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Multiple SclerosisNCT03801473

Comparison of Robot-Assisted Gait Training and Conventional Therapy in Multiple Sclerosis Patients

A study testing robot assisted gait therapy and Conventional rehabilitation in people with Multiple Sclerosis, run by Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey at 1 site in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The aim of this study is to compare conventional neurorehabilitation with robot-assisted gait training program in terms of fatigue, anxiety, depression and quality of life. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Multiple Sclerosis
What is being tested?
robot assisted gait therapy and Conventional rehabilitation
Could I receive a placebo?
No, everyone receives an active treatment
How many people
42 participants
Where
1 siteTurkey (Türkiye)
Study dates
4 Feb 2019to 1 Mar 2020
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 18-70 years old Multiple Sclerosis patients
  • EDSS score: 5.5-7.5
  • Being oriented and cooperated
  • Mini-mental score ≥24/30

Who cannot join

  • Modified Ashworth >3 in lower extremity muscles
  • Cognitive impairment
  • Botox injection within last 6-months
  • Having another neurological disease
  • Pregnancy or breast-feeding

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Sultan Abdulhamid Han Training and Research Hospital

    Istanbul

Other trials in Turkey (Türkiye)

About this study

The aim of this study is to compare conventional neurorehabilitation with robot-assisted gait training program in terms of fatigue, anxiety, depression and quality of life.

Read the detailed description

Gait disturbances are common in Multiple Sclerosis (MS) patients. Nowadays, gait training with robot assisted technology is used for rehabilitation. In several studies conventional rehabilitation was compared with robot assisted rehabilitation program, and they found no superior effects of robot assisted walking program. In this study we aimed to compare these modalities in terms of fatigue, anxiety and quality of life.

Being tested
robot assisted gait therapy, Conventional rehabilitation
Keywords
rehabilitation, robot assisted gait training
Medical subject headings
Multiple Sclerosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • robot assisted gait therapyOther

    The Robogait is a fixed lower body hip-knee exoskeleton. The user's weight is supported by a combination of an overhead attached harness and the support from the exoskeleton.

  • Conventional rehabilitationOther

    Conventional rehabilitation program. Exercise and walking education is performed by the physiotherapists.

Study groups in NCT03801473
Study groupRoleWhat they receive
robot assisted training (RAT)ExperimentalRoboGait which is an automated locomotor therapy system was used for treating RAT group. The system composed of a robotic lower extremity orthosis, adjustable dynamic gait support, synchronized treadmill and biofeedback utilities
Receives: Other: robot assisted gait therapy
conventional training (CT)Active comparatorParticipants in CT group had physiotherapist assisted walking exercises on the parallel bars and on the ground with aids/cane, tripod or walker.
Receives: Other: Conventional rehabilitation

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Fatigue Severity Score

    Patient-reported outcome measure which is composed of 9 items and evaluates the severity of fatigue. The items are scored on a 7-point scale with 1=strongly disagree and 7=strongly agree. The minimum score is 9 and maximum possible score is 63. FSS score is calculated as total score/9. Higher score reflects greater fatigue severity.

    Measured: baseline

  2. Fatigue Severity Score

    Patient-reported outcome measure which is composed of 9 items and evaluates the severity of fatigue. The items are scored on a 7-point scale with 1=strongly disagree and 7=strongly agree. The minimum score is 9 and maximum possible score is 63. FSS score is calculated as total score/9. Higher score reflects greater fatigue severity.

    Measured: after treatment (4th week)

  3. Fatigue Severity Score

    Patient-reported outcome measure which is composed of 9 items and evaluates the severity of fatigue. The items are scored on a 7-point scale with 1=strongly disagree and 7=strongly agree. The minimum score is 9 and maximum possible score is 63. FSS score is calculated as total score/9. Higher score reflects greater fatigue severity.

    Measured: 3 months after treatment

  4. Hospital Anxiety Depression Scale-Depression Subscale (HADS-D)

    Hospital Anxiety Depression Scale (HADS) s a 14 item questionnaire which consists two sub-scale evaluating anxiety (HADS-A) and depression (HADS-D).

    HADS-D sub-scale has seven items and each item is scored on a scale of 0 to 3. Total score ranged from 0 to 21. Higher scores reflects more severe depression.

    Measured: Baseline

  5. Hospital Anxiety Depression Scale- Depression Subscale (HADS-D)

    Hospital Anxiety Depression Scale (HADS) s a 14 item questionnaire which consists two sub-scale evaluating anxiety (HADS-A) and depression (HADS-D).

