- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04553848
Augmented Reality and Treadmill Training After Traumatic Brain Injury
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Colorado
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Englewood, Colorado, United States, 80113
- Craig Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Sustained a TBI requiring inpatient rehabilitation
- > 1 year post TBI
- 18-65 years of age
- Not currently participating in any other research study to address balance and gait impairment
- Not currently participating in physical therapy
- Ambulates with minimal assistance and/or assistive device
- Self-report of ongoing balance deficits and mobility deficits
- Score of 75 or below on CB&M
- No history of other neurological disorders affecting balance
- No seizures within the last year
- No history of psychiatric disorder requiring hospitalization
- Ability to follow directions and complete standardized instructions
Exclusion Criteria:
- No pregnant or lactating females (Potential female participants will be informed that risks to pregnant or lactating females are unknown; then they will be asked if they are pregnant or lactating, or if they could be pregnant. If there is any uncertainty, they will not be included in the study).
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: Augmented Reality+ Treadmill training
Participants allocated to this group will receive treadmill training with body weight support (BWS) incorporating augmented feedback games chosen to address clinically perceived deficits using the C-Mill training system.
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Augmented Reality (AR) systems are computer-based applications that allow an individual to view a simulated environment and dynamically interact within this environment in real-time.
Augmented reality activities will be chosen by the therapist based on the primary deficits assessed during baseline testing.
The goal of each session will be to increase balance and mobility challenge by increasing speed and minimizing BWS.
Appropriate BWS will be chosen at the beginning of each training session.
Participants will walk for 1 minute on the treadmill at 30%, 20% and 10% BWS.
Maximum walking speed will be determined at each level of BWS and the participant will spend the remainder of the session ambulating with BWS at which they were able to achieve maximum walking speed.
Additional BWS will be provided up to 30% of the participant's total body weight if the treating therapist identifies safety concerns or unfavorable gait kinematics.
If a safe and kinematically appropriate gait pattern is unable to be achieved at up to 30% BWS, the previously determined walking speed will be reduced to achieve a safe and appropriate walking pattern.
Participants will be encouraged not to use upper extremity support while ambulating with BWS.
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Active Comparator: Treadmill training
Participants allocated to this group will receive treadmill training with body weight support (BWS) using the C-Mill training system.
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The goal of each session will be to increase balance and mobility challenge by increasing speed and minimizing BWS.
Appropriate BWS will be chosen at the beginning of each training session.
Participants will walk for 1 minute on the treadmill at 30%, 20% and 10% BWS.
Maximum walking speed will be determined at each level of BWS and the participant will spend the remainder of the session ambulating with BWS at which they were able to achieve maximum walking speed.
Additional BWS will be provided up to 30% of the participant's total body weight if the treating therapist identifies safety concerns or unfavorable gait kinematics.
If a safe and kinematically appropriate gait pattern is unable to be achieved at up to 30% BWS, the previously determined walking speed will be reduced to achieve a safe and appropriate walking pattern.
Participants will be encouraged not to use upper extremity support while ambulating with BWS.
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Active Comparator: Over ground training/standard of care
Participants allocated to this group will receive over ground balance and mobility training that would be considered standard of care in outpatient rehabilitation.
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Standard of care interventions to address balance and mobility deficits will be chosen from a list of commonly used interventions in outpatient therapy. The goal of each session will be to increase balance and mobility challenge in an over ground condition focusing treatment in the following areas:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Community Balance and Mobility Scale
Time Frame: Baseline to Week 8
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13 activities scored from 0-96, higher numbers reflect greater balance
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Baseline to Week 8
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
10 meter walk test
Time Frame: Baseline, Week 4, and Week 8
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total time to walk 10 meters
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Baseline, Week 4, and Week 8
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6 minute walk test
Time Frame: Baseline, Week 4, and Week 8
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distance walked in 6 minutes
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Baseline, Week 4, and Week 8
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Timed Up and Go
Time Frame: Baseline, Week 4, and Week 8
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received verbal instructions to stand up from chair, walk 3 meters, cross a line marked on the floor, turn around, walk back and sit down
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Baseline, Week 4, and Week 8
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Timed Up and Go Cognitive Test
Time Frame: Baseline, Week 4, and Week8
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receive verbal instructions to stand up from a chair, walk 3 meters, cross a line marked on the floor, turn around, walk back and sit down while counting backward by threes from a randomly selected number between 20 and 100
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Baseline, Week 4, and Week8
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Timed Up and Go Manual
Time Frame: Baseline, Week 4, and Week 8
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receive verbal instructions to stand up from a chair, walk 3 meters as quickly and safely as possible, cross a lined marked on the floor, turn around, walk back and sit down while holding a cup filled with water
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Baseline, Week 4, and Week 8
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Activities-Specific Confidence Scale
Time Frame: Baseline, Week 4, and Week 8
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16 item measure, scored from 0 to 100.
