Robot-assisted Walking Treatment in Hereditary Spastic Paraplegia (HSP)
Efficacy of Robot-assisted Walking Treatment on Gait Biomechanics, Functional Outcomes, and Quality of Life in Subjects With Hereditary Spastic Paraplegia (HSP)
1 other identifier
observational
50
1 country
1
Brief Summary
Patients will undergo a combined rehabilitation treatment consisting of 15 sessions on Lokomat and 15 sessions of physical therapy over three weeks for a total of 30 sessions. Two sessions/day for 5 days a week. The same subjects will conduct clinical-functional assessments before, at the end of treatment, and after a 3-month follow-up: 3D Gait Analysis with defined protocol (BTSBioenginner); Spastic Paraplegia Rating Scale (SPRS); Six-Minute Walk Test (6MWT), Ten Meters Walk Test (10MWT), Gross Motor Function Measure-88 (GMFM-88) and Berg Balance Scale (BBS); Quality of life questionnaires: Medical Outcome Survey Short Form (SF-36) and ad hoc questionnaire for subjective assessment of symptoms during walking (HSP-SNAP). This study is part of normal clinical practice and does not involve any changes to the current rehabilitation course for patients.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Jan 2012
Longer than P75 for all trials
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
January 1, 2012
CompletedFirst Submitted
Initial submission to the registry
October 17, 2023
CompletedFirst Posted
Study publicly available on registry
December 11, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 31, 2026
May 4, 2025
April 1, 2025
15 years
October 17, 2023
April 30, 2025
Conditions
Outcome Measures
Primary Outcomes (3)
Six-Minute Walk Test (6MWT)
Endurance Test
T0(pre-training)
Six-Minute Walk Test (6MWT)
Endurance Test
T1(after 3 weeks of training)
Six-Minute Walk Test (6MWT)
Endurance Test
T2(3 months after T1)
Secondary Outcomes (9)
Medical Outcome Survey Short Form (SF-36)
T0(pre-training)
Hereditary Spastic Paraplegia Self-Notion and Perception (HSP-SNAP)
T0(pre-training)
Spastic Paraplegia Rating Scale (SPRS)
T0(pre-training)
Medical Outcome Survey Short Form (SF-36)
T1(after 3 weeks of training)
Hereditary Spastic Paraplegia Self-Notion and Perception (HSP-SNAP)
T1(after 3 weeks of training)
- +4 more secondary outcomes
Other Outcomes (12)
3D GAIT ANALYSIS
T0(pre-training),T1(after 3 weeks of training),T2(3 months after T1)
Ten Meters Walk Test (10MWT)
T0(pre-training),T1(after 3 weeks of training),T2(3 months after T1)
Gross Motor Function Measure-88 (GMFM-88)
T0(pre-training),T1(after 3 weeks of training),T2(3 months after T1)
- +9 more other outcomes
Study Arms (1)
Hereditary Spastic Paraplegia (HSP)
Patients undergo a combined rehabilitation treatment consisting of 15 sessions on Lokomat and 15 sessions of physical therapy over three weeks for a total of 30 sessions. The same subjects undergo clinical-functional evaluations before, at the end of treatment and after a 3-month follow-up.
Interventions
15 sessions of robot-assisted gait training(LOKOMAT)+ 15 session of usual treatment for a total of 30 sessions in three weeks. 45 minutes for each session.
Eligibility Criteria
Patients affected by a hereditary spasti paraplegia with or without a genetic diagnosis.
You may qualify if:
- genetic or clinical diagnosis of HSP.
- age greater than 4 years and less than 70
- femur length \> 23 cm
- ability to walk independently indoors, with or without walking aids.
You may not qualify if:
- botulinum toxin injection or lower limb surgery in the previous 6 months
- severe lower limb muscle retractions
- severe osteoporosis
- unhealed skin lesions in lower limbs
- cardiovascular instability
- acute or progressive neurological disorders
- behavioral problemS
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Irccs Eugenio Medea
Bosisio Parini, Italy/lecco, Italy
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- OTHER
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 17, 2023
First Posted
December 11, 2024
Study Start
January 1, 2012
Primary Completion (Estimated)
December 31, 2026
Study Completion (Estimated)
December 31, 2026
Last Updated
May 4, 2025
Record last verified: 2025-04
Data Sharing
- IPD Sharing
- Will not share