Trial Outcomes & Findings for Robotically Assisted Treadmill Training in Spinal Cord Injury (SCI) (NCT NCT00385918)
NCT ID: NCT00385918
Last Updated: 2014-05-14
Results Overview
Peak V02 measurements taken during Lokomat exercise in order to measure cardiovascular fitness. Please note that at times the home stretching group would have a second set of measurements at 3 months - one post the 3 month time interval and one later in the 3rd month if there was some delay in initiating the crossover to Lokomat training. This sometimes occurred if the time it would take to complete all of the required studies (e.g. DXA, other secondary measures) was prolonged because of logistical issues.
COMPLETED
NA
18 participants
0, 1.5 and 3, 4.5, and 6 months
2014-05-14
Participant Flow
Dates of recruitment: April 2007 through 2010. Location of recruitment: Kernan Hospital Spinal Cord Injury Clinic and Baltimore VAMC Spinal Cord Support Clinic.
Participants all underwent baseline and feasibility testing prior to randomization in either of the two arms.
Participant milestones
| Measure |
Lokomat Training
Subjects will receive active exercise treatment in the Lokomat device 3 times per week for 3 months. Each session will last approximately 45 minutes.
Lokomat Training : The Lokomat is a robotically assisted partial weight suspension treadmill training device that has the potential to restore leg function in persons with incomplete leg paralysis.
|
Home Stretching Then Lokomat Training
Patients will participate in a home stretching program for 3 months.
Home stretching protocol : Patients will be instructed by a physical therapist on how to perform a home stretching protocol 3 times per week for 3 months. The stretching will be monitored via telephone by the study coordinator. This will be an active control arm.
After 3 months the participants will be switched to a 3 month period of Lokomat training the same as that offered to the patients randomized to the "Lokomat Training" arm of the study.
|
Baseline and Feasibility Testing
All subjects were screened and underwent baseline testing prior to randomization into either the Lokomat training or the Home stretching then Lokomat training group.
|
|---|---|---|---|
|
Feasibility & Baseline Measurement Phase
STARTED
|
0
|
0
|
35
|
|
Feasibility & Baseline Measurement Phase
Number Eligible
|
0
|
0
|
27
|
|
Feasibility & Baseline Measurement Phase
Completed Baseline Tests
|
0
|
0
|
21
|
|
Feasibility & Baseline Measurement Phase
COMPLETED
|
0
|
0
|
21
|
|
Feasibility & Baseline Measurement Phase
NOT COMPLETED
|
0
|
0
|
14
|
|
Intervention Phase After Randomization
STARTED
|
15
|
6
|
0
|
|
Intervention Phase After Randomization
COMPLETED
|
12
|
6
|
0
|
|
Intervention Phase After Randomization
NOT COMPLETED
|
3
|
0
|
0
|
Reasons for withdrawal
| Measure |
Lokomat Training
Subjects will receive active exercise treatment in the Lokomat device 3 times per week for 3 months. Each session will last approximately 45 minutes.
Lokomat Training : The Lokomat is a robotically assisted partial weight suspension treadmill training device that has the potential to restore leg function in persons with incomplete leg paralysis.
|
Home Stretching Then Lokomat Training
Patients will participate in a home stretching program for 3 months.
Home stretching protocol : Patients will be instructed by a physical therapist on how to perform a home stretching protocol 3 times per week for 3 months. The stretching will be monitored via telephone by the study coordinator. This will be an active control arm.
