- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05005026
Virtual Walking Intervention for Neuropathic Pain in Spinal Cord Injury (VRWalk)
A Multisite Randomized Clinical Trial to Examine the Efficacy and Mechanisms of Immersive Virtual Walking Treatment for Neuropathic Pain in Spinal Cord Injury
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Hannah Palanchi
- Phone Number: 804-569-5965
- Email: Hannah.Palanchi@vcuhealth.org
Study Locations
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New South Wales
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Sydney, New South Wales, Australia
- Recruiting
- University of New South Wales
-
Contact:
- Sylvia Gustin, PhD
- Email: s.gustin@unsw.edu.au
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Principal Investigator:
- Sylvia Gustin, PhD
-
-
-
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Alabama
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Birmingham, Alabama, United States, 35294
- Recruiting
- University of Alabama at Birmingham
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Contact:
- Rachel Cowan, PhD
- Email: recowan@uabmc.edu
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Principal Investigator:
- Rachel Cowan, PhD
-
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Virginia
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Richmond, Virginia, United States, 23236
- Recruiting
- Virginia Commonwealth University
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Contact:
- Hannah Palanchi
- Phone Number: 804-569-5965
- Email: Hannah.Palanchi@vcuhealth.org
-
Principal Investigator:
- Olivier Rolin, PhD, MD
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
The study will recruit individuals with complete and incomplete injury (American Spinal Injury Association [ASIA] classification A, B, C, D) with lumbar, paraplegic, or low tetraplegic (C5-C7) injury. Additional criterial will include:
- persistent NP symptoms that are of daily severity of at least 4/10 for 3 or more months
- endorsement of more than 2 items on a 7-item Spinal Cord Injury Pain Instrument, SCIPI
- age of 18 or older
- more than one-year post-injury
- neuropathic pain during the last 7 days
- ability to move elbows against gravity
- must have mobile connectivity with usable service)
- SCIPI and DN4 scores for neuropathic pain must be 2 or more
- must be stable on pain medication for 1 or more months
- must be cleared on the VRWalk physical activity clearance scale
Exclusion Criteria:
- Not meeting injury type criteria
- Not meeting NP criteria
- Age 17 or less
- Less than a year following injury
- Inability to comprehend spoken English
- Prisoners
- must not have motion sickness that interferes with daily life
- blind
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Virtual reality (VR) game 1
Participants will be asked to play a virtual reality game twice a day for 10 days.
|
Individuals playing VR game 1 will wear a head-mounted display to allow them to visualize virtual legs in the virtual environment. When wearing the display, individuals will see the legs and arms of their virtual avatar from a first-person perspective. Individuals will engage in virtual reality sessions in their home twice daily over the course of 10 days in a two-week period. Each daily session will take approximately 30 minutes, with 5-10 minutes dedicated to the virtual walking experience. Additionally, each daily session will be scheduled a minimum of 4 hours apart. |
Active Comparator: Virtual reality (VR) game 2
Participants will be asked to play a virtual reality game twice a day for 10 days.
|
Individuals playing VR game 2 will wear a head-mounted display to allow them to visualize virtual legs in the virtual environment. When wearing the display, individuals will see the legs and arms of their virtual avatar from a first-person perspective. Individuals will engage in virtual reality sessions in their home twice daily over the course of 10 days in a two-week period. Each daily session will take approximately 30 minutes, with 5-10 minutes dedicated to the virtual walking experience. Additionally, each daily session will be scheduled a minimum of 4 hours apart. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Pain Intensity
Time Frame: Baseline - final follow up (up to 18 months)
|
The Numeric Rating Scale (NRS) measures pain intensity via 0-10 numeric rating scale 0-10 where 0 is no pain and 10 is the worst pain imaginable.
|
Baseline - final follow up (up to 18 months)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Pain Quality
Time Frame: Baseline - final follow up (up to 18 months)
|
The Neuropathic Pain Scale (NPS) assesses the distinct pain qualities including sharpness, heat/cold, dullness, intensity, overall unpleasantness, and surface vs. deep pain.
The NPS consists of 10 items.
All the items are rated 0-10 scale, with higher score indicative of more neuropathic pain for each type of respective pain.
|
Baseline - final follow up (up to 18 months)
|
Change in Pain Interference
Time Frame: Baseline - final follow up (up to 18 months)
|
The International Spinal Cord Injury Pain Basic Data Set version 2.0 interference assesses the degree to which pain interferes with day-to-day activities, mood, and sleep.
Items are scored on a 0-10 numeric rating scale and scores are summed to yield an interference score ranging from 0 to 30.
Higher scores indicate greater interference from pain.
|
Baseline - final follow up (up to 18 months)
|
Post treatment change
Time Frame: at follow up (up to 18 months)
|
The Patient Global Impression of Change is a one item 7 point Likert item assessing improvement of the participants overall status. Higher scores indicate less perceived improvement. Range of scores: 1-7 |
at follow up (up to 18 months)
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Change in mood
Time Frame: Baseline - final follow up (up to 18 months)
|
Mood will be assessed using the Patient Health Questionnaire-9.
Participants will be asked to rate have how often they have been bothered by specific problems on a 4-point Likert scale.
The items are summed to yield a score ranging from 0-27.
Higher scores indicate worse mood.
|
Baseline - final follow up (up to 18 months)
|
Change in quality of life
Time Frame: Baseline - final follow up (up to 18 months)
|
Quality of life is assessed by the Satisfaction with Life Scale. This is a 5 item survey. Response options are a 7-point Likert scale. Items may be assessed individually or by summing items. Range of scores: 5-35. Higher scores indicate more satisfaction in life |
Baseline - final follow up (up to 18 months)
|
Neurological changes
Time Frame: Baseline - 6 months
|
Functional Magnetic Resonance Imaging (fMRI) will be used to observe neurological changes.
Pre and post study images will be compared by experienced researchers.
|
Baseline - 6 months
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Zina Trost, PhD, Virginia Commonwealth University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
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
- HM20020719
- W81XWH-20-1-0775 (Other Grant/Funding Number: Department of Defense)
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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