Incomplete Spinal Cord InjuryNCT06214546
Effect of Different Support Systems on Gait
A study testing Regular walking, Myosuit and ZeroG in people with Incomplete Spinal Cord Injury, run by Sint Maartenskliniek at 1 site in Netherlands.
Trial summary
Body weight support systems are commonly used for gait training. A new breed of devices for gait training are soft exosuits. To optimize rehabilitation outcomes, it is important to gain deeper insight in the effect of these support systems on gait. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Incomplete Spinal Cord Injury
- What is being tested?
- Regular walking, Myosuit and ZeroG
- Type of treatment
- Medical device
- How many people
- 15 participants
- Where
- 1 siteNetherlands
- Study dates
- 25 Oct 2023to 28 Aug 2024
- 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
- People with subacute or chronic iSCI (at least 2 weeks after injury)
- Have an injury level of C or D on the American Spinal Injury Association Impairment Scale
- Age ≥ 18 years
- Walking speed between 0.4 and 0.8 m/s (limited community ambulation) (24)
- Must be able to stand up from a chair without deviating to the left or right side for more than 45 degrees during the movement
- Can walk for 10 meter without the assistance of another person but can be assisted by assistive devices such as, crutches, walking sticks or ankle foot orthoses except knee orthoses or walkers
- Reduced knee and/or hip strength (MRC=<4).
Who cannot join
- Have another (neurological) disease which can influence motor performance.
- Have wounds
- Taller than 195 and smaller than 150 cm
- Body weight of more than 110 kg or less than 45 kg
- Pregnancy
- Flexion contracture in knee or hip in excess of 10 degrees
Show all 12Show fewer
- Knee varus malposition in excess of 10 degrees or knee valgus malposition in excess of 10 degrees
- Insufficient mastery of the Dutch language
- Psychiatric backgrounds
- Oncological spinal cord injury
- Stoma
- Unsuitable for participation according to the rehabilitation physician or researcher
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Effect of a Body Weight Support System and a Soft Exosuit on Gait in People With Incomplete Spinal Cord Injury
Body weight support systems are commonly used for gait training. A new breed of devices for gait training are soft exosuits. To optimize rehabilitation outcomes, it is important to gain deeper insight in the effect of these support systems on gait. The aim of this study is to investigate the effect of a body weight support system and soft exosuit on dynamic balance and knee and hip kinematics during gait in people with incomplete spinal cord injury.
Read the detailed description
Rationale: People with incomplete spinal cord injury (iSCI) often experience gait impairments. Body weight support (BWS) systems are commonly used for gait training. Overground BWS systems could have 2 or 3 degrees of freedom (DoF). A decrease in DoF will reduce the demand's on people's balance capacity during walking. A new breed of devices for gait training are soft exosuits. They could deliver support around the knee and the hip joint, which are the main contributors for bodyweight support. Although a BWS system and a soft exosuit provide both support against gravity these systems differ in the approach of delivering this support. To optimize rehabilitation outcomes, it is important to gain deeper insight in the effect of these support systems on gait. In this study a 2-DoF BWS system, the ZeroG, and a soft exosuit, the Myosuit, will be studied.
Objective: Investigate the effect of a BWS system and soft exosuit on dynamic balance and knee and hip kinematics during gait in people with incomplete spinal cord injury.
Study design: Experimental design.
Study population: Fourteen people with subacute or chronic iSCI (at least 2 weeks after injury) will be included. People with iSCI will be included when having an injury level of C or D on the American Spinal Injury Association Impairment Scale.
Intervention: Participants will visit the Sint Maartenskliniek once and perform overground walking trials in a laboratory setting: regular walking, walking with the ZeroG (BWS system) and walking with the Myosuit (soft exosuit). Each condition consists of 6 walking trials over a distance of 12.5 m.
Main study parameters/endpoints: The main study parameter for dynamic balance during gait will be medio-lateral center of mass excursion. The main study parameter for gait kinematics will be maximum extension of the knee in sagittal plane.
- Conditions
- Incomplete Spinal Cord Injury
- Being tested
- Regular walking, Myosuit, ZeroG
- Keywords
- ZeroG, Myosuit, Gait, Rehabilitation
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Regular walkingOther
Participants perform 6 overground walking trials (12.5 m) without support system. Participants perform all measurements (regular walking, Myosuit, ZeroG) on one single measurement day.
MyosuitDevice
Participants perform 6 overground walking trials (12.5 m) while wearing the Myosuit. ZeroG and Myosuit intervention will be performed in random order.
ZeroGDevice
Participants perform 6 overground walking trials (12.5 m) while walking in the ZeroG. ZeroG and Myosuit intervention will be performed in random order.