After 3 months the participants will be switched to a 3 month period of Lokomat training the same as that offered to the patients randomized to the "Lokomat Training" arm of the study.
|
Baseline and Feasibility Testing
All subjects were screened and underwent baseline testing prior to randomization into either the Lokomat training or the Home stretching then Lokomat training group.
|
|---|---|---|---|
|
Feasibility & Baseline Measurement Phase
outside of inclusion criteria
|
0
|
0
|
8
|
|
Feasibility & Baseline Measurement Phase
Withdrawal by Subject
|
0
|
0
|
5
|
|
Feasibility & Baseline Measurement Phase
Physician Decision
|
0
|
0
|
1
|
|
Intervention Phase After Randomization
Withdrawal by Subject
|
1
|
0
|
0
|
|
Intervention Phase After Randomization
Physician Decision
|
1
|
0
|
0
|
|
Intervention Phase After Randomization
Lost to Follow-up
|
1
|
0
|
0
|
Baseline Characteristics
Robotically Assisted Treadmill Training in Spinal Cord Injury (SCI)
Baseline characteristics by cohort
| Measure |
Lokomat Exercise
n=12 Participants
Subjects will receive active exercise treatment in the Lokomat device 3 times per week for 3 months. Each session will last approximately 45 minutes.
Lokomat Training : The Lokomat is a robotically assisted partial weight suspension treadmill training device that has the potential to restore leg function in persons with incomplete leg paralysis.
|
Home Stretching Then Lokomat Exercise
n=6 Participants
Patients will participate in a home stretching program for 3 months. They will then be crossed over to Lokomat treatment for an additional 3 months.
Home stretching protocol : Patients will be instructed by a physical therapist on how to perform a home stretching protocol 3 times per week for 3 months. The stretching will be monitored via telephone by the study coordinator. This will be an active control arm.
|
Total
n=18 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Continuous
|
51.5 years
STANDARD_DEVIATION 12.7 • n=5 Participants
|
52.0 years
STANDARD_DEVIATION 15.4 • n=7 Participants
|
51.7 years
STANDARD_DEVIATION 13.2 • n=5 Participants
|
|
Sex: Female, Male
Female
|
1 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
1 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
11 Participants
n=5 Participants
|
6 Participants
n=7 Participants
|
17 Participants
n=5 Participants
|
|
Lower Extremity Motor Score
|
34.2 units on a scale
STANDARD_DEVIATION 11.5 • n=5 Participants
|
36.2 units on a scale
STANDARD_DEVIATION 8.4 • n=7 Participants
|
34.8 units on a scale
STANDARD_DEVIATION 10.3 • n=5 Participants
|
|
Body Mass
|
80.8 kg
STANDARD_DEVIATION 14.6 • n=5 Participants
|
94.3 kg
STANDARD_DEVIATION 25.0 • n=7 Participants
|
85.3 kg
STANDARD_DEVIATION 19.1 • n=5 Participants
|
|
ASIA Impairment Scale
ASIA impairment C
|
2 participants
n=5 Participants
|
0 participants
n=7 Participants
|
2 participants
n=5 Participants
|
|
ASIA Impairment Scale
ASIA impairment D
|
10 participants
n=5 Participants
|
6 participants
n=7 Participants
|
16 participants
n=5 Participants
|
|
Impairment Function
Tetraplegia
|
8 participants
n=5 Participants
|
6 participants
n=7 Participants
|
14 participants
n=5 Participants
|
|
Impairment Function
Paraplegia
|
4 participants
n=5 Participants
|
0 participants
n=7 Participants
|
4 participants
n=5 Participants
|
PRIMARY outcome
Timeframe: 0, 1.5 and 3, 4.5, and 6 monthsPopulation: A single outlier point in the baseline data in one control subject was noted. Laboratory journal notes for this subject indicated that this individual had far more episodes of robotic treadmill stops during his baseline testing due to a high degree of spasticity. Given this, we felt justified in excluding this outlier from further data analysis.
Peak V02 measurements taken during Lokomat exercise in order to measure cardiovascular fitness. Please note that at times the home stretching group would have a second set of measurements at 3 months - one post the 3 month time interval and one later in the 3rd month if there was some delay in initiating the crossover to Lokomat training. This sometimes occurred if the time it would take to complete all of the required studies (e.g. DXA, other secondary measures) was prolonged because of logistical issues.
