Spinal Cord InjuryPhase 3NCT01432990
Robotic Gait Training VS.Conventional Rehabilitation in SCI
A Phase 3 study testing Robot gait training in people with Spinal Cord Injury, run by Prasat Neurological Institute at 1 site in Thailand.
Trial summary
Until now, there's still no any strong evidence supported "which is the best way to restoration walking ability" in spinal cord injury. Most of the evidence suggest that, there is somehow better after gait rehabilitation for ASIA classification C and D but not improved walking ability for ASIA classification A and B. Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Spinal Cord Injury
- What is being tested?
- Robot gait training
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 16 participants
- Where
- 1 siteThailand
- Study dates
- Jan 2013to Dec 2016
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subacute spinal cord injury ( C5-T12 level) patients.
- ASIA classification C and D.
- No previous joint contracture.
- No severely active medical condition.
- Can easily communicate with no obvious cognitive impairment.
- Given signed inform consent.
Who cannot join
- Previous injury or other neurological condition that related to neurodeficit in key muscles.
Trial locations and contacts
1 site in 1 country.
Thailand1 site
Ratanapat Chanubol
Bangkok, Bangkok, 10400
Ratanapat Chanubol, MD., 662-3547078 ext. 3170, cpaphan@yahoo.com
About this study
Official title: Robotic Gait Training VS. Conventional Physical Therapy in Spinal Cord Injury Patients.
Until now, there's still no any strong evidence supported "which is the best way to restoration walking ability" in spinal cord injury. Most of the evidence suggest that, there is somehow better after gait rehabilitation for ASIA classification C and D but not improved walking ability for ASIA classification A and B. There is an RCT showed the evidence of repetitive locomotor training and physiotherapy could be improved walking and basic activities of daily living after stroke, these might be also really effect in SCI patients.
Read the detailed description
This study aim to study the effectiveness of conventional rehabilitation compare with robotic gait training machine in subacute SCI patients.
- Conditions
- Spinal Cord Injury
- Being tested
- Robot gait training, control
- Keywords
- SCI, gait, rehabilitation, robotic
- Medical subject headings
- Spinal Cord Injuries
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Robot gait trainingDevice
Also called Gait trainer GT1
Robotic gait training for 20 minute include preparing and rest time for 10 minute plus conventional physical therapy program for 30 minute, totally 60 minute per day for 5 working day per week.
controlOther
Conventional physical therapy program for 60 minute per day for 5 working day per week.
| Study group | Role | What they receive |
|---|---|---|
| robotic gait training | Experimental | conventional physical therapy plus robot gait training program for SCI patients. Receives: Device: Robot gait training |
| control | No intervention | Conventional physical therapy program for 60 minute per day for 5 working day per week. Receives: Other: control |
What is being measured
The primary outcome is the main question the study is designed to answer.
Wernig scale
Walking ability classification in spinal cord injury patients.
Measured: 4 weeks.
Barthel index
Measure activity of daily living
Measured: 4 weeks.
Secondary outcomes (4)
Repas
Spasticity measurement
Measured: 4 weeks.
Manual muscle testing
Measure muscle power in each key muscle according to ASIA classification.
Measured: 4 weeks
10 meter walking test
If patients can walk, measure speed of walking with step length.
Measured: 4 weeks.
6 minute walking test
If patient can walk, measure endurance.
Measured: 4 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Sep 2011 (estimated)
- Study startJan 2013
- Primary completionDec 2016 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for Spinal Cord InjuryStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Single group
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 16 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Prasat Neurological Institute
- Sponsor type
- Other government
- Collaborators
- Mahidol University
- Responsible party
- Principal investigator, Ratanapat Chanubol, Prasat Neurological Institute
- Investigators
- Ratanapat Chanubol, MD., Principal investigator, PM&R department, Prasat Neurological Institute, Bangkok, Thailand. 10400
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01432990
- Sponsor's protocol ID
- SCIstemcell
- Status last verified
- Jul 2012
- First submitted
- 10 Sep 2011
- Last updated
- 17 Jul 2012
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Schwartz I, Sajina A, Neeb M, Fisher I, Katz-Luerer M, Meiner Z. Locomotor training using a robotic device in patients with subacute spinal cord injury. Spinal Cord. 2011 Oct;49(10):1062-7. doi: 10.1038/sc.2011.59. Epub 2011 May 31.
PubMed 21625239Pohl M, Werner C, Holzgraefe M, Kroczek G, Mehrholz J, Wingendorf I, Hoolig G, Koch R, Hesse S. Repetitive locomotor training and physiotherapy improve walking and basic activities of daily living after stroke: a single-blind, randomized multicentre trial (DEutsche GAngtrainerStudie, DEGAS). Clin Rehabil. 2007 Jan;21(1):17-27. doi: 10.1177/0269215506071281.
PubMed 17213237Tefertiller C, Pharo B, Evans N, Winchester P. Efficacy of rehabilitation robotics for walking training in neurological disorders: a review. J Rehabil Res Dev. 2011;48(4):387-416. doi: 10.1682/jrrd.2010.04.0055.