    HADS-D sub-scale has seven items and each item is scored on a scale of 0 to 3. Total score ranged from 0 to 21. Higher scores reflects more severe depression.

    Measured: After treatment (4th week)

  6. Hospital Anxiety Depression Scale- Depression Subscale (HADS-D)

    Hospital Anxiety Depression Scale (HADS) s a 14 item questionnaire which consists two sub-scale evaluating anxiety (HADS-A) and depression (HADS-D).

    HADS-D sub-scale has seven items and each item is scored on a scale of 0 to 3. Total score ranged from 0 to 21. Higher scores reflects more severe depression.

    Measured: 3 months after treatment

  7. Hospital Anxiety Depression Scale- Anxiety Subscale (HADS-A)

    Hospital Anxiety Depression Scale (HADS) s a 14 item questionnaire which consists two sub-scale evaluating anxiety (HADS-A) and depression (HADS-D).

    HADS-A sub-scale has seven items and each item is scored on a scale of 0 to 3. Total sub-scale score ranged from 0 to 21. Higher score mean a worse outcome.

    Measured: baseline

  8. Hospital Anxiety Depression Scale-Anxiety Subscale (HADS-A)

    Hospital Anxiety Depression Scale (HADS) s a 14 item questionnaire which consists two sub-scale evaluating anxiety (HADS-A) and depression (HADS-D).

    HADS-A sub-scale has seven items and each item is scored on a scale of 0 to 3. Total sub-scale score ranged from 0 to 21. Higher score mean a worse outcome.

    Measured: After treatment (4th week)

  9. Hospital Anxiety Depression Scale-Anxiety Subscale (HADS-A)

    Hospital Anxiety Depression Scale (HADS) s a 14 item questionnaire which consists two sub-scale evaluating anxiety (HADS-A) and depression (HADS-D).

    HADS-A sub-scale has seven items and each item is scored on a scale of 0 to 3. Total sub-scale score ranged from 0 to 21. Higher score mean a worse outcome.

    Measured: 3 months after treatment

Secondary outcomes (15)
  1. Multiple Sclerosis Quality of Life-54 (MSQOL-54)-Physical Health

    The MSQOL-54 is a multidimensional health-related quality of life measure that combines both generic and MS-specific items.

    This 54-item instrument generates 12 subscales along with two summary scores, and two additional single-item measures. The subscales are: physical function, role limitations-physical, role limitations-emotional, pain, emotional well-being, energy, health perceptions, social function, cognitive function, health distress, overall quality of life, and sexual function.

    The summary scores are the physical health composite summary and the mental health composite summary.

    Each composite summary scored 0-100. Higher values indicate better QoL.

    Measured: baseline

  2. Multiple Sclerosis Quality of Life-54 (MSQOL-54)-Physical Health

    The MSQOL-54 is a multidimensional health-related quality of life measure that combines both generic and MS-specific items.

    This 54-item instrument generates 12 subscales along with two summary scores, and two additional single-item measures. The subscales are: physical function, role limitations-physical, role limitations-emotional, pain, emotional well-being, energy, health perceptions, social function, cognitive function, health distress, overall quality of life, and sexual function.

    The summary scores are the physical health composite summary and the mental health composite summary.

    Each composite summary scored 0-100. Higher values indicate better QoL.

    Measured: after treatment (4th week)

  3. Multiple Sclerosis Quality of Life-54 (MSQOL-54)- Physical Health

    The MSQOL-54 is a multidimensional health-related quality of life measure that combines both generic and MS-specific items.

    This 54-item instrument generates 12 subscales along with two summary scores, and two additional single-item measures. The subscales are: physical function, role limitations-physical, role limitations-emotional, pain, emotional well-being, energy, health perceptions, social function, cognitive function, health distress, overall quality of life, and sexual function.

    The summary scores are the physical health composite summary and the mental health composite summary.

    Each composite summary scored 0-100. Higher values indicate better QoL.

    Measured: 3 months after treatment

  4. Expanded Disability Status Scale (EDSS)

    The EDSS assesses the disability status of MS patients on a scale range from 0 to 10 in 0.5 unit increments that represent higher levels of disability.

    Measured: baseline

  5. Expanded Disability Status Scale (EDSS)

    The EDSS assesses the disability status of MS patients on a scale range from 0 to 10 in 0.5 unit increments that represent higher levels of disability.

    Measured: after treatment (4th week)

  6. Expanded Disability Status Scale (EDSS)

    The EDSS assesses the disability status of MS patients on a scale range from 0 to 10 in 0.5 unit increments that represent higher levels of disability.

