Efficacy of End-Effector Robot-Assisted Gait Training in Subacute Stroke Patients

NCT ID: NCT03805009

Last Updated: 2024-04-10

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

COMPLETED

Clinical Phase

NA

Total Enrollment

26 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-03-19

Study Completion Date

2018-09-30

Brief Summary

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To date, no studies seems to compare conventional gait rehabilitation program with end-effector RAGT in subacute stroke patients by analysing the variations of gait kinematics beyond clinical multi prospective outcomes.

The aim of this pilot study is to evaluate the efficacy of end-effector RAGT in subacute stroke patients in terms of clinical outcomes and gait kinematics, comparing them with conventional gait rehabilitation program.

Detailed Description

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To evaluate the efficacy of end-effector RAGT in subacute stroke patients in terms of clinical outcomes and gait kinematics, comparing them with conventional gait rehabilitation program, patients following first ever stroke in sub-acute phase will be recruited and assessed both clinically and instrumentally (Gait Analysis) at baseline (T0) and at the end of training program (T1). The patients will be divided into 2 groups and will conduct two different types of gait training: one group will be recruited by IRCCS San Raffaele Pisana of Rome and will perform, in addition to conventional therapy, gait training using an end-effector robotic device for RAGT(Robotic Group, RG); and another group will be recruited by the Don Carlo Gnocchi Foundation Onlus of Rome, and will perform conventional gait rehabilitation program(Conventional Group, CG).

Conditions

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Severe Stroke Acute Stroke Mild Stroke Central Nervous System Diseases Cerebrovascular Disease Brain Diseases Cardiovascular Diseases Gait, Hemiplegic

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Single blinded, non randomized, pilot study
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
All the clinical assessments are routinely administered by both participating centers, and the outcome assessors are blinded to the study protocols.

Study Groups

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Robotic Group (RG)

Robotic Group (RG) will perform, in addition to conventional therapy, gait training using an end-effector robotic device for Robot-Assisted Gait Training (RAGT), 3 times/week for 20 sessions. During the training, patients will be asked to walk, at a varying speed, for 45 minutes and a partial Body Weight Support (BWS). Participants will start with 30-40% of BWS and an initial speed of 1.5 km/h; increasing to a maximum of between 2.2 and 2.5 km/h and reducing the initial BWS to 15%. The therapist will provide any help during sessions if required. Over 45 minutes, the patient simulates a minimum of 300 steps; patients could rest during the session, though they will be asked to walk continuously for a minimum of 5 minutes during each session.

Group Type EXPERIMENTAL

Robot-Assisted Gait Training (RAGT)

Intervention Type DEVICE

The Robotic Group (RG) performs a Robot-Assisted Gait Training (RAGT) using an end-effector robotic device (G-EO system-Reha Technology-Olten, Switzerland).

Conventional Group (CG)

Conventional Group (CG) will perform conventional gait rehabilitation program. The treatment will include: muscle strengthening exercises and stretching of the lower limb, and static and dynamic exercises for the recovery of balance in the supine and standing positions using assistive devices; training gait exercises with parallel bars or in open spaces performed both with and without assistive devices; training to climb up and down stairs; exercises to improve proprioception in the supine, sitting and standing positions, using a proprioceptive footboard; exercises to improve trunk control.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Robot-Assisted Gait Training (RAGT)

The Robotic Group (RG) performs a Robot-Assisted Gait Training (RAGT) using an end-effector robotic device (G-EO system-Reha Technology-Olten, Switzerland).

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* first cerebral stroke
* 2 weeks up to 6 months post the acute event (subacute patients)
* age between 18-80 years
* ability to fit into the end-effector footplates
* no significant limitation of joint range of motion
* ability to tolerate upright standing for 60 seconds
* ability to walk unassisted or with little assistance
* ability to give written consent
* compliance with the study procedures

Exclusion Criteria

* contractures of the hip, knee, or ankle joints that might limit the range of motion during gait
* medical issue that precludes full weight bearing and ambulation (e.g. orthopaedic injuries, pain, severe osteoporosis, or severe spasticity)
* cognitive and/or communicative disability (e.g. due to brain injury): inability to understand the instructions required for the study
* cardiac pathologies, anxiety or psychosis that might interfere with the use of the equipment or testing

Written informed consent was obtained from each subject.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fondazione Don Carlo Gnocchi Onlus

OTHER

Sponsor Role collaborator

IRCCS San Raffaele Roma

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Marco Franceschini, MD

Role: STUDY_CHAIR

IRCCS San Raffaele Pisana

Sanaz Pournajaf, Dr

Role: PRINCIPAL_INVESTIGATOR

IRCCS San Raffaele Pisana

Michela Goffredo, Ing

Role: PRINCIPAL_INVESTIGATOR

IRCCS San Raffaele Pisana

Locations

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IRCCS San Raffaele Pisana

Rome, RM, Italy

Site Status

Fondazione Don Carlo Gnocchi Onlus

Rome, RM, Italy

Site Status

Countries

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Italy

References

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Other Identifiers

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RP 15/13

Identifier Type: -

Identifier Source: org_study_id

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