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Spinal Cord InjuryNCT05887752

Hunova® Randomized Controlled Trial for Trunk Control Improvement in Spinal Cord Injured Patients

A study testing Standard rehabilitation and Hunova® rehabilitation in people with Spinal Cord Injury, run by Montecatone Rehabilitation Institute S.p.A. at 1 site in Italy.

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

In patients with Spinal Cord Injury (SCI), trunk and therefore postural control (both in statics and dynamics) are impaired, often with strong consequences on daily life activities. Therefore, improvement and reinforcement of trunk control are primary rehabilitation (rehab) goals. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Spinal Cord Injury
What is being tested?
Standard rehabilitation and Hunova® rehabilitation
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
74 participants
Where
1 siteItaly
Study dates
5 Jun 2023to 5 May 2026
Phase
Interventional
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Spinal Cord Injury of any etiology;
  • American Spinal Injury (AIS) grade A or B and American Spinal Injury Association (ASIA) neurological level T1 or below; alternatively AIS grade C or D and ASIA neurological level C4 or below;
  • stable clinical conditions;
  • maximum distance from the SCI event: 6 months;
  • ability to maintain a sitting position for at least 1h continuously;
  • subjects capable and collaborating, able to give in person their informed consent.

Who cannot join

  • wearer of tracheal cannula, with the need for bronchoaspiration;
  • wearer of spine orthosis;
  • instability or significant deformity of the spine and/or of the lower limbs;
  • presence of paraosteoarthropathy (POA) in development/inflammatory phase;
  • presence of ischial Pressure Lesion (PL) of stage ≥ 3, according to the National Pressure Ulcer Advisory Panel / European Pressure Ulcer Advisory Panel (NPUAP/EPUAP) classification;
  • need for a lifter for patient transfer;
  • body weight ≥ 150 kg.

Trial locations and contacts

1 site in 1 country.

Italy1 site
  • Montecatone Rehabilitation Institute S.p.A.

    Imola, BO, 40026

Other trials in Italy

About this study

Official title: Efficacy of Combined Treatment With Hunova® Instrumentation and Standard Rehabilitation, Compared to Standard Rehabilitation, on the Improvement of Trunk Control in Spinal Cord Injured Patients: Hunova® Randomized Controlled Trial

In patients with Spinal Cord Injury (SCI), trunk and therefore postural control (both in statics and dynamics) are impaired, often with strong consequences on daily life activities. Therefore, improvement and reinforcement of trunk control are primary rehabilitation (rehab) goals.

For the evaluation of trunk control in SCI people, still today no tests and scales are definable as gold standards.

Read more

Nowadays, for evaluation and rehab purposes of trunk control, balance and proprioception, in both sitting and standing positions, conventional rehabilitation can be supplemented with robotic treatments, e.g. through the Hunova® device (by Movendo Technology). Several studies have demonstrated that conventional rehab associated with robotic training is able to influence functional and motor outcomes in stroke patients, while little evidence is available on SCI patients, also on the number of robotic sessions needed.

The present randomized controlled study primarily aims to demonstrate the effects on trunk control of an integrated rehab treatment (standard plus Hunova®), compared to the standard alone and to gain evidence on the better rehabilitation scheme in terms of number of Hunova® sessions. The correlation between the variation of trunk control, measured by the output data of the Hunova® device itself - ideally more objective - and that assessed through a validated clinical scale, will also be estimated.

Read the detailed description

In SCI patients trunk and therefore postural control (both in statics and dynamics) are impaired, often with strong consequences on daily life activities. Postural control is defined as the ability to maintain balance despite internal and external perturbations, with the aim of bringing the person's barycenter within his standing area.

Therefore, improvement and reinforcement of trunk control are primary rehab goals.

For the evaluation of trunk control in SCI people, still today no tests and scales are definable as gold standards. Only a few are considered as more reliable, some of them suitable for acute/subacute SCI, some others for chronic SCI. In some published studies, inertial sensors have been used for a more precise evaluation of the Center of Pressure (COP), of the sway area, in relation to the trunk control, but further validation studies are needed. The use of more objective tools could provide additional information on the behavior of SCI people on postural control, thus not only on muscle strength. Of particular interest are the less or more complex compensation strategies implemented and the muscle activation patterns involved in trunk control, assessable through e.g. surface electromyography.

Nowadays, for rehab purposes of trunk control, balance and proprioception, in both sitting and standing position, conventional rehab can be supplemented with robotic treatments, e.g. through the Hunova® device (by Movendo Technology). Several studies have demonstrated that conventional rehab associated with robotic training is able to influence functional and motor outcomes in stroke patients, while little evidence is available on SCI patients, also on the number of robotic sessions needed. The same Hunova® device also allows parameters evaluation by means of its output data.