What is being measured
The primary outcome is the main question the study is designed to answer.
Dynamic balance during gait: medio-lateral center of mass excursion (cm)
Difference between regular walking, walking with the Myosuit and walking with the ZeroG. Medio-lateral center of mass excursion
Measured: At baseline (during regular walking, during walking with the Myosuit, during walking with the ZeroG)
Gait kinematics: maximum knee extention
Difference between regular walking, walking with the Myosuit and walking with the ZeroG. Maximum extension of the knee in sagittal plane
Measured: At baseline (during regular walking, during walking with the Myosuit, during walking with the ZeroG)
Secondary outcomes (9)
Dynamic balance during gait: step width (cm)
Difference between regular walking, walking with the Myosuit and walking with the ZeroG.
Measured: At baseline (during regular walking, during walking with the Myosuit, during walking with the ZeroG)
Gait kinematics: maximum hip extension
Difference between regular walking, walking with the Myosuit and walking with the ZeroG. Maximum extension of the hip in sagittal plane
Measured: At baseline (during regular walking, during walking with the Myosuit, during walking with the ZeroG)
Gait kinematics: range of motion of the knee
Difference between regular walking, walking with the Myosuit and walking with the ZeroG. Range of motion of the knee in sagittal plane
Measured: At baseline (during regular walking, during walking with the Myosuit, during walking with the ZeroG)
Gait kinematics: range of motion of the hip
Difference between regular walking, walking with the Myosuit and walking with the ZeroG. Range of motion of the hip in sagittal plane
Measured: At baseline (during regular walking, during walking with the Myosuit, during walking with the ZeroG)
Gait kinematics: trunk inclination angle
Difference between regular walking, walking with the Myosuit and walking with the ZeroG. Trunk inclination angle excursion
Measured: At baseline (during regular walking, during walking with the Myosuit, during walking with the ZeroG)
Walking speed (m/s)
Difference between regular walking, walking with the Myosuit and walking with the ZeroG
Measured: At baseline (during regular walking, during walking with the Myosuit, during walking with the ZeroG)
Stride length (m)
Difference between regular walking, walking with the Myosuit and walking with the ZeroG
Measured: At baseline (during regular walking, during walking with the Myosuit, during walking with the ZeroG)
Step time (s)
Difference between regular walking, walking with the Myosuit and walking with the Zero.
Measured: At baseline (during regular walking, during walking with the Myosuit, during walking with the ZeroG)
Double support phase (%)
Difference between regular walking, walking with the Myosuit and walking with the ZeroG
Measured: At baseline (during regular walking, during walking with the Myosuit, during walking with the ZeroG)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Jan 2024
- Study start25 Oct 2023
- Primary completion28 Aug 2024
- Study completion28 Aug 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Incomplete 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 N/A
- Primary purpose
- Basic science
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 15 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sint Maartenskliniek
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Noel Keijsers, Sint Maartenskliniek
- Investigators
- Bart van den Bemt, Principal investigator, Sint Maartenskliniek
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06214546
- Sponsor's protocol ID
- 1124
- Status last verified
- Dec 2024
- First submitted
- 23 Nov 2023
- Last updated
- 16 May 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 16 May 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of a Body Weight Support System and a Soft Exosuit on Gait in People With Incomplete Spinal Cord Injury
- ClinicalTrials.gov ID
- NCT06214546
- Acronym / sponsor ID
- 1124
- Conditions
- Incomplete Spinal Cord Injury
- Keywords
- ZeroG, Myosuit, Gait, Rehabilitation
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 15 participants (actual)
- Lead sponsor
- Sint MaartenskliniekUniversity, hospital or other
- Study start
- 25 Oct 2023 (actual)
- Primary completion
- 28 Aug 2024 (actual)
- Study completion
- 28 Aug 2024 (actual)
- First posted
- 19 Jan 2024 (actual)
- 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.
Body weight support systems are commonly used for gait training. A new breed of devices for gait training are soft exosuits. To optimize rehabilitation outcomes, it is important to gain deeper insight in the effect of these support systems on gait. The aim of this study is to investigate the effect of a body weight support system and soft exosuit on dynamic balance and knee and hip kinematics during gait in people with incomplete spinal cord injury.
Detailed description
Rationale: People with incomplete spinal cord injury (iSCI) often experience gait impairments. Body weight support (BWS) systems are commonly used for gait training. Overground BWS systems could have 2 or 3 degrees of freedom (DoF). A decrease in DoF will reduce the demand's on people's balance capacity during walking. A new breed of devices for gait training are soft exosuits. They could deliver support around the knee and the hip joint, which are the main contributors for bodyweight support. Although a BWS system and a soft exosuit provide both support against gravity these systems differ in the approach of delivering this support. To optimize rehabilitation outcomes, it is important to gain deeper insight in the effect of these support systems on gait. In this study a 2-DoF BWS system, the ZeroG, and a soft exosuit, the Myosuit, will be studied.
