1-10)
Secondary Outcomes (8)
Bowel Management Strategy
Daily (Weeks 1-10)
Stimulation Dose
During active stimulation period (Weeks 3-7)
EuroQoL 5 Dimension 5 Level (EQ-5D-5L) Questionnaire
Week 1, Week 3, Week 7, Week 10
International Spinal Cord Society's (ISCoS) International SCI Bowel Function Basic Data Set Questionnaire
Week 1, Week 3, Week 7, Week 10
Visual Analog Scale (VAS)
Week 1, Week 3, Week 7, Week 10
- +3 more secondary outcomes
Study Arms (1)
Abdominal Functional Electrical Stimulation
EXPERIMENTALAll participants enrolled will receive the intervention.
Interventions
Functional electrical stimulation electrodes will be applied to the abdomen during a bowel program to assess effects of stimulation on bowel management time.
Eligibility Criteria
You may qualify if:
- Chronic SCI (\> 12 months since injury) above the level of T11
- \> 18 years of age
- a measurable and consistent start and end event is determinable for the bowel routine
- Start events include: 1) enema insertion, 2) digital stimulation, 3) hot drink or initiation of the gastrocolic reflex, 3) abdominal massage, or 4) other, as determined by the participant and research team.
- Ending events include: 1) final digital stimulation, 2) when evacuation has ceased, or 3) other, as determined by the participant and research team.
- Portable smart device with video capabilities and internet access
- Willingness to access and/or download Zoom (videoconferencing software)
You may not qualify if:
- American Spinal Injuries Association (ASIA) Impairment Scale (AIS) E
- Self-reported bowel management time (BMT) of \<30 minutes
- Current bowel conditions such as gastro-esophageal reflux, bowel obstruction, Crohn's disease, or diverticulitis
- Physical obstacles that prevent AFES (e.g., pregnancy, abdominal trauma, cardiac pacemaker, or other implanted electromedical devices)
- Stoma or colostomy
- No response to AFES (e.g., lower motor neuron impairment)
- History of gastrointestinal surgery within the past 3 months
- Severely obese participants (\>40 BMI)
- Primary language other than English
- Previous history of uncontrolled, recurrent episodes of AD
- Resting systolic blood pressure (BP) reported as \>140 mmHg
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Craig Hospitallead
- Neuroscience Research Australiacollaborator
Study Sites (1)
Craig Hospital
Englewood, Colorado, 80113, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Executive Director of Research and Evaluation
Study Record Dates
First Submitted
March 28, 2024
First Posted
April 3, 2024
Study Start
April 30, 2025
Primary Completion
May 1, 2026
Study Completion
May 1, 2026
Last Updated
March 31, 2026
Record last verified: 2026-03