The present randomized controlled study primarily aims to demonstrate the effects on trunk control of an integrated rehab treatment (standard plus Hunova®), compared to the standard alone and to gain evidence on the better rehab scheme in terms of number of Hunova® sessions. The correlation between the variation of trunk control, measured by the output data of the Hunova® device itself - ideally more objective - and that assessed through a validated clinical scale, will also be estimated.

Randomization will be stratified, based on SCI lesion completeness. A 1:1 allocation ratio will be used for each stratum.

Being tested
Standard rehabilitation, Hunova® rehabilitation
Keywords
Robotic rehabilitation, Trunk control, Hunova
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.

  • Standard rehabilitationOther

    Carried out 3h/day, 5 days/week at the Montecatone Institute. It implies a multiprofessional approach through:

    • physiotherapy;
    • occupational therapy;
    • sports rehabilitation.
  • Hunova® rehabilitationDevice

    Performed in a dedicated gym of the Montecatone Institute, 1 hour/day, 5 days/week, in the presence of a physiotherapist. Depending on the improvement of the person and of his skills acquisition, the degree of tilting of the Hunova® seat in the various planes may vary.

Study groups in NCT05887752
Study groupRoleWhat they receive
Standard rehab plus 20-session Hunova rehabilitationExperimentalPatients will receive the Standard rehabilitation for a period of 4 weeks. In the same 4 weeks and days, the Hunova® rehabilitation (20 sessions in total) will also be administered.
Receives: Other: Standard rehabilitation; Device: Hunova® rehabilitation
Standard rehab plus 10-session, delayed, Hunova rehabilitationOtherPatients will receive the Standard rehabilitation for a period of 4 weeks. During the last 2 weeks, in the same days, the Hunova® rehabilitation (10 sessions in total) will be also administered.
Receives: Other: Standard rehabilitation; Device: Hunova® rehabilitation

What is being measured

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

  1. Change of trunk control after 10 sessions of Hunova® rehabilitation

    Evaluation of the efficacy of Hunova® rehabilitation for 10 consecutive sessions (2 weeks treatment period), in addition to the Standard rehab treatment, compared to the Standard treatment only, in terms of improvement of trunk control (both in statics and dynamics), while seated. The validated Trunk Control Test clinical measurement scale for SCI people (TCT-SCI) is employed

    Measured: Baseline (initial assessment); 2 weeks after Baseline

  2. Change of trunk equilibrium after 10 sessions of Hunova® rehabilitation

    Evaluation of the efficacy of Hunova® rehabilitation for 10 consecutive sessions (2 weeks treatment period), in addition to the Standard rehab treatment, compared to the Standard treatment only, in terms of ability to adapt to external postural perturbations. The validated Trunk Control Test clinical measurement scale for SCI people (TCT-SCI) is employed

    Measured: Baseline (initial assessment); 2 weeks after Baseline

Secondary outcomes (12)
  1. Change of trunk control after 20 versus 10 Hunova® rehab sessions

    Evaluation of the efficacy of Hunova® treatment for a prolonged period of 20 sessions (4 weeks), compared to a basic treatment of 10 sessions (2 weeks), in terms of improvement of trunk control (both in statics and dynamics), while seated. The validated TCT-SCI scale is employed for assessments

    Measured: Baseline (initial assessment); 2 weeks after Baseline; 4 weeks after Baseline

  2. Change of trunk equilibrium after 20 versus 10 Hunova® rehabilitation sessions

    Evaluation of the efficacy of Hunova® treatment for a prolonged period of 20 sessions (4 weeks), compared to a basic treatment of 10 sessions (2 weeks), in terms of improvement of ability to adapt to postural perturbations. The validated TCT-SCI scale is employed for assessments

    Measured: Baseline (initial assessment); 2 weeks after Baseline; 4 weeks after Baseline

  3. Comparison between trunk control measurements obtained by Hunova® and a validated clinical scale

    Estimation, during and after the rehabilitation period, of the correlation between measures of trunk control improvement, given by the Hunova® device itself, and operator-dependent measures obtained through a validated clinical scale (TCT-SCI)

    Measured: Baseline (initial assessment); 2 weeks after Baseline; 4 weeks after Baseline

  4. Estimation of correlation between change of trunk control and functional activities - self care

    Estimation, during and after the rehabilitation period, of the correlation between improved trunk control (measured by the TCT-SCI scale) and the improvement in functional activities (measured through the Spinal Cord Independence Measure (SCIM) scale, version III, section "Self-care")