Outcome measures
| Measure |
Lokomat Training
n=12 Participants
Subjects will receive active exercise treatment in the Lokomat device 3 times per week for 3 months. Each session will last approximately 45 minutes.
Lokomat Training : The Lokomat is a robotically assisted partial weight suspension treadmill training device that has the potential to restore leg function in persons with incomplete leg paralysis.
|
Home Stretching Then Lokomat Training
n=6 Participants
Patients will participate in a home stretching program for 3 months.
Home stretching protocol : Patients will be instructed by a physical therapist on how to perform a home stretching protocol 3 times per week for 3 months. The stretching will be monitored via telephone by the study coordinator. This will be an active control arm.
The stretching group will cross-over to the exercise intervention after completion of the 3-month home-base phase. At that time, they will receive an exercise treatment in the Lokomat device 3 times per week for 3 months. Each session will last approximately 45 minutes.
|
|---|---|---|
|
Cardiovascular Fitness as Determined by Lokomat Peak VO2 Assessments
Pre (time frame 0) VO2 peak
|
20.2 ml/kg/min
Standard Deviation 7.4
|
12.9 ml/kg/min
Standard Deviation 4.4
|
|
Cardiovascular Fitness as Determined by Lokomat Peak VO2 Assessments
Midpoint (1.5 months) VO2 peak
|
22.5 ml/kg/min
Standard Deviation 7.9
|
11.6 ml/kg/min
Standard Deviation 5.1
|
|
Cardiovascular Fitness as Determined by Lokomat Peak VO2 Assessments
Post_VO2 peak (3 months)
|
22.7 ml/kg/min
Standard Deviation 7.5
|
13.4 ml/kg/min
Standard Deviation 3.9
|
|
Cardiovascular Fitness as Determined by Lokomat Peak VO2 Assessments
Home stretch group at 3 months pre Lokomat (n=6)
|
NA ml/kg/min
Standard Deviation NA
Treatment completed
|
18.7 ml/kg/min
Standard Deviation 8.6
|
|
Cardiovascular Fitness as Determined by Lokomat Peak VO2 Assessments
Home stretch group VO2 peak midpoint (4.5 months)
|
NA ml/kg/min
Standard Deviation NA
Treatment completed
|
19.3 ml/kg/min
Standard Deviation 8.4
|
|
Cardiovascular Fitness as Determined by Lokomat Peak VO2 Assessments
Home stretch group VO2 peak post (6 months)
|
NA ml/kg/min
Standard Deviation NA
Treatment completed
|
18.7 ml/kg/min
Standard Deviation 7.0
|
PRIMARY outcome
Timeframe: 0, 1.5 and 3, 4.5, and 6 monthsPeak oxygen consumption during arm cycle ergometry as a measure of cardiovascular fitness. Please note that at times the home stretching group would have a second set of measurements at 3 months - one post the 3 month time interval and one later in the 3rd month if there was some delay in initiating the crossover to Lokomat training. This sometimes occurred if the time it would take to complete all of the required studies (e.g. DXA, other secondary measures) was prolonged because of logistical issues.
Outcome measures
| Measure |
Lokomat Training
n=12 Participants
Subjects will receive active exercise treatment in the Lokomat device 3 times per week for 3 months. Each session will last approximately 45 minutes.
Lokomat Training : The Lokomat is a robotically assisted partial weight suspension treadmill training device that has the potential to restore leg function in persons with incomplete leg paralysis.
|
Home Stretching Then Lokomat Training
n=6 Participants
Patients will participate in a home stretching program for 3 months.
Home stretching protocol : Patients will be instructed by a physical therapist on how to perform a home stretching protocol 3 times per week for 3 months. The stretching will be monitored via telephone by the study coordinator. This will be an active control arm.
