Robot-Assisted Gait Therapy in the Subacute Phase of First Ischemic Stroke

NCT ID: NCT04910217

Last Updated: 2023-09-21

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

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-05-01

Study Completion Date

2025-12-31

Brief Summary

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Robot-assisted gait training (RAGT) represents a modern concept of neurorehabilitation in stroke patients. This single-center randomized parallel-group neurorehabilitation trial with blinded primary outcome assessment is aimed at patients after the first-ever ischaemic stroke in the anterior or posterior cerebral circulation.

Detailed Description

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The main aim is to determine, whether the RAGT by using the Lokomat exoskeleton device (Hoccoma, Switzerland) plus the protocol-defined conventional rehabilitation versus conventional rehabilitation improves the gait of post-stroke patients after 6 months. Both groups are treated with the protocol-defined rehabilitation (ergotherapy and physiotherapy) for 60 min 5 times a week, a total of 15 times within 3 weeks (a total of 1200 min). The Lokowalkers group undergoes the RAGT using the Lokomat Pro Freed device for 20-50 minutes 5 times a week for a total of 15 times for 3 weeks (a total of 1800 minutes). The primary endpoint is the Functional Ambulation Category (FAC) after 3 months. Secondary endpoints include FAC (after 15th therapy), 10-meter walk test (10MWT) (after 15th therapy, after 3 months), Timed Up and Go Test (TUG) (after 15th therapy and after 3 months, 3-months modified Rankin Scale (mRS), and Berg Balance Scale (BBS, after 15th therapy, after 3 months).

Conditions

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Ischemic Stroke

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Single-centre randomized parallel group neurorehabilitation trial
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Lokomat intervention

Patients randomized into the Lokomat arm will undergo therapy with Lokomat Pro FreeD for 20-50 minutes 5-times a week, a total of 15-times during the in-hospital stay in a total time of 1,800 minutes.

Group Type EXPERIMENTAL

Conventional rehabilitation

Intervention Type PROCEDURE

Patients will undergo conventional rehabilitation

Lokomat intervention

Intervention Type PROCEDURE

Patients will undergo therapy with Lokomat Pro FreeD device intervention.

Conventional rehabilitation

Patients in this arm will undergo conventional rehabilitation ((ergotherapy and physiotherapy) for 60 min 5 times a week, a total of 15 times within 3 weeks (a total of 1200 min)

Group Type EXPERIMENTAL

Conventional rehabilitation

Intervention Type PROCEDURE

Patients will undergo conventional rehabilitation

Leg/lower body exerciser device intervention.

Intervention Type PROCEDURE

Patients will undergo leg/lower body exerciser device therapy.

Interventions

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Conventional rehabilitation

Patients will undergo conventional rehabilitation

Intervention Type PROCEDURE

Leg/lower body exerciser device intervention.

Patients will undergo leg/lower body exerciser device therapy.

Intervention Type PROCEDURE

Lokomat intervention

Patients will undergo therapy with Lokomat Pro FreeD device intervention.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* signed informed consent by the participant or legal representative
* interval between stroke and first rehabilitation session \< 6 weeks (study target within 2 weeks)
* age \> 18 years
* early modified Rankin scale (mRS) 2 to 4 (pre-stroke mRS 0 to 1)
* early FAC of 0 to 3 (pre-stroke FAC of 5)
* standing ability with support up to 3 minutes and vertical tolerance \> 15 minutes

Exclusion Criteria

* inability or refusal to sign an informed consent
* history of stroke or another brain disease (tumour, multiple sclerosis, brain or spinal cord injury)
* severe internal, oncological, or surgical comorbidity preventing long-term re-habilitation or causing chronic or progressive gait disorder
* limited collaboration of any reason, moderate or severe dementia assessed by using the Montreal Cognitive Assessment (MoCA) scale
* impaired skin integrity in the lower torso and limbs preventing the use of Lokomat device
* limitations given by the Lokomat exoskeleton device (weight \> 135 kg, thigh-length 23-35 cm, shank length 35-47cm)
* limitations given by the leg/lower body exerciser (weight \> 180 kg, height \< 120 cm or \> 200 cm, (sub)acute lower limb fractures, deep vein thrombosis, skin disintegration)
* any contraindication to perform brain MRI
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Masaryk University

OTHER

Sponsor Role collaborator

VSB - Technical University of Ostrava

UNKNOWN

Sponsor Role collaborator

University Hospital Ostrava

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ondřej Volný, MD,PhD,FESO

Role: PRINCIPAL_INVESTIGATOR

University Hospital Ostrava

Locations

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University Hospital Ostrava

Ostrava, Moravian-Silesian Region, Czechia

Site Status RECRUITING

Countries

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Czechia

Central Contacts

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Jiří Hynčica

Role: CONTACT

0042059737 ext. 2587

Facility Contacts

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Jiří Hynčica

Role: primary

0042059737 ext. 2587

References

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Other Identifiers

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FNO-Lokowalkers-2021

Identifier Type: -

Identifier Source: org_study_id

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