Effects of Exoskeleton-Assisted Gait Training on Functional Rehabilitation Outcomes in Patients With Stroke

NCT ID: NCT03980457

Last Updated: 2023-12-01

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

RECRUITING

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-09-01

Study Completion Date

2028-09-01

Brief Summary

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The goal of this study is to determine the efficacy of electromechanical exoskeleton-assisted gait training on rehabilitation functional outcomes in patients with stroke undergoing therapy in an in-patient rehabilitation facility.

Detailed Description

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Abstract

Objective: The goal of this study is to determine the efficacy of electromechanical exoskeleton-assisted gait training on rehabilitation functional outcomes in patients with stroke undergoing therapy in an in-patient rehabilitation facility.

Background:

Method: The investigators will study 50 patients with stroke consecutively admitted to a designated stroke rehabilitation unit in the Oklahoma City VA Medical Center. All patients will receive their daily 3-hours conventional therapy, plus an hour of either exoskeleton or over-ground gait training 3 times per week for 60 minutes. Patients were assigned to either the experimental (exoskeleton) or the control (over-ground) groups by computer-generated randomization. This is an open-label pragmatic trial, where neither the patients nor the clinicians could be masked to the intervention. Institution review board (IRB) approval will be obtained for the protocol. The demographic data to be collected includes: age, gender, race/ethnicity, stroke onset to admission, stroke types (ischemic/hemorrhagic), and stroke severity (on the National Institute of Health Stroke Severity \[NIHSS\] scale. Admission and discharge total Functional Independence Measure (FIM), spasticity and depression scores, ambulation velocity over 2-minutes (2-MWT) in feet/minute, and discharge disposition. The intervention is Indego® exoskeleton. The primary outcome measures were: changes in the FIM, depression and spasticity scores. The secondary outcome measure was discharge disposition. Continuous variables were analyzed using Students t-test, ordinal variables were analyzed using Mann-Whitney, and the nominal variables were analyzed using Chi-square analyses.

Conditions

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Stroke Weakness of Extremities as Sequela of Stroke

Keywords

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Stroke leg weakness Exoskeleton

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Open label pragmatic study
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Exo-group

Standard rehabilitation plus use of Exoskeleton

Group Type EXPERIMENTAL

Indego Exoskeleton

Intervention Type DEVICE

Powered generated orthosis

Standard Rehabilitation

Intervention Type OTHER

Standard Rehabilitation

Control-Group

Standard rehabilitation

Group Type PLACEBO_COMPARATOR

Standard Rehabilitation

Intervention Type OTHER

Standard Rehabilitation

Interventions

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Indego Exoskeleton

Powered generated orthosis

Intervention Type DEVICE

Standard Rehabilitation

Standard Rehabilitation

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. All patients with acute hemorrhagic or ischemic stroke documented clinically and by neuroimaging.
2. Medically stable from a cardio-respiratory stand point so that they can participate in daily therapies.
3. Depressed patients will be included in the study
4. Patients able to stand alone
5. Patients able to provide a written informed consent, from cognitively intact patients (admission Mini Mental Scale Examination \[MMSE\] greater than or equal to 21).

Exclusion Criteria

1. Aphasic patients unable to communicate
2. Confused patients
3. Patients medically unstable
4. Patients unable to stand alone
5. Refusal to provide written informed consent
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Oklahoma

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Meheroz H Rabadi, MD, MRCPI

Role: PRINCIPAL_INVESTIGATOR

Affiliate; Oklahoma VA Health Care System

Locations

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Oklahoma City VA Health Care System

Oklahoma City, Oklahoma, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Meheroz H Rabadi, MD, MRCPI

Role: CONTACT

Phone: 405-456-5298

Email: [email protected]

Facility Contacts

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Meheroz Rabadi, MD, MRCPI

Role: primary

Other Identifiers

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10742

Identifier Type: -

Identifier Source: org_study_id