The stretching group will cross-over to the exercise intervention after completion of the 3-month home-base phase. At that time, they will receive an exercise treatment in the Lokomat device 3 times per week for 3 months. Each session will last approximately 45 minutes.
|
|---|---|---|
|
Cardiovascular Fitness as Determined by Arm Cycle Ergometry VO2 Peak Assessments.
Pre (time frame 0) VO2 peak arm ergometry
|
20.0 ml/kg/min
Standard Deviation 6.5
|
13.5 ml/kg/min
Standard Deviation 3.3
|
|
Cardiovascular Fitness as Determined by Arm Cycle Ergometry VO2 Peak Assessments.
Midpoint (1.5 months) VO2 peak arm ergometry
|
19.8 ml/kg/min
Standard Deviation 5.4
|
11.1 ml/kg/min
Standard Deviation 2.1
|
|
Cardiovascular Fitness as Determined by Arm Cycle Ergometry VO2 Peak Assessments.
Post (3 months) VO2 peak arm ergometry
|
21.7 ml/kg/min
Standard Deviation 7.5
|
13.7 ml/kg/min
Standard Deviation 2.5
|
|
Cardiovascular Fitness as Determined by Arm Cycle Ergometry VO2 Peak Assessments.
Home stretch group (3 months) pre Lokomat training
|
NA ml/kg/min
Standard Deviation NA
Treatment completed
|
13.2 ml/kg/min
Standard Deviation 2.9
|
|
Cardiovascular Fitness as Determined by Arm Cycle Ergometry VO2 Peak Assessments.
Home stretch group midpoint (4.5 m) Lokomat
|
NA ml/kg/min
Standard Deviation NA
Treatment completed
|
12.3 ml/kg/min
Standard Deviation 5.0
|
|
Cardiovascular Fitness as Determined by Arm Cycle Ergometry VO2 Peak Assessments.
Home stretch group post Lokomat (6 mod)
|
NA ml/kg/min
Standard Deviation NA
treatment completed
|
13.0 ml/kg/min
Standard Deviation 4.1
|
SECONDARY outcome
Timeframe: Measured at Baseline (Time point 0), 3, and 6 monthsDXA assessment of total body mass. Please note that at times the home stretching group would have a second set of measurements at 3 months - one post the 3 month time interval and one later in the 3rd month if there was some delay in initiating the crossover to Lokomat training. This sometimes occurred if the time it would take to complete all of the required studies (e.g. DXA, other secondary measures) was prolonged because of logistical issues.
Outcome measures
| Measure |
Lokomat Training
n=12 Participants
Subjects will receive active exercise treatment in the Lokomat device 3 times per week for 3 months. Each session will last approximately 45 minutes.
Lokomat Training : The Lokomat is a robotically assisted partial weight suspension treadmill training device that has the potential to restore leg function in persons with incomplete leg paralysis.
|
Home Stretching Then Lokomat Training
n=6 Participants
Patients will participate in a home stretching program for 3 months.
Home stretching protocol : Patients will be instructed by a physical therapist on how to perform a home stretching protocol 3 times per week for 3 months. The stretching will be monitored via telephone by the study coordinator. This will be an active control arm.
The stretching group will cross-over to the exercise intervention after completion of the 3-month home-base phase. At that time, they will receive an exercise treatment in the Lokomat device 3 times per week for 3 months. Each session will last approximately 45 minutes.
|
|---|---|---|
|
Body Mass
Body Mass_Baseline
|
80.8 kg
Standard Deviation 14.6
|
94.3 kg
Standard Deviation 25.0
|
|
Body Mass
Body Mass_Post (3 months)
|
79.8 kg
Standard Deviation 15.0
|
92.3 kg
Standard Deviation 23.3
|
|
Body Mass
Home stretch group pre (3 months) Body mass
|
NA kg
Standard Deviation NA
Treatment completed
|
93.4 kg
Standard Deviation 22.8
|
|
Body Mass
Home stretch group post Body mass (6 months)
|
NA kg
Standard Deviation NA
Treatment completed
|
94.8 kg
Standard Deviation 22.1
|
SECONDARY outcome
Timeframe: Measured at Baseline (Time point 0), 3, and 6 monthsAn assessment of percent body fat as determined by DXA analysis. Please note that at times the home stretching group would have a second set of measurements at 3 months - one post the 3 month time interval and one later in the 3rd month if there was some delay in initiating the crossover to Lokomat training. This sometimes occurred if the time it would take to complete all of the required studies (e.g. DXA, other secondary measures) was prolonged because of logistical issues.
