Training With Brain-machine Interfaces, Visuo-tactile Feedback and Assisted Locomotion for Patients With Chronic Complete Paraplegia

NCT ID: NCT03992690

Last Updated: 2019-08-02

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

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-08-01

Study Completion Date

2020-12-31

Brief Summary

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The purpose of this research is to compare the effectiveness of a training protocol integrating Brain-machine Interfaces, Visuo-tactile feedback and Assisted Locomotion (referred to as the Walk Again Neurorehabilitation protocol, or WANR), with classical physiotherapy training for patients with chronic complete paraplegia due to spinal cord injury.

Detailed Description

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Conditions

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Chronic Paraplegia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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WANR protocol

Including training with Brain-machine interfaces, visuo-tactile feedback and assisted locomotion

Group Type EXPERIMENTAL

Brain-machine Interfaces, Visuo-tactile Feedback and Assisted Locomotion, or the WANR protocol

Intervention Type DEVICE

Training integrating virtual-reality avatar driven by a brain-machine interface, with tactile feedback through patient's forearms, and assisted locomotion, for neurorehabilitation of SCI patients.

Classical physiotherapy protocol

Training with classical physiotherapy protocol

Group Type ACTIVE_COMPARATOR

Training with traditional physiotherapy protocol

Intervention Type DEVICE

Stretching

Interventions

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Brain-machine Interfaces, Visuo-tactile Feedback and Assisted Locomotion, or the WANR protocol

Training integrating virtual-reality avatar driven by a brain-machine interface, with tactile feedback through patient's forearms, and assisted locomotion, for neurorehabilitation of SCI patients.

Intervention Type DEVICE

Training with traditional physiotherapy protocol

Stretching

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* 1\. Discomplete spinal cord injury;
* 2\. Traumatic etiology;
* 3\. American Spinal Injury Association Impairment Scale(ASIA) A grade;
* 4\. The level of SCI in T9-T12;
* 5\. ≥12 months post injury;
* 6\. Considered independents to perform daily life activities: feeding, dressing, capability with wheelchair;
* 7\. Emotional stability;

Exclusion Criteria

* 1\. Absence of SCI, or presence of multi-segmental injury;
* 2\. SCI non-traumatic etiology;
* 3\. Age\<18 years or Age\>60 years;
* 4\. Emotional instability;
* 5\. Unavailable time to join the protocol activities;
* 6\. Already enrolled in other research protocol;
* 7\. Acute or chronic decompensated comorbidities (e.g. Hypertension, Diabetes, cardiomyopathy, chronic respiratory insufficiency, chronic renal insufficiency, hepatopathy, or any other neurological disorders besides the SCI);
* 8\. Alcohol/drugs abuse and dependence;
* 9\. Psychiatric disorders (exception: treated depression);
* 10.Cognitive deficit; visual deficit; auditory deficit;
* 11\. Incapacitating pain;
* 12\. Pregnancy;
* 13\. Presence of limb amputations (exception: hand distal phalanges);
* 14\. Peripheral neuropathy associated (e.g.: brachial plexus injury, carpal tunnel syndrome);
* 15\. Muscle injury associated (e.g. myotendinous rupture, burning injury, muscle-compartment syndrome);
* 16\. Neuromuscular disease associated (ex: myopathy) or lower limb fractures within the past six months;
* 17\. Movement disorders(e.g. ataxia);
* 18\. Use of medication that can negatively impact on neurological/motor recovery;
* 19\. Presence of joint deformities, presence of fractures;
* 20\. Lower limb spasticity MAS (Modified Ashworth Scale)\>2;
* 21\. Pressure ulcer: considering grade 3 or 4, injury size and body location;
* 22\. Cephalic metallic /magnetic implants (exception: MRI compatible implants);
* 23\. Presence of cardiac or neural pacemaker;
* 24\. Use of devices/tubes: tracheostomy, gastrostomy, nasogastric, long-term bladder catheterization, cystostomy, colostomy, totally implanted catheter system, arteriovenous dialysis fistula;
* 25\. Severe osteoporosis (Tscore\>-4);
* 26\. Syringomyelia;
* 27\. Lokomat or ZeroG training within the prior 3 months.
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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the Alberto Santos Dumont Association for Research Support

UNKNOWN

Sponsor Role collaborator

Xuanwu Hospital, Beijing

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Guo-Guang Zhao, M.D.

Role: PRINCIPAL_INVESTIGATOR

Xuanwu Hospital, Beijing

Locations

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Xuanwu hospital, Capital Medical University

Beijing, Beijing Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Peng-Hu Wei, M.D.

Role: CONTACT

00861083198252

Facility Contacts

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Peng-Hu Wei, M.D.

Role: primary

010-83198899 ext. 010-83198836

Other Identifiers

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XW-[2019]-023

Identifier Type: -

Identifier Source: org_study_id

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