The Effects of Passive Gait Training in Complete Motor Spinal Cord Injury (SCI)
Recruitment status was Not yet recruiting
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Purpose
The purpose of this study is to determine whether a three times per week, 2 month robotic assisted treadmill gait training program, will beneficially affect the fitness, physical and psychological well-being, and the vascular and metabolic cardiovascular risk factors in individuals with complete motor Spinal Cord Injury (SCI).
| Condition | Intervention | Phase |
|---|---|---|
|
Motor Complete Spinal Cord Injury |
Device: LOKOMAT |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Supportive Care |
| Official Title: | Electrical Stimulation Induced Lower Limb Exercise Capacity, Cardiorespiratory Response, Cardiovascular Risk Factors and Muscle Activity Patterns in Response to Robotic Assisted Treadmill Gait Training in Individuals With Complete Motor Spinal Cord Injury |
- Electrical stimulation induced lower limb exercise capacity in individuals with SCI [ Time Frame: 4 and 8 weeks of training ] [ Designated as safety issue: No ]The lower limb exercise capacity in response to electrical stimulation will be measured by the use of the ERGYS II system
- Reduction of risk factors for CVD [ Time Frame: 4 and 8 weeks ] [ Designated as safety issue: Yes ]
- Plasms levels of: Total cholesterol, LDL-C, HDL-C, TC/HDL, LDL/HDL, CRP, Triglycerides, IL6, fasting glucose and fasting insulin
- blood pressure, O2 consumption, CO2 production, O2 saturation, Heart rate, RER max (respiratory exchange ratio), VE (minute ventilation), AT (Anaerobic Threshold), Work rate max
| Estimated Enrollment: | 20 |
| Study Start Date: | May 2011 |
| Estimated Study Completion Date: | March 2012 |
| Estimated Primary Completion Date: | December 2011 (Final data collection date for primary outcome measure) |
-
Device: LOKOMAT
Cardiovascular morbidity and mortality are a source of increasing concern among people with SCI and their health providers. The importance of physical activity in reducing the risk of heart disease in this population is indisputable, but exercise opportunities for persons with SCI are limited by physiologic and functional factors. Decreased functional muscle mass, impaired autonomic control of myocardial function, and decreased venous return limits training responses.
Eligibility| Ages Eligible for Study: | 18 Years to 55 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Male and non-pregnant non-lactating female
- At least 6 months after injury
- Complete (AIS A-B) cervical (C4-8) or thoracic (T1-T6) spinal cord injury according to American Spinal Injury Association (AIS) guidelines.
- Under 100 kg and between 155 - 200 cm of height
Exclusion Criteria:
- History of severe neurological injuries other than SCI (MS, CP, ALS, TBI etc).
- Severe concurrent medical diseases: infections, heart or lung, pressure sores, etc
- Unstable spine or unhealed limbs or pelvic fractures
- Psychiatric or cognitive situations that may interfere with the trial
- Spasticity above 3 degree according to Ashworth scale
- Reduced range of motion of knee/hip > 15°
Contacts and Locations| Contact: Moshe Berg, Medical Student | 0526007887 | moshberg@gmail.com |
| Contact: Evgeni Gaidukov, M.D | 0547682786 | evgeniga@gmail.com |
| Israel | |
| Sheba medical center | Not yet recruiting |
| Tel Hashomer, Israel, 52620 | |
| Principal Investigator: | Gabriel Zeilig, M.D | Sheba Medical Center |
| Study Director: | Moshe Berg, Medical Student | Sheba Medical Center |
| Study Director: | Evgeni gaidukov, M.D | Sheba Medical Center |
| Study Director: | Shirley Ackerman-Laufer, B.A | Sheba Medical Center |
| Study Director: | Shlomit Siman, B.A. | Sheba Medical Center |
More Information
Additional Information:
Publications:
| Responsible Party: | Gabriel Zeilig, Sheba Medical Center |
| ClinicalTrials.gov Identifier: | NCT01349478 History of Changes |
| Other Study ID Numbers: | SHEBA-11-8422-GZ-CTIL |
| Study First Received: | May 5, 2011 |
| Last Updated: | May 5, 2011 |
| Health Authority: | Israel: Ministry of Health |
Keywords provided by Sheba Medical Center:
|
paraplegia tetraplegia passive gait training O2 consumption exercise capacity |
CVD risk factors spasticity pain bladder, bowel well being |
Additional relevant MeSH terms:
|
Spinal Cord Injuries Spinal Cord Diseases Central Nervous System Diseases |
Nervous System Diseases Trauma, Nervous System Wounds and Injuries |
ClinicalTrials.gov processed this record on June 18, 2013