- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04221373
Exoskeletal-Assisted Walking in SCI Acute Inpatient Rehabilitation
The Effects of Incorporated Exoskeletal-Assisted Walking in Spinal Cord Injury (SCI) Acute Inpatient Rehabilitation
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Chung-Ying Tsai, PT, PhD
- Phone Number: 212-241-7073
- Email: chung-ying.tsai@mountsinai.org
Study Contact Backup
- Name: Andrew Delgado, MS
- Phone Number: 212-241-9478
- Email: andrew.delgado@mountsinai.org
Study Locations
-
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New York
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New York, New York, United States, 10029
- The Mount Sinai Hospital
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria
- Age 18 years or greater
- Height between 5'2" and 6'2" (1.6 meters to 1.9 meters)
- Weight less than 220 pounds (100 kilograms)
- Hip: 5 degrees of extension; 110 of flexion
- Knee: Full extension to 110 of flexion
- Ankle: at least 0 of dorsiflexion to 25 of plantarflexion
- Are eligible for locomotor training as part of inpatient rehabilitation
- Independent with static sitting balance
- Sufficient function upper extremity strength to manage walking aid (front-wheeled walker, platform walker, or crutches)
- Able to follow directions
Exclusion Criteria
- Uncontrolled cardiovascular conditions (i.e. heart failure, angina, hypertension)
- Inability to stand upright due to orthostatic hypotension
- Any form of progressive SCI as defined by the physician, such as cancers
- Body characteristics that do not fit within exoskeleton limits
- Upper leg length discrepancy > 0.5" or lower leg discrepancy >0.75"
- Skin integrity issues in areas that would contact the device or that would likely be made worse by device use
- Pregnancy
- Colostomy
- Mechanical ventilation
- Non-English Speaking
- The participant is able to walk better with exoskeleton assistance at baseline
- Any other issue that might prevent safe standing or walking
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Exoskeletal-assisted walking training group
Participants will receive locomotor training provided with an Ekso™ powered exoskeleton according to the standard of care of AIR at Mount Sinai Hospital with the exception that the EAW training will be incorporated into the designated therapy times (3 hours of physical therapy (PT) and/or occupational therapy (OT)) which will be provided as determined by the clinical team from the earliest time they are identified to be able to safely stand, through discharge.
The goal of EAW intervention is to complete three or more sessions of EAW training a week during the AIR period (after enrolling into the study until discharge).
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Powered exoskeletal-assisted walking (EAW) for early training
Participants will receive standard of care of acute inpatient rehabilitation.
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Active Comparator: Standard of care group
Participants will receive standard of care of acute inpatient rehabilitation which includes three hours of physical therapy and/or occupational therapy per day until they are discharged.
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Participants will receive standard of care of acute inpatient rehabilitation.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Spinal Cord Independence Measure (SCIM) Version III Scores
Time Frame: Baseline and before discharge from acute inpatient rehabilitation (average 2-3 weeks)
|
Functional activities will be assessed using Spinal Cord Independence Measure (SCIM) scores evaluated by clinicians.
Full Scale range from 0-100, higher score indicates more independence.
Each subscale score is evaluated within the 100-point scale (self-care: 0-20; respiration and sphincter (R & S) management: 0-40; mobility: 0-40)
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Baseline and before discharge from acute inpatient rehabilitation (average 2-3 weeks)
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in International Standards for Neurological Classification of SCI (ISNCSCI)
Time Frame: Baseline and before discharge from acute inpatient rehabilitation (average 2-3 weeks)
|
Motor and sensory function was assessed by a physiatrist using the International Standards 152 for Neurological Classification of Spinal Cord Injury (ISNCSCI) to determine a total motor score (TMS, ranges from 0 to 100), upper extremity motor score (UEMS, ranges from 0 to 50), lower extremity motor score (LEMS, ranges from 0 to 50), total light touch score (TLTS, ranges from 0 to 112), total pin prick score (TPPS, ranges from 0 to 112), and total sensory score (TSS, ranges from 0 to 224).
Higher score indicates better function.
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Baseline and before discharge from acute inpatient rehabilitation (average 2-3 weeks)
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Change in International Spinal Cord Injury Basic Pain Data Set (ISCIBPDS) 2.0
Time Frame: Baseline and at discharge from acute inpatient rehabilitation (average 2-3 weeks)
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Change in International Spinal Cord Injury Basic Pain Data Set (ISCIBPDS) 2.0 contains critical questions about clinically relevant information concerning SCI-related pain during the last 7 days, including pain intensity, the influence of pain on daily activities, mood, and sleep between admission and discharge.
Full scale from 0-10, higher score indicates more pain.
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Baseline and at discharge from acute inpatient rehabilitation (average 2-3 weeks)
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Number of Participants With Neuropathic Pain
Time Frame: Baseline and discharge from acute inpatient rehabilitation (average 2-3 weeks)
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Number of participants with neuropathic pain as measured by the Spinal Cord Injury Pain Instrument (SCIPI). Spinal Cord Injury Pain Instrument (SCIPI) is a tool used to classify pain after SCI using 4 questions. It can be easily used by clinicians in every clinical setting to identify the pain classifications, including neuropathic, nociceptive, neither or unknown. Full scale from 0 to 4, a score of 1 or more than 1 indicates probable neuropathic pain. |
Baseline and discharge from acute inpatient rehabilitation (average 2-3 weeks)
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Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Ann M. Spungen, Ed.D., Icahn School of Medicine at Mount Sinai
Publications and helpful links
General Publications
- Kozlowski AJ, Bryce TN, Dijkers MP. Time and Effort Required by Persons with Spinal Cord Injury to Learn to Use a Powered Exoskeleton for Assisted Walking. Top Spinal Cord Inj Rehabil. 2015 Spring;21(2):110-21. doi: 10.1310/sci2102-110. Epub 2015 Apr 12.
- Yang A, Asselin P, Knezevic S, Kornfeld S, Spungen AM. Assessment of In-Hospital Walking Velocity and Level of Assistance in a Powered Exoskeleton in Persons with Spinal Cord Injury. Top Spinal Cord Inj Rehabil. 2015 Spring;21(2):100-9. doi: 10.1310/sci2102-100. Epub 2015 Apr 12.
- Bach Baunsgaard C, Vig Nissen U, Katrin Brust A, Frotzler A, Ribeill C, Kalke YB, Leon N, Gomez B, Samuelsson K, Antepohl W, Holmstrom U, Marklund N, Glott T, Opheim A, Benito J, Murillo N, Nachtegaal J, Faber W, Biering-Sorensen F. Gait training after spinal cord injury: safety, feasibility and gait function following 8 weeks of training with the exoskeletons from Ekso Bionics. Spinal Cord. 2018 Feb;56(2):106-116. doi: 10.1038/s41393-017-0013-7. Epub 2017 Nov 6.
- Forrest GF, Sisto SA, Barbeau H, Kirshblum SC, Wilen J, Bond Q, Bentson S, Asselin P, Cirnigliaro CM, Harkema S. Neuromotor and musculoskeletal responses to locomotor training for an individual with chronic motor complete AIS-B spinal cord injury. J Spinal Cord Med. 2008;31(5):509-21. doi: 10.1080/10790268.2008.11753646.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- GCO 18-1632
- DOH01-C34722GG-3450000 (Other Grant/Funding Number: Department of Health, State of New York)
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
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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