- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07578753
Clinical Effectiveness of Robot-assisted Gait Training in Patients With Lower Limb Burns Accompanied by Fractures: Pilot Study
Gait dysfunction, common in patients with lower limb burns accompanied by fractures, requires acute rehabilitation. This study investigated the clinical effects of robot-assisted gait training (RAGT) on gait function in patients with lower limb burns accompanied by fractures.
In this preliminary study, RAGT will be conducted using an end-effector-type gait-training robot. Participants will receive 60 min of gait training daily (30 min of conventional gait training and 30 min of RAGT) for 8 weeks. We plan to conduct clinical evaluations related to gait function of the participants included in the preliminary study before training and after 8 weeks of training.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Background : Gait dysfunction, common in patients with lower limb burns accompanied by fractures, requires acute rehabilitation. This study investigated the clinical effects of robot-assisted gait training (RAGT) on gait function in patients with lower limb burns accompanied by fractures.
Material and Methods: In this preliminary study, RAGT will be conducted using an end-effector-type gait-training robot. Participants will receive 60 min of gait training daily (30 min of conventional gait training and 30 min of RAGT) for 8 weeks. We plan to conduct clinical evaluations related to gait function of the participants included in the preliminary study before training and after 8 weeks of training. To evaluate clinical efficacy, functional ambulation category (FAC), muscle strength (manual muscle test, MMT), active range of motion (AROM) of the lower limbs, 6-minute walking test (6 MWT), pain score, gait kinematics, and spatiotemporal gait parameters will be measured before and after 8 weeks training.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Seoul, South Korea, 07247
- Hangang Sacred Heart Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- aged 19 years or older
- admitted to the Department of Rehabilitation Medicine after the wound had epithelialized following wound treatment via skin grafting or aseptic dressing procedures
- underwent fixation or brace treatment after a lower limb fracture was diagnosed via imaging at the time of injury
- sufficient cognitive function to follow the therapist's instructions during training
- a functional ambulatory category (FAC) of 1 or higher and 3 or lower.
Exclusion Criteria:
- unable to bear weight owing to fracture union failure or complications such as osteomyelitis
- severe pain rendering the patient unable to wear the robotic device
- scars that may bleed or become infected when wearing the robotic device
- a history of lower limb weakness or reduced gait ability due to other causes prior to injury
- lower limb sensory disturbances caused by peripheral neuropathic diseases such as diabetes
- height less than 120 cm or body mass more than 120 kg
- withdrawal of consent.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
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Other: robot assited gait training
All participants underwent 60 min of daily gait training consisting of 30 min of conventional physical therapy in the morning and 30 min of RAGT in the afternoon.
All participants underwent 40 gait training sessions over 8 weeks, five times per week.
Conventional physical training consisted of ROM exercises and strength training for the lower limbs and ground gait training once weight bearing was possible.
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All participants underwent 60 min of daily gait training consisting of 30 min of conventional physical therapy in the morning and 30 min of RAGT in the afternoon.
All participants underwent 40 gait training sessions over 8 weeks, five times per week.
Conventional physical training consisted of ROM exercises and strength training for the lower limbs and ground gait training once weight bearing was possible.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
functional ambulatory category
Time Frame: 8 weeks
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Ambulatory ability was assessed using the FAC scale.
Participants were rated on a six-point scale based on the level of physical assistance required for walking, regardless of whether an assistive device was used.
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8 weeks
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
manual muscle test, MMT
Time Frame: 8 weeks
|
. Lower limb muscle strength was assessed using the MMT based on the Medical Research Council scale for muscle strength.
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8 weeks
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active range of motion (AROM) of the lower limbs
Time Frame: 8 weeks
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Full AROM of the hip, knee, and ankle joints was measured before and after training.
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8 weeks
|
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pain score (visual analog scale, VAS)
Time Frame: 8 weeks
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A visual analog scale (VAS) was used to rate the degree of subjective pain during gait movement (0 points: no pain, 10 points: unbearable pain).
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8 weeks
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6-minute walking test (6 MWT)
Time Frame: 8 weeks
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The 6 MWT was conducted according to standardized guidelines on a 20-m walking course.
Patients were instructed to walk as far as possible within 6 min.
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8 weeks
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Collaborators and Investigators
Sponsor
Publications and helpful links
General Publications
- Franks PW, Bryan GM, Martin RM, Reyes R, Lakmazaheri AC, Collins SH. Comparing optimized exoskeleton assistance of the hip, knee, and ankle in single and multi-joint configurations. Wearable Technol. 2021 Nov 24;2:e16. doi: 10.1017/wtc.2021.14. eCollection 2021.
- Iziumov A, Hussein TS, Kosenko E, Nazarov A. Adaptive Exoskeleton Device for Stress Reduction in the Ankle Joint Orthosis. Sensors (Basel). 2025 Jan 30;25(3):832. doi: 10.3390/s25030832.
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- HangangSHH-23
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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