    Measured: 3 months after treatment

  7. Functional Ambulation Classification

    scored 0 to 5 (non functional ambulator to independant ambulator)

    Measured: baseline

  8. Functional Ambulation Classification

    scored 0 to 5 (non functional ambulator to independant ambulator)

    Measured: after treatment (4th week)

  9. Functional Ambulation Classification

    scored 0 to 5 (non functional ambulator to independant ambulator)

    Measured: 3 months after treatment

  10. Walking Ability

    The 6-min walk test (6 MWT) is a submaximal exercise test that entails measurement of distance walked over a span of 6 minutes.

    Measured: baseline

  11. Walking Ability

    The 6-min walk test (6 MWT) is a submaximal exercise test that entails measurement of distance walked over a span of 6 minutes.

    Measured: after treatment (4th week)

  12. Walking Ability

    The 6-min walk test (6 MWT) is a submaximal exercise test that entails measurement of distance walked over a span of 6 minutes.

    Measured: 3 months after treatment

  13. Berg Balance Test (BBT)

    Berg Balance Test (BBT) is a functional test with 14 items. Each item is scored on a five point scale (0 to 4) which is determined by ability to perform the task. The total score ranged 0 to 56. A higher score reflects better functional balance.

    Measured: Baseline

  14. Berg Balance Test (BBT)

    Berg Balance Test (BBT) is a functional test with 14 items. Each item is scored on a five point scale (0 to 4) which is determined by ability to perform the task. The total score ranged 0 to 56. A higher score reflects better functional balance.

    Measured: After treatment (4th week)

  15. Berg Balance Test (BBT)

    Berg Balance Test (BBT) is a functional test with 14 items. Each item is scored on a five point scale (0 to 4) which is determined by ability to perform the task. The total score ranged 0 to 56. A higher score reflects better functional balance.

    Measured: 3 months after treatment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Jan 2019
  2. Study start4 Feb 2019
  3. Primary completion1 Mar 2020
  4. Study completion1 Mar 2020

Resources

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 N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Investigator, Outcomes assessor
Enrolment
42 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03801473
Sponsor's protocol ID
Tugba Ozsoy
Status last verified
Apr 2021
First submitted
9 Jan 2019
Last updated
7 May 2021
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Lefeber N, Swinnen E, Kerckhofs E. The immediate effects of robot-assistance on energy consumption and cardiorespiratory load during walking compared to walking without robot-assistance: a systematic review. Disabil Rehabil Assist Technol. 2017 Oct;12(7):657-671. doi: 10.1080/17483107.2016.1235620. Epub 2016 Oct 20.

    PubMed 27762641
  • Straudi S, Manfredini F, Lamberti N, Zamboni P, Bernardi F, Marchetti G, Pinton P, Bonora M, Secchiero P, Tisato V, Volpato S, Basaglia N. The effectiveness of Robot-Assisted Gait Training versus conventional therapy on mobility in severely disabled progressIve MultiplE sclerosis patients (RAGTIME): study protocol for a randomized controlled trial. Trials. 2017 Feb 27;18(1):88. doi: 10.1186/s13063-017-1838-2.

    PubMed 28241776
  • Gandolfi M, Geroin C, Picelli A, Munari D, Waldner A, Tamburin S, Marchioretto F, Smania N. Robot-assisted vs. sensory integration training in treating gait and balance dysfunctions in patients with multiple sclerosis: a randomized controlled trial. Front Hum Neurosci. 2014 May 22;8:318. doi: 10.3389/fnhum.2014.00318. eCollection 2014.

    PubMed 24904361
  • Ozsoy-Unubol T, Ata E, Cavlak M, Demir S, Candan Z, Yilmaz F. Effects of Robot-Assisted Gait Training in Patients With Multiple Sclerosis: A Single-Blinded Randomized Controlled Study. Am J Phys Med Rehabil. 2022 Aug 1;101(8):768-774. doi: 10.1097/PHM.0000000000001913. Epub 2021 Oct 21.

    PubMed 34686632

Questions about this trial

What is this clinical trial studying?

A study testing robot assisted gait therapy and Conventional rehabilitation in people with Multiple Sclerosis, run by Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey at 1 site in Turkey (Türkiye).

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 4 inclusion and 5 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: finished, as of the sponsor's last update on 7 May 2021. 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 Turkey (Türkiye). 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.

Are results available for this study?

Yes. Results are posted in the registry (first posted 2 Feb 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Fatigue Severity Score (time frame: baseline). The study lists 9 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 NCT03801473, 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 7 May 2021.

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