- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05133362
Effects of Backward Gait Training With Exoskeleton on Motor Functions
Investigating Effects of Backward Gait Training With Exoskeleton on Gait Function, Balance and Depression Following Stroke and the Impact of Social Determinants of Health and Depression on Patients' Adherence to Physical Therapy
The proposed study aims to optimize patient outcomes and treatment intervention using a robotic exoskeleton in adults with cerebrovascular accidents (CVA, stroke) by investigating the following: AIM 1 is to investigate the effect of backward gait training with exoskeleton on motor function.
AIM 2 is to investigate the effect of backward gait training with exoskeleton on depression.
AIM 3 is to investigate the impact of social determinants of health and depression on patient adherence to physical therapy.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Soo Yeon Sun, PhD
- Phone Number: 6107968398
- Email: soo.sun@alvernia.edu
Study Locations
-
-
New York
-
Schenectady, New York, United States, 12308
- Not yet recruiting
- Sunnyview Rehabilitation Hospital
-
Contact:
- Amy Teale, PhD
- Email: amy.teale@sphp.com
-
Principal Investigator:
- Melanie Melewski, DPT
-
-
Pennsylvania
-
Reading, Pennsylvania, United States, 19610
- Recruiting
- Reading Hospital Rehabilitation at Wyomissing
-
Contact:
- Karen Keenan
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- 18 years of age or older
- English or Spanish speaking
- A diagnosis first stroke (intracerebral hemorrhage or acute ischemic stroke)
- Referred to Reading Rehabilitation Hospital Outpatient Physical Therapy Clinic (hereafter referred to as outpatient PT)
Exclusion Criteria:
- Unable to follow 1-step commands
- > 220 pounds (100 kg)
- Height < 5'0" or > 6'4"
- Unable to take a few steps with assistance
- A score of > 42/56 on Berg Balance Scale (BBS)
- Severe cardiac disease (New York Heart Association Classification IV)
- Severe spasticity (Modified Ashworth score > 3)
- Unstable spine or unhealed pelvic/limb fractures
- Active heterotrophic ossification impacting lower extremity range of motion
- Significant lower or upper extremity contractures
- Inability to achieve neutral ankle dorsiflexion with 12° of knee flexion
- Psychiatric or cognitive issues that could interfere with operating the exoskeleton
- Pregnancy
- Colostomy
- Poor skin integrity in areas in contact with the EksoNRTM
- Unresolved deep vein thrombosis
- Lower limb prosthesis or amputation
- Leg length discrepancies > 0.5 inches for upper legs, 0.75 inches for lower legs
- ROM restrictions preventing normal, reciprocal gait
- Inability to stand for > 60 seconds due to pain or orthostatic hypotension
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 |
---|---|
Active Comparator: Standard Care with Ekso Group
Participants in the SCG (n=31) will attend two 45-minute treatment sessions per week for a minimum of 8 and a maximum of 10 total sessions.
For each participant, an individualized plan of care consistent with evidence-based practice standards will be provided based on rehabilitation goals.
The interventions during each treatment session will include forward gait training with EksoNR, neuromuscular movement-related tasks, mobility tasks, and interventions using products and technology, and education for caregivers, family, and friends.
|
Participants will receive forward gait training with EksoNR
|
Experimental: Standard Care with Ekso and Backward Walking Group
Participants in the SCBWG (n=31) will attend two 45-minute treatment sessions per week for a minimum of 8 and a maximum of 10 total sessions.
Once a week, each participant will receive standard care as described in the standard care with Ekso group.Once a week, each participant will receive backward walking training with EksoNR during their treatment session.
|
Participants will receive forward gait training with EksoNR
Participants will receive backward gait training with EksoNR
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in backward gait speed
Time Frame: Baseline and within 1 week after the intervention
|
Changes from baseline backward gait speed measured by 3-Meter Backwards Walk Test at post-intervention
|
Baseline and within 1 week after the intervention
|
Changes in forward gait speed
Time Frame: Baseline and within 1 week after the intervention
|
Changes from baseline forward gait speed measured by 6-Minute Walk Test at post-intervention
|
Baseline and within 1 week after the intervention
|
Changes in Functional Ambulation Category
Time Frame: Baseline and within 1 week after the intervention
|
Changes from baseline ambulation ability at post-intervention.
Functional Ambulation Category ranges from 0-5, and a higher score indicates a better outcome (greater independence in ambulation).
|
Baseline and within 1 week after the intervention
|
Changes in Berg Balance Scale
Time Frame: Baseline and within 1 week after the intervention
|
Changes from baseline static balance and fall risk at post-intervention.