Outcome measures
| Measure |
Lokomat Training
n=12 Participants
Subjects will receive active exercise treatment in the Lokomat device 3 times per week for 3 months. Each session will last approximately 45 minutes.
Lokomat Training : The Lokomat is a robotically assisted partial weight suspension treadmill training device that has the potential to restore leg function in persons with incomplete leg paralysis.
|
Home Stretching Then Lokomat Training
n=6 Participants
Patients will participate in a home stretching program for 3 months.
Home stretching protocol : Patients will be instructed by a physical therapist on how to perform a home stretching protocol 3 times per week for 3 months. The stretching will be monitored via telephone by the study coordinator. This will be an active control arm.
The stretching group will cross-over to the exercise intervention after completion of the 3-month home-base phase. At that time, they will receive an exercise treatment in the Lokomat device 3 times per week for 3 months. Each session will last approximately 45 minutes.
|
|---|---|---|
|
Percent Body Fat
Home stretch group post %Body fat (6 months)
|
NA percent of total mass
Standard Deviation NA
Treatment completed
|
33.7 percent of total mass
Standard Deviation 6.4
|
|
Percent Body Fat
Percent Body Fat_Baseline (time 0)
|
33.6 percent of total mass
Standard Deviation 7.9
|
34.2 percent of total mass
Standard Deviation 6.9
|
|
Percent Body Fat
Percent Body Fat_Post (3 months)
|
32.4 percent of total mass
Standard Deviation 7.7
|
33.3 percent of total mass
Standard Deviation 7.4
|
|
Percent Body Fat
Home stretch group pre %Body fat (3 months)
|
NA percent of total mass
Standard Deviation NA
Treatment completed
|
33.3 percent of total mass
Standard Deviation 7.2
|
SECONDARY outcome
Timeframe: Measured at Baseline (Time point 0) and 3 monthsDXA measurement of total lean muscle mass. Please note that at times the home stretching group would have a second set of measurements at 3 months - one post the 3 month time interval and one later in the 3rd month if there was some delay in initiating the crossover to Lokomat training. This sometimes occurred if the time it would take to complete all of the required studies (e.g. DXA, other secondary measures) was prolonged because of logistical issues.
Outcome measures
| Measure |
Lokomat Training
n=12 Participants
Subjects will receive active exercise treatment in the Lokomat device 3 times per week for 3 months. Each session will last approximately 45 minutes.
Lokomat Training : The Lokomat is a robotically assisted partial weight suspension treadmill training device that has the potential to restore leg function in persons with incomplete leg paralysis.
|
Home Stretching Then Lokomat Training
n=6 Participants
Patients will participate in a home stretching program for 3 months.
Home stretching protocol : Patients will be instructed by a physical therapist on how to perform a home stretching protocol 3 times per week for 3 months. The stretching will be monitored via telephone by the study coordinator. This will be an active control arm.
