Robot-assisted Training
Evaluation of a Portable Isokinetic Knee Training Device for Quadriceps Rehabilitation in Children With SMA
The goal of this clinical trial is to evaluate the long-term effects of isokinetic rehabilitation training in patients with spinal muscular atrophy (SMA). The main question it aims to answer is:
• Does isokinetic training at fixed angular velocity improve muscle strength and functional recovery in SMA patients?
Participants will:
- Perform isokinetic training using a portable device with a fixed angular velocity.
- Undergo long-term rehabilitation sessions, with assessments of muscle strength and overall functional improvement over the training period.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Fuzhen Yuan, Dr.
- Phone Number: +8618811728786
- Email: feng_yanggang@163.com
Study Locations
-
-
Beijing Municipality
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Beijing, Beijing Municipality, China, 100091
- Peking University Third Hospital
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age range: 6-12 years old.
- Diagnosed with Type II Spinal Muscular Atrophy (SMA).
Exclusion Criteria:
- Participants with severe comorbidities, implanted medical devices preventing MRI or claustrophobia were excluded from the study.
- Refusal to provide informed consent or inability to complete the entire study protocol, among other factors;
- Uncontrolled hypertension (systolic blood pressure ≥160 mmHg and/or diastolic blood pressure ≥95 mmHg) or congestive heart failure classified as New York Heart Association (NYHA) Class III or IV;
- Cognitively impaired or unable to comprehend the requirements of study participation.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Robot-assisted Rehabilitation for children with SMA type II
|
A child with SMA will use a wearable isokinetic training robot to train the knee joint for three stages.
( Stage 1: 1.5 months=30 sessions; Stage 2 (follow up): 1.5 months=18 sessions, Stage 3(follow up) = 0 session)
|
|
No Intervention: Non-robot-assisted Rehabilitation for children with SMA type II
Prior to the intervention, all participants will complete a 1.5-month "Stage 0" observation period with no robot assistance.
During this time, we will record each child's sit-to-stand angle to establish baseline (control) measurements.
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|
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No Intervention: Biomechanical measures for healthy children
A single set of biomechanical measurements will be taken from healthy children to serve as a reference baseline.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in cross sectional area of quadriceps
Time Frame: Baseline, after 1.5 months, after 3 months and after 4 months
|
Using Magnetic Resonance Imaging (MRI)
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Baseline, after 1.5 months, after 3 months and after 4 months
|
|
Change in longitudinal cross-sectional width of quadriceps
Time Frame: Baseline, after 1.5 months, after 3 months and after 4 months
|
Using Magnetic Resonance Imaging (MRI)
|
Baseline, after 1.5 months, after 3 months and after 4 months
|
|
Change in peak torque
Time Frame: Baseline, after 1.5 months, after 3 months and after 4 months
|
Using isokinetic training robot to measure.
|
Baseline, after 1.5 months, after 3 months and after 4 months
|
|
Change in average torque
Time Frame: Baseline, after 1.5 months, after 3 months and after 4 months
|
Using isokinetic training robot to measure.
|
Baseline, after 1.5 months, after 3 months and after 4 months
|
|
Change in work of knee
Time Frame: Baseline, after 1.5 months, after 3 months and after 4 months
|
Work = Torque * Speed
|
Baseline, after 1.5 months, after 3 months and after 4 months
|
|
Change in Surface Electromyography (sEMG)
Time Frame: Baseline, after 1.5 months, after 3 months and after 4 months
|
Baseline, after 1.5 months, after 3 months and after 4 months
|
|
|
Change in Nerve conduction
Time Frame: Baseline, after 1.5 months, after 3 months and after 4 months
|
Nerve Conduction Velocity Testing System
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Baseline, after 1.5 months, after 3 months and after 4 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Change in weight
Time Frame: Baseline, after 1.5 months, after 3 months and after 4 months
|
Baseline, after 1.5 months, after 3 months and after 4 months
|
|
Change in height
Time Frame: Baseline, after 1.5 months, after 3 months and after 4 months
|
Baseline, after 1.5 months, after 3 months and after 4 months
|
|
Change in joint angle
Time Frame: Baseline, after 1.5 months, after 3 months and after 4 months
|
Baseline, after 1.5 months, after 3 months and after 4 months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 2024-973-02
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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