Objective: Investigate the effect of a BWS system and soft exosuit on dynamic balance and knee and hip kinematics during gait in people with incomplete spinal cord injury.
Study design: Experimental design.
Study population: Fourteen people with subacute or chronic iSCI (at least 2 weeks after injury) will be included. People with iSCI will be included when having an injury level of C or D on the American Spinal Injury Association Impairment Scale.
Intervention: Participants will visit the Sint Maartenskliniek once and perform overground walking trials in a laboratory setting: regular walking, walking with the ZeroG (BWS system) and walking with the Myosuit (soft exosuit). Each condition consists of 6 walking trials over a distance of 12.5 m.
Main study parameters/endpoints: The main study parameter for dynamic balance during gait will be medio-lateral center of mass excursion. The main study parameter for gait kinematics will be maximum extension of the knee in sagittal plane.
Study design
- Primary purpose
- Basic science
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- People with subacute or chronic iSCI (at least 2 weeks after injury)
- Have an injury level of C or D on the American Spinal Injury Association Impairment Scale
- Age ≥ 18 years
- Walking speed between 0.4 and 0.8 m/s (limited community ambulation) (24)
- Must be able to stand up from a chair without deviating to the left or right side for more than 45 degrees during the movement
Key exclusion criteria (12 listed)
- Have another (neurological) disease which can influence motor performance.
- Have wounds
- Taller than 195 and smaller than 150 cm
- Body weight of more than 110 kg or less than 45 kg
- Pregnancy
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 |
|---|---|---|
| Regular walkingParticipants perform 6 overground walking trials (12.5 m) without support system. Participants perform all measurements (regular walking, Myosuit, ZeroG) on one single measurement day. | Other | – |
| MyosuitParticipants perform 6 overground walking trials (12.5 m) while wearing the Myosuit. ZeroG and Myosuit intervention will be performed in random order. | Device | – |
| ZeroGParticipants perform 6 overground walking trials (12.5 m) while walking in the ZeroG. ZeroG and Myosuit intervention will be performed in random order. | Device | – |
Primary outcome
Dynamic balance during gait: medio-lateral center of mass excursion (cm)
Time frame: At baseline (during regular walking, during walking with the Myosuit, during walking with the ZeroG)
Difference between regular walking, walking with the Myosuit and walking with the ZeroG. Medio-lateral center of mass excursion
Gait kinematics: maximum knee extention
Time frame: At baseline (during regular walking, during walking with the Myosuit, during walking with the ZeroG)
Difference between regular walking, walking with the Myosuit and walking with the ZeroG. Maximum extension of the knee in sagittal plane
9 secondary outcomes
Dynamic balance during gait: step width (cm)
Time frame: At baseline (during regular walking, during walking with the Myosuit, during walking with the ZeroG)
Gait kinematics: maximum hip extension
Time frame: At baseline (during regular walking, during walking with the Myosuit, during walking with the ZeroG)
Gait kinematics: range of motion of the knee
Time frame: At baseline (during regular walking, during walking with the Myosuit, during walking with the ZeroG)
Gait kinematics: range of motion of the hip
Time frame: At baseline (during regular walking, during walking with the Myosuit, during walking with the ZeroG)
Gait kinematics: trunk inclination angle
Time frame: At baseline (during regular walking, during walking with the Myosuit, during walking with the ZeroG)
Walking speed (m/s)
Time frame: At baseline (during regular walking, during walking with the Myosuit, during walking with the ZeroG)
Stride length (m)
Time frame: At baseline (during regular walking, during walking with the Myosuit, during walking with the ZeroG)
Step time (s)
Time frame: At baseline (during regular walking, during walking with the Myosuit, during walking with the ZeroG)
Double support phase (%)
Time frame: At baseline (during regular walking, during walking with the Myosuit, during walking with the ZeroG)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 May 2025.
- Individual participant dataSharing planned: No
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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.
Bart van den Bemt principal investigator
Sint Maartenskliniek
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Regular walking, Myosuit and ZeroG in people with Incomplete Spinal Cord Injury, run by Sint Maartenskliniek at 1 site in Netherlands.
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 7 inclusion and 12 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 16 May 2025. 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 Netherlands. 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?
Dynamic balance during gait: medio-lateral center of mass excursion (cm) (time frame: At baseline (during regular walking, during walking with the Myosuit, during walking with the ZeroG)). 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 16 May 2025.