PubMed 21674390Taylor-Schroeder S, LaBarbera J, McDowell S, Zanca JM, Natale A, Mumma S, Gassaway J, Backus D. The SCIRehab project: treatment time spent in SCI rehabilitation. Physical therapy treatment time during inpatient spinal cord injury rehabilitation. J Spinal Cord Med. 2011;34(2):149-61. doi: 10.1179/107902611X12971826988057.
PubMed 21675354
Study at a glance
From the registry record, last updated by the sponsor on 17 Jul 2012. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Robotic Gait Training VS. Conventional Physical Therapy in Spinal Cord Injury Patients.
- ClinicalTrials.gov ID
- NCT01432990
- Acronym / sponsor ID
- SCIstemcell
- Conditions
- Spinal Cord Injury
- Keywords
- SCI, gait, rehabilitation, robotic
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 16 participants (estimated)
- Lead sponsor
- Prasat Neurological InstituteOther government
- Collaborators
- Mahidol University
- Study start
- Jan 2013
- Primary completion
- Dec 2016 (estimated)
- First posted
- 13 Sep 2011 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Until now, there's still no any strong evidence supported "which is the best way to restoration walking ability" in spinal cord injury. Most of the evidence suggest that, there is somehow better after gait rehabilitation for ASIA classification C and D but not improved walking ability for ASIA classification A and B. There is an RCT showed the evidence of repetitive locomotor training and physiotherapy could be improved walking and basic activities of daily living after stroke, these might be also really effect in SCI patients.
Detailed description
This study aim to study the effectiveness of conventional rehabilitation compare with robotic gait training machine in subacute SCI patients.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Single group
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| robotic gait training | Experimental | Device: Robot gait trainingconventional physical therapy plus robot gait training program for SCI patients. |
| control | No intervention | Other: controlConventional physical therapy program for 60 minute per day for 5 working day per week. |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Subacute spinal cord injury ( C5-T12 level) patients.
- ASIA classification C and D.
- No previous joint contracture.
- No severely active medical condition.
- Can easily communicate with no obvious cognitive impairment.
Key exclusion criteria (1 listed)
- Previous injury or other neurological condition that related to neurodeficit in key muscles.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Robot gait trainingAlso: Gait trainer GT1Robotic gait training for 20 minute include preparing and rest time for 10 minute plus conventional physical therapy program for 30 minute, totally 60 minute per day for 5 working day per week. | Device | robotic gait training |
| controlConventional physical therapy program for 60 minute per day for 5 working day per week. | Other | control |
Primary outcome
Wernig scale
Time frame: 4 weeks.
Walking ability classification in spinal cord injury patients.
Barthel index
Time frame: 4 weeks.
Measure activity of daily living
4 secondary outcomes
Repas
Time frame: 4 weeks.
Manual muscle testing
Time frame: 4 weeks
10 meter walking test
Time frame: 4 weeks.
6 minute walking test
Time frame: 4 weeks
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Jul 2012.
- Background: PubMed 21625239Schwartz I, Sajina A, Neeb M, Fisher I, Katz-Luerer M, Meiner Z. Locomotor training using a robotic device in patients with subacute spinal cord injury. Spinal Cord. 2011 Oct;49(10):1062-7. doi: 10.1038/sc.2011.59. Epub 2011 May 31.
- Results publication: PubMed 17213237Pohl M, Werner C, Holzgraefe M, Kroczek G, Mehrholz J, Wingendorf I, Hoolig G, Koch R, Hesse S. Repetitive locomotor training and physiotherapy improve walking and basic activities of daily living after stroke: a single-blind, randomized multicentre trial (DEutsche GAngtrainerStudie, DEGAS). Clin Rehabil. 2007 Jan;21(1):17-27. doi: 10.1177/0269215506071281.
- Results publication: PubMed 21674390Tefertiller C, Pharo B, Evans N, Winchester P. Efficacy of rehabilitation robotics for walking training in neurological disorders: a review. J Rehabil Res Dev. 2011;48(4):387-416. doi: 10.1682/jrrd.2010.04.0055.
- Results publication: PubMed 21675354Taylor-Schroeder S, LaBarbera J, McDowell S, Zanca JM, Natale A, Mumma S, Gassaway J, Backus D. The SCIRehab project: treatment time spent in SCI rehabilitation. Physical therapy treatment time during inpatient spinal cord injury rehabilitation. J Spinal Cord Med. 2011;34(2):149-61. doi: 10.1179/107902611X12971826988057.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Ratanapat Chanubol, MD. principal investigator
PM&R department, Prasat Neurological Institute, Bangkok, Thailand. 10400
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Robot gait training in people with Spinal Cord Injury, run by Prasat Neurological Institute at 1 site in Thailand.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 17 Jul 2012. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Thailand. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Wernig scale (time frame: 4 weeks.). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01432990, which also lists 4 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Jul 2012.