Higher scores reflect great confidence of task
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Baseline, Week 4, and Week 8
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CNS Vital Signs - Psychomotor Speed Domain
Time Frame: Baseline, Week 4, and Week 8
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In-office neurocognitive test that is a non-invasive clinical procedure designed to efficiently and objectively assess a broad spectrum of brain function performance or domains under challenge.
Finger tapping test and symbol digit coding will be aggregated to arrive at one reported value representing the psychomotor speed domain.
Above average domain scores indicate a standard score (SS) greater than 109 or a Percentile Rank (PR) greater than 74, indicating a high functioning test subject.
Average is a SS 90-109 or PR 25-74, indicating normal function.
Low Average is a SS 80-89 or PR 9-24 indicating a slight deficit or impairment.
Below Average is a SS 70-79 or PR 2-8, indicating a moderate level of deficit or impairment.
Very Low is a SS less than 70 or a PR less than 2, indicating a deficit and impairment.
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Baseline, Week 4, and Week 8
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CNS Vital Signs - Executive Functioning Domain
Time Frame: Baseline, Week 4, and Week 8
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In-office neurocognitive test that is a non-invasive clinical procedure designed to efficiently and objectively assess a broad spectrum of brain function performance or domains under challenge.
Shifting attention score will represent the executive functioning domain.
Above average domain scores indicate a standard score (SS) greater than 109 or a Percentile Rank (PR) greater than 74, indicating a high functioning test subject.
Average is a SS 90-109 or PR 25-74, indicating normal function.
Low Average is a SS 80-89 or PR 9-24 indicating a slight deficit or impairment.
Below Average is a SS 70-79 or PR 2-8, indicating a moderate level of deficit or impairment.
Very Low is a SS less than 70 or a PR less than 2, indicating a deficit and impairment.
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Baseline, Week 4, and Week 8
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CNS Vital Signs - Reaction Time Domain
Time Frame: Baseline, Week 4, and Week 8
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In-office neurocognitive test that is a non-invasive clinical procedure designed to efficiently and objectively assess a broad spectrum of brain function performance or domains under challenge.
Stroop test score will represent the reaction time domain.
Above average domain scores indicate a standard score (SS) greater than 109 or a Percentile Rank (PR) greater than 74, indicating a high functioning test subject.
Average is a SS 90-109 or PR 25-74, indicating normal function.
Low Average is a SS 80-89 or PR 9-24 indicating a slight deficit or impairment.
Below Average is a SS 70-79 or PR 2-8, indicating a moderate level of deficit or impairment.
Very Low is a SS less than 70 or a PR less than 2, indicating a deficit and impairment.
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Baseline, Week 4, and Week 8
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CNS Vital Signs - Cognitive Flexibility Domain
Time Frame: Baseline, Week 4, and Week 8
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In-office neurocognitive test that is a non-invasive clinical procedure designed to efficiently and objectively assess a broad spectrum of brain function performance or domains under challenge.
Shifting attention test and Stroop test scores will be aggregated to arrive at one reported value representing the cognitive flexibility domain.
Above average domain scores indicate a standard score (SS) greater than 109 or a Percentile Rank (PR) greater than 74, indicating a high functioning test subject.
Average is a SS 90-109 or PR 25-74, indicating normal function.
Low Average is a SS 80-89 or PR 9-24 indicating a slight deficit or impairment.
Below Average is a SS 70-79 or PR 2-8, indicating a moderate level of deficit or impairment.
Very Low is a SS less than 70 or a PR less than 2, indicating a deficit and impairment.
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Baseline, Week 4, and Week 8
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Physical Activity Enjoyment Scale
Time Frame: Week 1, Week 2, Week 3, and Week 4
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scale of participant enjoyment in the moment.
7-point bipolar rating scale, eleven items are reverse scored.
Higher total score reflect greater levels of enjoyment
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Week 1, Week 2, Week 3, and Week 4
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Global Impression of Change
Time Frame: Week 1, Week 2, Week 3, Week 4, and Week 8
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9 point Likert scale.
Higher positive score reflects great improvement
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Week 1, Week 2, Week 3, Week 4, and Week 8
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Heart Rate
Time Frame: Baseline, Week 1, Week 2, Week 3, Week 4, and Week 8
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heart rate beats per minute
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Baseline, Week 1, Week 2, Week 3, Week 4, and Week 8
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Blood Pressure
Time Frame: Baseline, Week 1, Week 2, Week 3, Week 4, and Week 8
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systolic and diastolic, mm/Hg
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Baseline, Week 1, Week 2, Week 3, Week 4, and Week 8
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Collaborators and Investigators
Sponsor
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
Additional Relevant MeSH Terms
Other Study ID Numbers
- 1606744
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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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