- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05926635
Efficacy of a Rehabilitation Program With the Pediatric Exoskeleton ATLAS 2030 in Pediatric Patients With Cerebral Palsy
August 3, 2023 updated by: MarsiBionics
Cerebral Palsy (CP) is the first cause of motor disability in children worldwide.
ATLAS 2030 is a robotic gait exoskeleton designed to rehabilitate children with motor disability.
The objective of this study is to analyse the efficacy of a training program with ATLAS 2023 in chilren with CP.
Study Overview
Detailed Description
A sample of children with CP will be divided into 2 groups, the experimental group will receive 32 sesions withe the ATLAS 2030 exoskeleton, whereas the control group will continue to receive their regular conventional therapy.
Assessments will be performed at the beginning and the end of the intervention, as well as after 6, 9 and 12 months of the end of the intervention for follow-up.
Study Type
Observational
Enrollment (Estimated)
60
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Eva Barquín Santos
- Phone Number: +34918711900
- Email: eva.barquin@marsibionics.com
Study Locations
-
-
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Madrid, Spain, 28041
- Recruiting
- Hospital Universitario 12 de octubre
-
Contact:
- Sofía García de las Peñas
-
Madrid, Spain, 28046
- Recruiting
- Hospital Universitario La Paz
-
Contact:
- Sandra Espinosa García
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Madrid, Spain, 28007
- Recruiting
- Hospital Universitario Gregorio Marañón
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Contact:
- Olga Arroyo Riaño
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Madrid, Spain, 28009
- Recruiting
- Hospital Infantil Universitario Niño Jesús-Servicio de Rehabilitación
-
Contact:
- María Teresa Vara Arias
-
Madrid, Spain, 28009
- Recruiting
- Hospital Universitario Niño Jesús-Servicio de Neuro Ortopedia
-
Contact:
- Ignacio Martínez Caballero
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-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Child
Accepts Healthy Volunteers
No
Sampling Method
Non-Probability Sample
Study Population
Children diagnosed with cerebral palsy with Gross Motor Function Classification level III (children walk using a hand-held mobility device in most indoor settings) or IV (children use methods of mobility that require physical assistance or powered mobility in most settings).
Description
Inclusion Criteria:
- Medical authorization for standing, gait training and weight bearing.
- Informed consent signed by legal guardians.
- Confirmed diagnosis of cerebral palsy GMFCS levels III or IV.
- Proper family acceptance and commitment level.
- Receiving a minimum of 2 hours of therapy/activities promoting physical activity.
- Maximum user weight of 35 kg.
- Hip width (between greater trochanteres) less than or equal to 35 cm.
- Length of the thigh (distance from the greater trochanter to the lateral condyle of the tibia) from 24cm to 33cm.
- Tibia leg length (distance from the lateral condyle of the tibia to the lateral malleolus) from 23cm to 32cm.
- Shoe size 27-33 (EU)
Exclusion Criteria:
- More than 8 sessions of robotic therapy during a month in the previous year to the beginning of the study.
- Intensive rehabilitation during the study.
- Imposibility of the family to fulfill treatment calendar.
- Spasticity equal to 4 on the Modified Ashworth Scale at the time of use of the device.
- More than 20º of hip and/or knee flessum at the time of using the exoskeleton.
- Necessity to walk with 10º of hip abduction.
- Necessity to walk with more than 9º of ankle dorsiflexion or plantar flexion or impossibility to use an orthosis to reach 90º in the ankle joint.
- Severe skin lesion on parts of the lower extremities that are in contact with the device.
- Scheduled surgery (rachis, limbs) for the duration of the study or surgery performed (rachis, extremities) in the last 6 months.
- History of fracture without trauma. History of bone fracture traumatic in lower extremities or pelvic girdle in the last 3 months.
- Severe rigid orthopedic deformities of the spine and/or lower limbs.
- Cognitive or conductual disorders that may lead to a lack of adherence to the attachment to the device.
- Conditions that provoke exercise intolerance.
- Conductual disorders that may interfere with the use of the device or their participation in the study, like impulsiveness or the inability to understand simple comands.
- Allergy to any of the ATLAS materials: cotton, nylon, polyester, polyamide, polyethylene or propylene.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Exoskeleton group
sessions of rehabilitation with the ATLAS 2030 exoskeleton twice per week as part of their of their routine rehabilitation
|
sessions of rehabilitation with the ATLAS 2030 exoskeleton twice per week as part of their routine rehabilitation
|
Control group
The children included in the control group will continue receiving their usual conventional therapy
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Gross Motor Function Measure-88 (GMFM-88)
Time Frame: At the beginning and the end of the intervention (4 months), as well as after 6, 9 and 12 months (follow-up)
|
To measure changes in gross motor function in children with cerebral palsy using the Gross Motor Functional Measure-88. The minimum value is 0 and the maximum value is 100 .When the GMFM score is lower, the skill level is lower. |
At the beginning and the end of the intervention (4 months), as well as after 6, 9 and 12 months (follow-up)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Modified Ashworth Scale (MAS)
Time Frame: Through study completion, along 1 year
|
changes in spasticity measured by the Modified Ashworth Scale (MAS).
The spasticity of each muscle group is measured with a scale scored from 0 to 4, where 0 means no spasticity and 4 means the joint is fixed and therefore, the highest level of spasticity
|
Through study completion, along 1 year
|
Pediatric Quality of Life Inventory (PedsQLTM)
Time Frame: At the beginning and the end of the intervention (4 months), as well as after 6, 9 and 12 months (follow-up)
|
Changes in self perceived quality of life measured by the Pediatric Quality of Life Inventory (PedsQLTM).
Every item is measured on a scale from 0 (higher quality of life) to 4 (lower quality of life)
|
At the beginning and the end of the intervention (4 months), as well as after 6, 9 and 12 months (follow-up)
|
Changes in Gait Deviation Index (GDI)
Time Frame: At the beginning and the end of the intervention (4 months), as well as after 6, 9 and 12 months (follow-up)
|
Changes in Gait Deviation Index (GDI) measured with a tridimensional motion analysis system
|
At the beginning and the end of the intervention (4 months), as well as after 6, 9 and 12 months (follow-up)
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Olga Arroyo Riaño, Hospital Universitario Gregorio Marañón
- Principal Investigator: María Teresa Vara Arias, Hospital Infantil Universitario Nino Jesus
- Principal Investigator: Ignacio Martínez Caballero, Hospital Infantil Universitario Nino Jesus
- Principal Investigator: Sandra Espinosa García, Hospital Univsersitario La Paz
- Principal Investigator: Sofía García de las Peñas, Hospital 12 de Octubre
- Principal Investigator: Elena García Armada, National Research Council, Spain
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
August 3, 2023
Primary Completion (Estimated)
September 1, 2024
Study Completion (Estimated)
September 1, 2024
Study Registration Dates
First Submitted
May 23, 2023
First Submitted That Met QC Criteria
June 21, 2023
First Posted (Actual)
July 3, 2023
Study Record Updates
Last Update Posted (Actual)
August 4, 2023
Last Update Submitted That Met QC Criteria
August 3, 2023
Last Verified
August 1, 2023
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- SERMAS
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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