    Measured: Baseline (initial assessment); 2 weeks after Baseline; 4 weeks after Baseline

  5. Estimation of correlation between change of trunk control and functional activities - overall mobility

    Estimation, during and after the rehabilitation period, of the correlation between improved trunk control (measured by the TCT-SCI scale) and the improvement in functional activities (measured by a physician through the Spinal Cord Independence Measure (SCIM) scale, version III, section "Overall mobility");

    Measured: Baseline (initial assessment); 2 weeks after Baseline; 4 weeks after Baseline

  6. Estimation of correlation between change of trunk control and patients' self-perception of performances in functional activities

    Estimation, during and after the rehabilitation period, of the correlation between the change of trunk control (measured by the TCT scale) and the change of patient's self-perception of the performance (measured by the Canadian Occupational Performance Measure questionnaire - COPM) of those functional activities self-perceived as relevant

    Measured: Baseline (initial assessment); 2 weeks after Baseline; 4 weeks after Baseline

  7. Estimation of correlation between change of trunk control and patients' satisfaction with performances in functional activities

    Estimation, during and after the rehabilitation period, of the correlation between the change of trunk control (measured by the TCT scale) and the change of patients' satisfaction with the performance (measured by the Canadian Occupational Performance Measure questionnaire - COPM) of those functional activities self-perceived as relevant

    Measured: Baseline (initial assessment); 2 weeks after Baseline; 4 weeks after Baseline

  8. Estimation of correlation between change of trunk control and patients' quality of life

    Estimation, during and after the rehabilitation period, of the correlation between the change of trunk control (measured by the TCT scale) and the change of quality of life perceived by the study subjects (measured by the questionnaire developed by the World Health Organization of the Quality of Life assessment, shorter version - WHOQOL-BREF)

    Measured: Baseline (initial assessment); 2 weeks after Baseline; 4 weeks after Baseline

  9. Change of the COP area as a function of SCI neurologic categories

    Analysis of the variation of the Centre Of Pressure (COP) area during and after the rehabilitation period, stratified by the following SCI categories: complete paraplegia with high thoracic SCI (neurological level ≥T6), complete paraplegia with low thoracic SCI (neurological level <T6), incomplete paraplegia and tetraplegia. Measurements will be carried out in centimeters

    Measured: Baseline (initial assessment); 2 weeks after Baseline; 4 weeks after Baseline

  10. Change of activity patterns in muscles involved in trunk control, assessed by electromyography

    Evaluation of the variation of muscle activity patterns of the muscles contributing to the maintaining of trunk control (latissimus dorsi, trapezius, latissimus pectoralis, erector spinae), between the beginning and the end of the 4-week rehab period under study. Measurements will be carried out through surface dynamic electromyography

    Measured: Baseline (initial assessment); 4 weeks after Baseline

  11. Tolerability of the Hunova® rehab treatment

    Self-patient's perception of the fatigue during the treatment with Hunova®, associated with the Standard rehabilitation treatment, for trunk control. Assessments are carried out through an in-house developed, self-administered questionnaire at the end of the 4-week rehab period under study

    Measured: For intervention arm: 2 weeks after Baseline; 4 weeks after Baseline. For comparator arm: 4 weeks after Baseline

  12. Satisfaction of the Hunova® rehab treatment

    Patient's satisfaction with the Hunova® treatment associated with the Standard rehabilitation treatment for trunk control. Assessments are carried out through an in-house developed questionnaire, administered by a physiotherapist, at the end of the 4-week rehab period under study

    Measured: Time Frame: 4 weeks after Baseline

Timeline

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

  1. First posted5 Jun 2023
  2. Study start5 Jun 2023
  3. Primary completion5 Apr 2026
  4. Study completion5 May 2026

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
Model description
Randomized Controlled Trial (add-on in the first half of the study period)
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
74 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05887752
Sponsor's protocol ID
CE AVEC 286-2023-DISP-AUSLIM
Other IDs
MRI_47-2023
Status last verified
Aug 2026
First submitted
24 May 2023
Last updated
21 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A study testing Standard rehabilitation and Hunova® rehabilitation in people with Spinal Cord Injury, run by Montecatone Rehabilitation Institute S.p.A. at 1 site in Italy.

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 7 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 21 Aug 2026. 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 Italy. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Change of trunk control after 10 sessions of Hunova® rehabilitation (time frame: Baseline (initial assessment); 2 weeks after Baseline). 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?
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 21 Aug 2026.

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Clinical Trial NCT05887752 | AzTrials