The stretching group will cross-over to the exercise intervention after completion of the 3-month home-base phase. At that time, they will receive an exercise treatment in the Lokomat device 3 times per week for 3 months. Each session will last approximately 45 minutes.
|
|---|---|---|
|
Lean Muscle Mass
Lean Muscle Mass_Baseline (0 months)
|
51.2 kg
Standard Deviation 8.5
|
58.9 kg
Standard Deviation 11.3
|
|
Lean Muscle Mass
Lean Muscle Mass_Post (3 months)
|
51.4 kg
Standard Deviation 8.0
|
58.3 kg
Standard Deviation 9.6
|
|
Lean Muscle Mass
Home stretch Group Pre Lean Muscle Mass (3 months)
|
NA kg
Standard Deviation NA
Treatment completed
|
59.0 kg
Standard Deviation 9.5
|
|
Lean Muscle Mass
Home muscle Group Post Lean Muscle Mass (6 months)
|
NA kg
Standard Deviation NA
Treatment completed
|
59.9 kg
Standard Deviation 10.2
|
SECONDARY outcome
Timeframe: Measured at Baseline (Time point 0), 3, and 6 monthsDXA assessment of bone mineral content. Please note that at times the home stretching group would have a second set of measurements at 3 months - one post the 3 month time interval and one later in the 3rd month if there was some delay in initiating the crossover to Lokomat training. This sometimes occurred if the time it would take to complete all of the required studies (e.g. DXA, other secondary measures) was prolonged because of logistical issues.
Outcome measures
| Measure |
Lokomat Training
n=12 Participants
Subjects will receive active exercise treatment in the Lokomat device 3 times per week for 3 months. Each session will last approximately 45 minutes.
Lokomat Training : The Lokomat is a robotically assisted partial weight suspension treadmill training device that has the potential to restore leg function in persons with incomplete leg paralysis.
|
Home Stretching Then Lokomat Training
n=6 Participants
Patients will participate in a home stretching program for 3 months.
Home stretching protocol : Patients will be instructed by a physical therapist on how to perform a home stretching protocol 3 times per week for 3 months. The stretching will be monitored via telephone by the study coordinator. This will be an active control arm.
The stretching group will cross-over to the exercise intervention after completion of the 3-month home-base phase. At that time, they will receive an exercise treatment in the Lokomat device 3 times per week for 3 months. Each session will last approximately 45 minutes.
|
|---|---|---|
|
Bone Mineral Content
Bone Mineral Content_Baseline (0 months)
|
3.04 kg
Standard Deviation 0.46
|
3.18 kg
Standard Deviation 0.46
|
|
Bone Mineral Content
Bone Mineral Content_Post (3 months)
|
3.02 kg
Standard Deviation 0.44
|
3.16 kg
Standard Deviation 0.55
|
|
Bone Mineral Content
Home stretch Pre Bone Mineral Content (3 months)
|
NA kg
Standard Deviation NA
Treatment completed
|
3.17 kg
Standard Deviation 0.56
|
|
Bone Mineral Content
Home stretch Post Bone Mineral Content (6 months)
|
NA kg
Standard Deviation NA
Treatment completed
|
3.15 kg
Standard Deviation 0.50
|
SECONDARY outcome
Timeframe: Measured Baseline (Time point 0) and 3 monthsA functional capacity test to evaluate walking distance during a 6-minute time frame. This measure was only done on those participants that were able to walk for 6 minutes, which represented 9 in the Lokomat training group out of the 12 total randomized to Lokomat training, and 5 out of the 6 randomized to the home stretching group. Please note that at times the home stretching group would have a second set of measurements at 3 months - one post the 3 month time interval and one later in the 3rd month if there was some delay in initiating the crossover to Lokomat training. This sometimes occurred if the time it would take to complete all of the required studies (e.g. DXA, other secondary measures) was prolonged because of logistical issues.
Outcome measures
| Measure |
Lokomat Training
n=9 Participants
Subjects will receive active exercise treatment in the Lokomat device 3 times per week for 3 months. Each session will last approximately 45 minutes.
Lokomat Training : The Lokomat is a robotically assisted partial weight suspension treadmill training device that has the potential to restore leg function in persons with incomplete leg paralysis.
|
Home Stretching Then Lokomat Training
n=5 Participants
Patients will participate in a home stretching program for 3 months.
