Stroke Clinical Trial
— PUROOfficial title:
Metabolic Consumption, Cardiorespiratory Effort, Cardiac Autonomic Control and Fatigability During Exoskeleton-assisted (the U&O Suite) sit-to Stand Maneuver and Walking in People With Neurological Diseases With Moderate to Severe Gait Disability.
NCT number | NCT05757830 |
Other study ID # | 825003 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | December 23, 2022 |
Est. completion date | March 31, 2023 |
Verified date | January 2023 |
Source | Fondazione Don Carlo Gnocchi Onlus |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The goal of this interventional study is to assess differences in the metabolic consumption, the cardiorespiratory effort, the cardiac autonomic adaptation, and fatigability during ADL, such as standing from a chair and walking while wearing an electrically powered exoskeleton in different modes of supports in subjects with neurological diseases with moderate to severe walking impairments.
Status | Completed |
Enrollment | 20 |
Est. completion date | March 31, 2023 |
Est. primary completion date | March 31, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 90 Years |
Eligibility | Inclusion Criteria: - Able to perform 4 minutes of back-and-forth locomotion with assistance or resting periods; - Height between 160 and 195 cm; - Weight not exceeding 100 kg; - Diagnosis of Multiple Sclerosis with moderate to severe disability (5,5 < EDSS < 8,0); - Diagnosis of stroke or traumatic brain damage (1 = FAC = 3); - Diagnosis of spinal cord injury with neurological level of injury<T2 (3 = WISCI II = 16) with a Asia Impairment Score B, C or D. - Able to perform 4 minutes of back-and-forth locomotion with assistance or resting periods; - Able to use walker; Exclusion Criteria: - Impairments in the upper limbs that do not allow the user to hold the crutches/walker. - Skin injuries in the areas where the exoskeleton is in contact with the user. - Fractures not solved or bone pathologies in lower limbs in which the use of the exoskeleton could be risky (advanced osteoporosis). - Psychiatric or cognitive problems that can interfere with the correct use of the device. - Important muscle/joint retractions in lower limbs (Modified Ashworth Scale > 3). - Any medical conditions that could interfere with the autonomic cardiovascular control (e.g severe diabetes). - Use of beta blocker drugs. - Presence of severe cardiovascular diseases. |
Country | Name | City | State |
---|---|---|---|
Italy | Fondazione Don Carlo Gnocchi | Milan | MI |
Lithuania | Lithuanian University of Health Sciences | Kaunas | |
Netherlands | Roessingh Research and Development | Enschede | AH |
Spain | Hospital Nacional de Parapléjicos de Toledo | Toledo |
Lead Sponsor | Collaborator |
---|---|
Fondazione Don Carlo Gnocchi Onlus | Hospital Nacional de Parapléjicos de Toledo, Lithuanian University of Health Sciences, Roessingh Research and Development |
Italy, Lithuania, Netherlands, Spain,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Walking meters change during 4 minute walking test | 4 minutes walking test on a 20-meter corridor | Baseline (Condition 1) and after 24 hours (Condition 2) and after 48 hours (Condition 3) | |
Secondary | Number of repetitions change in one-minute sit to stand test | The one-minute sit to stand test is performed with a chair of standard height without arm rests. The patient is ensured to be seated upright on the chair. The patient sat with the knees and hips flexed to 90°, feet placed flat on the floor hip-width apart, and the hands placed on the hips. Every get up from one's chair was validated to check if complete sit-to-stand-to-sit sequence was achieved. | Baseline (Condition 1) and after 24 hours (Condition 2) and after 48 hours (Condition 3) | |
Secondary | Average VO2 change during 4 minute walking test | Metabolic-related variables measured with K5-Cosmed device during 4 minute walking test on a 20-meter corridor | Baseline (Condition 1) and after 24 hours (Condition 2) and after 48 hours (Condition 3) | |
Secondary | O2 cost of walking change during 4 minute walking test | Metabolic-related variables measured with K5-Cosmed device during 4 minute walking test on a 20-meter corridor | Baseline (Condition 1) and after 24 hours (Condition 2) and after 48 hours (Condition 3) | |
Secondary | Net metabolic power change during 4 minute walking test | Metabolic-related variables measured with K5-Cosmed device during 4 minute walking test on a 20-meter corridor | Baseline (Condition 1) and after 24 hours (Condition 2) and after 48 hours (Condition 3) | |
Secondary | Physiological cost index (PCI) change during 4 minute walking test | Metabolic-related variables measured with PCI scale during 4 minute walking test on a 20-meter corridor | Baseline (Condition 1) and after 24 hours (Condition 2) and after 48 hours (Condition 3) | |
Secondary | Average heart rate change during 4 minute walking test | Cardiorespiratory parameters measured with pulse oximeter device during 4 minute walking test on a 20-meter corridor | Baseline (Condition 1) and after 24 hours (Condition 2) and after 48 hours (Condition 3) | |
Secondary | Heart rate increase change during 4 minute walking test | Cardiorespiratory parameters measured with pulse oximeter device during 4 minute walking test on a 20-meter corridor | Baseline (Condition 1) and after 24 hours (Condition 2) and after 48 hours (Condition 3) | |
Secondary | Rating of perceived exertion of lower limbs change before and after each trials | Fatigue-related parameters using the Borg scale scoring system ranging from 6 to 20, where 6 means "no exertion at all" and 20 means "maximal exertion". | Baseline (Condition 1) and after 24 hours (Condition 2) and after 48 hours (Condition 3) | |
Secondary | Rating of perceived exertion of breath change before and after each trials | Fatigue-related parameters using the Borg scale scoring system ranging from 6 to 20, where 6 means "no exertion at all" and 20 means "maximal exertion". | Baseline (Condition 1) and after 24 hours (Condition 2) and after 48 hours (Condition 3) | |
Secondary | Assessment of device usability at the end of each condition | Usability will be assessed with the System Usability Scale (SUS). SUS consists of a 10 item questionnaire with five response options for respondents; from "strongly agree" to "strongly disagree". | Baseline (Condition 2) and after 24 hours (Condition 3) | |
Secondary | Assessment of users satisfaction at the end of each condition | Satisfaction will be assessed with Telehealth satisfaction questionnaire (TSQWT). The TSQWT contains six subscales evaluating the benefit, usability, self-concept, privacy and loss of control, quality of life and wearing comfort of the system. Each subscale includes five questions rated on a 5-point Likert scale between 0 (I strongly disagree) and 4 (I strongly agree). The total score ranges between 0 (no satisfaction) and 120 (extreme satisfaction). | Baseline (Condition 2) and after 24 hours (Condition 3) | |
Secondary | Assessment of the work load change during each trials | Task load will be assessed with Nasa Task Load Index. NASA (TLX) method assesses work load on five 7-point scales. Increments of high, medium and low. | Baseline (Condition 1) and after 24 hours (Condition 2) and after 48 hours (Condition 3) |
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