Berg Balance Scale ranges from 0 to 56, and a higher score indicates a better outcome (better balance and lower fall risk).
|
Baseline and within 1 week after the intervention
|
Changes in Patient Health Questionnaire-9
Time Frame: Baseline and within 1 week after the intervention
|
Changes from baseline depressive symptoms at post-intervention.
Patient Health Questionnaire-9 ranges from 0 to 27, and a higher score indicates a worse outcome (greater depressive symptoms).
|
Baseline and within 1 week after the intervention
|
Changes in reciprocal activities in antagonistic muscles measured by Electromyography
Time Frame: Baseline and within 1 week after the intervention
|
Changes from baseline neuromuscular control of leg muscles at post-intervention.
A greater reciprocity between leg antagonistic muscles indicate a better outcome.
|
Baseline and within 1 week after the intervention
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Adherence to physical therapy
Time Frame: During the intervention
|
Adherence to physical therapy is defined as ≥ 80% attendance to weekly physical therapy as recorded in the Data Collection Sheet.
Based on the definition, patient adherence will be considered a dichotomous variable (yes/no) and will be used to test the association between health literacy and patient adherence.
|
During the intervention
|
Level of health literacy
Time Frame: Baseline
|
Level of health literacy is measured by Newest Vital Sign.
The Newest Vital Sign is a 6-question screening tool that identifies participants' risk of low or limited health literacy (HL) based on interpreting an ice cream nutrition label, available from Pfizer Pharmaceutical Company.
The score ranges 0-6.
A score of 0-1 suggests a high likelihood of limited literacy, a score of 2-3 indicates the possibility of limited literacy, and a score of 4-6 almost always indicates adequate literacy.
|
Baseline
|
Perceived Social Support
Time Frame: Baseline
|
Level of perceived social support is measured by Multidimensional Scale of Perceived Social Support.
It is a self-administered scale, and the score ranges from 12 to 84.
A score of 12-35 suggests a low perceived social support, a score of 36-60 suggests a medium social support, and a score of 61-84 suggests a high social support.
|
Baseline
|
Educational attainment
Time Frame: Baseline
|
Each participant's answer regarding their educational level in the Demographics Questionnaire will be classified into one of the two categories: individuals who completed some college education and individuals whose highest educational attainment was high school or less.
This dichotomous variable will be used to determine if the level of educational attainment is associated with adherence to physical therapy.
|
Baseline
|
Language spoken at home
Time Frame: Baseline
|
Each participant's answer regarding the language spoken at home in the Demographics Questionnaire will be classified into one of the two categories: individuals who speak English at home and individuals who speak other languages than English at home.
This dichotomous variable will be used to determine if linguistic proficiency is associated with adherence to physical therapy.
|
Baseline
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Soo Yeon Sun, Alvernia 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
- IRB 052-21
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
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.
Clinical Trials on Physical Therapy
-
University of SevilleCompletedGait | Physical Therapy | Sports Physical Therapy | Exercise TherapySpain
-
Reynolds Army Community HospitalTemple University; Brooke Army Medical CenterUnknownPhysical Therapy Direct Access | Physical Therapy Primary CareUnited States
-
NYU Langone HealthRecruiting
-
University of UtahActive, not recruiting
-
Muğla Sıtkı Koçman UniversityCompletedPhysical TherapyTurkey
-
Shanghai Mental Health CenterQingdao Mental Health CenterActive, not recruiting
-
Ankara Yildirim Beyazıt UniversityCompleted
-
Rothman Institute OrthopaedicsCompleted
-
University of Sao PauloUnknownFrail Elderly | Exercise Therapy | Physical Therapy Techniques
-
Mahidol UniversityRecruiting
Clinical Trials on Gait training with EksoNR
-
Shirley Ryan AbilityLabNot yet recruitingStroke | Incomplete Spinal Cord InjuryUnited States
-
University of Sao PauloFederal University of São Paulo; Universidade do Oeste PaulistaRecruiting
-
VA Office of Research and DevelopmentCompleted
-
US Department of Veterans AffairsCompletedDiabetes | Peripheral NeuropathyUnited States
-
Translational Research Center for Medical Innovation...Moji Medical Center, Kyusyu Rosai HospitalCompleted
-
Mahidol UniversityUnknownMild Cognitive Impairment
-
Cereneo AGUniversity of Zurich; Swiss Federal Institute of Technology; Swiss Commission... and other collaboratorsTerminatedPost Stroke Gait TrainingSwitzerland
-
Centre for Interdisciplinary Research in Rehabilitation...CompletedHemiparesis;Poststroke/CVA
-
Riphah International UniversityCompleted
-
National University Hospital, SingaporeNational University of SingaporeUnknown