Trial Outcomes & Findings for Spinal Excitation to Enhance Mobility (NCT NCT03667573)

NCT ID: NCT03667573

Last Updated: 2023-09-13

Results Overview

Fastest safe walking speed over the complex walking course (measured as changed between the baseline and follow-up sessions)

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

23 participants

Primary outcome timeframe

Measured at session 2 (2 days after the baseline session)

Results posted on

2023-09-13

Participant Flow

Study advertisements were mailed to patients of the North Florida/South Georgia Veterans Health System using a mailing list generated by the VA Informatics and Computing Infrastructure. Inclusion criteria for recruitment mailings included age 65 or greater, primary residence in a local zip code, and absence of major medical conditions (based on ICD-9/ICD-10 codes). A screening questionnaire was used to interview individuals by telephone prior to scheduling an onsite screening visit.

Participants were excluded if they had major health conditions that would affect their safety in the study and/or their ability to perform the study procedures (e.g., ability to walk independently). Other exclusion criteria were excessive body mass index, major somatosensory impairment of the feet, and use of medications affecting the central nervous system.

Participant milestones

Participant milestones
Measure
tsDCS Dosage A and Textured Insoles
tsDCS dosage "A" and textured shoe insoles tsDCS Dosage (A): mild electrical stimulation delivered to lumbosacral spinal cord textured shoe insoles: textured shoe insoles
tsDCS Dosage B and Textured Insoles
tsDCS dosage "B" and textured shoe insoles tsDCS Dosage (B): mild electrical stimulation delivered to lumbosacral spinal cord textured shoe insoles: textured shoe insoles
tsDCS Dosage A and Smooth Insoles
tsDCS dosage "A" and smooth shoe insoles tsDCS Dosage (A): mild electrical stimulation delivered to lumbosacral spinal cord
tsDCS Dosage B and Smooth Insoles
tsDCS dosage "B" and smooth shoe insoles tsDCS Dosage (B): mild electrical stimulation delivered to lumbosacral spinal cord
Overall Study
STARTED
6
5
5
7
Overall Study
COMPLETED
6
5
5
7
Overall Study
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Spinal Excitation to Enhance Mobility

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
tsDCS Dosage A and Textured Insoles
n=6 Participants
tsDCS dosage "A" and textured shoe insoles tsDCS Dosage (A): mild electrical stimulation delivered to lumbosacral spinal cord textured shoe insoles: textured shoe insoles
tsDCS Dosage B and Textured Insoles
n=5 Participants
tsDCS dosage "B" and textured shoe insoles tsDCS Dosage (B): mild electrical stimulation delivered to lumbosacral spinal cord textured shoe insoles: textured shoe insoles
tsDCS Dosage A and Smooth Insoles
n=5 Participants
tsDCS dosage "A" and smooth shoe insoles tsDCS Dosage (A): mild electrical stimulation delivered to lumbosacral spinal cord
tsDCS Dosage B and Smooth Insoles
n=7 Participants
tsDCS dosage "B" and smooth shoe insoles tsDCS Dosage (B): mild electrical stimulation delivered to lumbosacral spinal cord
Total
n=23 Participants
Total of all reporting groups
Age, Continuous
78.0 years
STANDARD_DEVIATION 7.7 • n=5 Participants
77.2 years
STANDARD_DEVIATION 9.9 • n=7 Participants
75.8 years
STANDARD_DEVIATION 5.8 • n=5 Participants
79.3 years
STANDARD_DEVIATION 7.5 • n=4 Participants
77.7 years
STANDARD_DEVIATION 7.4 • n=21 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
4 Participants
n=21 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
5 Participants
n=7 Participants
4 Participants
n=5 Participants
5 Participants
n=4 Participants
19 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
White
6 Participants
n=5 Participants
5 Participants
n=7 Participants
5 Participants
n=5 Participants
7 Participants
n=4 Participants
23 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Corrected walking speed
0.850 meters/second
STANDARD_DEVIATION .478 • n=5 Participants
.887 meters/second
STANDARD_DEVIATION .272 • n=7 Participants
.819 meters/second
STANDARD_DEVIATION .388 • n=5 Participants
.913 meters/second
STANDARD_DEVIATION .591 • n=4 Participants
.871 meters/second
STANDARD_DEVIATION .435 • n=21 Participants

PRIMARY outcome

Timeframe: Measured at session 2 (2 days after the baseline session)

Fastest safe walking speed over the complex walking course (measured as changed between the baseline and follow-up sessions)

Outcome measures

Outcome measures
Measure
tsDCS Dosage A and Textured Insoles
n=6 Participants
tsDCS dosage "A" and textured shoe insoles tsDCS Dosage (A): mild electrical stimulation delivered to lumbosacral spinal cord textured shoe insoles: textured shoe insoles
tsDCS Dosage B and Textured Insoles
n=5 Participants
tsDCS dosage "B" and textured shoe insoles tsDCS Dosage (B): mild electrical stimulation delivered to lumbosacral spinal cord textured shoe insoles: textured shoe insoles
tsDCS Dosage A and Smooth Insoles
n=5 Participants
tsDCS dosage "A" and smooth shoe insoles tsDCS Dosage (A): mild electrical stimulation delivered to lumbosacral spinal cord
tsDCS Dosage B and Smooth Insoles
n=7 Participants
tsDCS dosage "B" and smooth shoe insoles tsDCS Dosage (B): mild electrical stimulation delivered to lumbosacral spinal cord
Walking Speed Change From Baseline
.054 meters/second
Standard Deviation .054
.078 meters/second
Standard Deviation .04
.085 meters/second
Standard Deviation .04
.039 meters/second
Standard Deviation .12

SECONDARY outcome

Timeframe: Measured at session 2 (2 days after the baseline session)

Prefrontal brain activity while walking at fastest safe walking speed over the complex walking course (measured by fNIRS as change between baseline and follow-up session)

Outcome measures

Outcome measures
Measure
tsDCS Dosage A and Textured Insoles
n=6 Participants
tsDCS dosage "A" and textured shoe insoles tsDCS Dosage (A): mild electrical stimulation delivered to lumbosacral spinal cord textured shoe insoles: textured shoe insoles
tsDCS Dosage B and Textured Insoles
n=5 Participants
tsDCS dosage "B" and textured shoe insoles tsDCS Dosage (B): mild electrical stimulation delivered to lumbosacral spinal cord textured shoe insoles: textured shoe insoles
tsDCS Dosage A and Smooth Insoles
n=5 Participants
tsDCS dosage "A" and smooth shoe insoles tsDCS Dosage (A): mild electrical stimulation delivered to lumbosacral spinal cord
tsDCS Dosage B and Smooth Insoles
n=7 Participants
tsDCS dosage "B" and smooth shoe insoles tsDCS Dosage (B): mild electrical stimulation delivered to lumbosacral spinal cord
Prefrontal fNIRS Change From Baseline
-1.21 microMolar
Standard Deviation 0.93
0.24 microMolar
Standard Deviation 1.15
0.14 microMolar
Standard Deviation 0.47
0.17 microMolar
Standard Deviation 0.62

Adverse Events

tsDCS Dosage A and Textured Insoles

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

tsDCS Dosage B and Textured Insoles

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

tsDCS Dosage A and Smooth Insoles

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

tsDCS Dosage B and Smooth Insoles

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. David Clark

Malcom Randall VA Medical Center

Phone: 352-376-1611

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place