Home stretching protocol : Patients will be instructed by a physical therapist on how to perform a home stretching protocol 3 times per week for 3 months. The stretching will be monitored via telephone by the study coordinator. This will be an active control arm.
The stretching group will cross-over to the exercise intervention after completion of the 3-month home-base phase. At that time, they will receive an exercise treatment in the Lokomat device 3 times per week for 3 months. Each session will last approximately 45 minutes.
|
|---|---|---|
|
Six Minute Walk
Six-minute Walk_Baseline (0 months)
|
179.5 meters
Standard Deviation 76.4
|
203.0 meters
Standard Deviation 108.3
|
|
Six Minute Walk
Six-minute Walk_Post (3 months)
|
201.6 meters
Standard Deviation 94.6
|
250.8 meters
Standard Deviation 136.3
|
SECONDARY outcome
Timeframe: Measured at Baseline (Time point 0) and 3 monthsA functional capacity test to measure speed. This measure was only done on those participants that were able to walk, which represented 9 in the Lokomat training group out of the 12 total randomized to Lokomat training, and 5 out of the 6 who were randomized to home stretching. Note that at times the home stretching group would have a second set of measurements at 3 months - one post the 3 month time interval and one later in the 3rd month if there was some delay in initiating the crossover to Lokomat training. This sometimes occurred if the time it would take to complete all of the required studies (e.g. DXA, other secondary measures) was prolonged because of logistical issues.
Outcome measures
| Measure |
Lokomat Training
n=9 Participants
Subjects will receive active exercise treatment in the Lokomat device 3 times per week for 3 months. Each session will last approximately 45 minutes.
Lokomat Training : The Lokomat is a robotically assisted partial weight suspension treadmill training device that has the potential to restore leg function in persons with incomplete leg paralysis.
|
Home Stretching Then Lokomat Training
n=5 Participants
Patients will participate in a home stretching program for 3 months.
Home stretching protocol : Patients will be instructed by a physical therapist on how to perform a home stretching protocol 3 times per week for 3 months. The stretching will be monitored via telephone by the study coordinator. This will be an active control arm.
The stretching group will cross-over to the exercise intervention after completion of the 3-month home-base phase. At that time, they will receive an exercise treatment in the Lokomat device 3 times per week for 3 months. Each session will last approximately 45 minutes.
|
|---|---|---|
|
10-meter Walk
10-meter walk_Baseline (0 months)
|
23.0 seconds
Standard Deviation 17.5
|
16.5 seconds
Standard Deviation 7.6
|
|
10-meter Walk
10-meter walk_post (3 months)
|
21.3 seconds
Standard Deviation 17.8
|
14.6 seconds
Standard Deviation 7.1
|
SECONDARY outcome
Timeframe: Measured at Baseline (Time point 0) and 3 monthsThe step activity monitor measures the total steps taken by an individual over a 48 hour time frame in the home environment. This measure was only done on those participants that were able to walk in the community and did not use a wheelchair for community mobility, which represented 7 in the Lokomat training group out of the 12 total randomized to Lokomat training and 5 out of 6 of the people randomized to home stretching. Please note that at times the home stretching group would have a second set of measurements at 3 months - one post the 3 month time interval and one later in the 3rd month if there was some delay in initiating the crossover to Lokomat training. This sometimes occurred if the time it would take to complete all of the required studies (e.g. DXA, other secondary measures) was prolonged because of logistical issues.
Outcome measures
| Measure |
Lokomat Training
n=7 Participants
Subjects will receive active exercise treatment in the Lokomat device 3 times per week for 3 months. Each session will last approximately 45 minutes.
Lokomat Training : The Lokomat is a robotically assisted partial weight suspension treadmill training device that has the potential to restore leg function in persons with incomplete leg paralysis.
|
Home Stretching Then Lokomat Training
n=5 Participants
Patients will participate in a home stretching program for 3 months.
