Effect of Passive Gait Training on the Cortical Activity in Patients With Severe Brain Injury.

NCT ID: NCT00526500

Last Updated: 2008-11-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

EARLY_PHASE1

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-08-31

Study Completion Date

2009-05-31

Brief Summary

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The aim of this study is to determine effect of proprioceptive stimulation with passive gait training on the cortical activity in patients with severe brain injury, demonstrated as changes in EEG (electroencephalogram)and ERP (Event Related Potentials).

Hypotheses: 1) Proprioceptive stimulation increases EEG-frequency in patients with impaired consciousness due to severe brain injury.

2\) Proprioceptive stimulation increases conductivity speed of the cognitive P300-component of ERP in patients with impaired consciousness due to severe brain injury.

Detailed Description

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Design: Prospective controlled non-randomized study. Materials and methods: 45 patients with severe brain injury and 15 healthy volunteers will be included in this study.

The study design is illustrated below:

1. Baseline measurement of electroencephalography (EEG) and event related potentials (ERP)
2. Gait training in the tilt table with integrated stepping system(20 min).
3. Control measurement of EEG and ERP Effect parameters: se outcome measures. Statistical evaluation: All collected data will be tested with reference to normal distribution. If the data is not distributed normally, then we will use either a logarithmic transformation before we use parametric statistics, or we will use non-parametric statistics for further calculations.

Further analysis of the data will be done with the help of variance analysis with an inter-individually factor as a group (patients vs control persons) and intra-individually factors as: 1) experimental condition (before vs after training), 2) topographic distribution (anterior vs central vs posterior).

Significance level is set to 0.05 for all effect parameters.

Conditions

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Craniocerebral Trauma Traumatic Brain Injury Subarachnoid Hemorrhage Anoxic Brain Injury

Keywords

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Severe Traumatic Brain Injury Subarachnoid Hemorrhage Anoxic Brain Injury Passive Gait Training Tilt Table With Integrated Stepping System Electroencephalogram Event Related Potentials

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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P-T

Group Type EXPERIMENTAL

Tilt Table With Integrated Stepping System

Intervention Type BEHAVIORAL

Passive Gait Training: one session, 20 minutes, table tilted to 70-80 degrees, speed 60 steps per minute.

P- SAH

Group Type EXPERIMENTAL

Tilt Table With Integrated Stepping System

Intervention Type BEHAVIORAL

Passive Gait Training: one session, 20 minutes, table tilted to 70-80 degrees, speed 60 steps per minute.

P- A

Group Type EXPERIMENTAL

Tilt Table With Integrated Stepping System

Intervention Type BEHAVIORAL

Passive Gait Training: one session, 20 minutes, table tilted to 70-80 degrees, speed 60 steps per minute.

Control

Group Type EXPERIMENTAL

Tilt Table With Integrated Stepping System

Intervention Type BEHAVIORAL

Passive Gait Training: one session, 20 minutes, table tilted to 70-80 degrees, speed 60 steps per minute.

Interventions

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Tilt Table With Integrated Stepping System

Passive Gait Training: one session, 20 minutes, table tilted to 70-80 degrees, speed 60 steps per minute.

Intervention Type BEHAVIORAL

Other Intervention Names

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P-T:patients, traumatic brain injury P-SAH:patients, subarachnoid hemorrhage P-A:patients, anoxi Control: healthy volunteers

Eligibility Criteria

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Inclusion Criteria

Patient Goup:

1. Severe Brain Injury
2. Ongoing Impaired State of Consciousness (RLAS\<4)
3. Stable Vital Functions
4. Written Consent from Relatives/Legal Guardian

Control Group:

1. No History of Neurological Diseases in the Past
2. Age over 18 years
3. Written Consent -

Exclusion Criteria

Patient and Control Goup:

1. Age older than 80 years
2. Other Neurological Diseases
3. Lack of BAEP
4. Severe Co-morbidity
5. Pregnancy
6. Tilt table contraindications: orthostatic circulatory problems, unstable fractures, severe osteoporosis, sken problems, joint problems, severe asymmetry (major difference in leg length over 2 cm), co-operation problems (psychotic illnesses or neurotic disturbances), adjustment problems (i.e. integrated stepping system cannot be safely adjusted to the patient)
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Aarhus

OTHER

Sponsor Role lead

Responsible Party

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Hammel Neurorehabilitation and Research Centre

Principal Investigators

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Carsten Kock-Jensen, MD

Role: STUDY_DIRECTOR

Hammel Neurorehabilitation and Research Centre

Johannes Jakobsen, MD, DMSc

Role: STUDY_CHAIR

Department of Neurology, Aarhus University

Natallia Lapitskaya, MD, PhD-stud

Role: PRINCIPAL_INVESTIGATOR

Hammel Neurorehabilitation and Research Centre

Locations

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Hammel Neurorehabilitation and Research Centre

Hammel, , Denmark

Site Status RECRUITING

Countries

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Denmark

Central Contacts

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Natallia Lapitskaya, MD, PhD-stud

Role: CONTACT

Phone: 004587623573

Email: [email protected]

Lena Bjorn, secretary

Role: CONTACT

Phone: 0045 8762 3562

Email: [email protected]

Facility Contacts

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Lena Bjorn, secretary

Role: primary

Other Identifiers

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HNRC-AAU-07-1

Identifier Type: -

Identifier Source: org_study_id