Home stretching protocol : Patients will be instructed by a physical therapist on how to perform a home stretching protocol 3 times per week for 3 months. The stretching will be monitored via telephone by the study coordinator. This will be an active control arm.
The stretching group will cross-over to the exercise intervention after completion of the 3-month home-base phase. At that time, they will receive an exercise treatment in the Lokomat device 3 times per week for 3 months. Each session will last approximately 45 minutes.
|
|---|---|---|
|
Step Activity Monitor
Average 24-hour step total_Baseline (0 months)
|
1674.8 steps
Standard Deviation 1129.1
|
1531.3 steps
Standard Deviation 1576.2
|
|
Step Activity Monitor
Average 24-hour step total_Post (3 months)
|
1579.9 steps
Standard Deviation 1078.4
|
1652.4 steps
Standard Deviation 1707.1
|
Adverse Events
Lokomat Training
Home Stretching Then Lokomat Training
Serious adverse events
| Measure |
Lokomat Training
n=15 participants at risk
Subjects will receive active exercise treatment in the Lokomat device 3 times per week for 3 months. Each session will last approximately 45 minutes.
Lokomat Training : The Lokomat is a robotically assisted partial weight suspension treadmill training device that has the potential to restore leg function in persons with incomplete leg paralysis.
|
Home Stretching Then Lokomat Training
n=6 participants at risk
Patients will participate in a home stretching program for 3 months.
Home stretching protocol : Patients will be instructed by a physical therapist on how to perform a home stretching protocol 3 times per week for 3 months. The stretching will be monitored via telephone by the study coordinator. This will be an active control arm.This group will switch to the 3-month robotic intervention after completing the home-based training program.
|
|---|---|---|
|
Cardiac disorders
Chest and Abdominal Pain
|
6.7%
1/15 • Number of events 1
|
0.00%
0/6
|
Other adverse events
| Measure |
Lokomat Training
n=15 participants at risk
Subjects will receive active exercise treatment in the Lokomat device 3 times per week for 3 months. Each session will last approximately 45 minutes.
Lokomat Training : The Lokomat is a robotically assisted partial weight suspension treadmill training device that has the potential to restore leg function in persons with incomplete leg paralysis.
|
Home Stretching Then Lokomat Training
n=6 participants at risk
Patients will participate in a home stretching program for 3 months.
Home stretching protocol : Patients will be instructed by a physical therapist on how to perform a home stretching protocol 3 times per week for 3 months. The stretching will be monitored via telephone by the study coordinator. This will be an active control arm.This group will switch to the 3-month robotic intervention after completing the home-based training program.
|
|---|---|---|
|
Skin and subcutaneous tissue disorders
Skin abrasion
|
13.3%
2/15 • Number of events 3
|
0.00%
0/6
|
|
Renal and urinary disorders
Urinary Tract Infection (UTI)
|
0.00%
0/15
|
16.7%
1/6 • Number of events 2
|
|
Musculoskeletal and connective tissue disorders
Bruise
|
6.7%
1/15 • Number of events 2
|
0.00%
0/6
|
|
General disorders
General pain and lethargy
|
6.7%
1/15 • Number of events 1
|
16.7%
1/6 • Number of events 1
|
|
Renal and urinary disorders
Blood in urine
|
6.7%
1/15 • Number of events 1
|
0.00%
0/6
|
|
General disorders
Hypotensive response
|
6.7%
1/15 • Number of events 1
|
0.00%
0/6
|
|
General disorders
Significant Weight Loss
|
0.00%
0/15
|
16.7%
1/6 • Number of events 1
|
|
Musculoskeletal and connective tissue disorders
Ankle Swelling
|
6.7%
1/15 • Number of events 1
|
0.00%
0/6
|
Additional Information
Peter H. Gorman, MD Chief Division of Rehabilitation Medicine
University of Maryland Rehabiitation and Orthopaedic Institute
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place