Improving Bladder Function in SCI by Neuromodulation
Overview
- Phase
- N/A
- Intervention
- Electromagnetic Neuromodulation
- Conditions
- Spinal Cord Injury
- Sponsor
- University of California, Los Angeles
- Enrollment
- 24
- Locations
- 1
- Primary Endpoint
- Urine flow and volume
- Status
- Recruiting
- Last Updated
- 2 months ago
Overview
Brief Summary
This trial will investigate the safety and utility of spinal cord neuromodulation to improve urinary bladder function in the context of spinal cord injury.
Detailed Description
This trial will investigate the safety and utility of spinal cord neuromodulation to improve urinary bladder function in the context of spinal cord injury. Neuromodulation will be in the form of transcutaneous electrical stimulation and/or magnetic stimulation.
Investigators
Daniel Lu, MD, PhD
Associate Professor
University of California, Los Angeles
Eligibility Criteria
Inclusion Criteria
- •Male 18-45 years;
- •At least 1 year post-injury;
- •Non-progressive SCI at C2-T8 (non-conus injury);
- •Motor Complete ASIA (A or B);
- •Neurogenic bladder requiring clean intermittent straight catheterization;
- •Able to attend twice weekly testing sessions for 6 months.
- •Have intact lower extremity anatomy and able to use lower extremity for assistive standing and stepping.
Exclusion Criteria
- •History of autonomic dysreflexia;
- •Ventilator dependency;
- •Musculoskeletal dysfunction, unhealed fracture, pressure ulcer, active infection;
- •Clinically significant depression or ongoing drug abuse;
- •Received botox injection, or bladder surgery (suprapubic access, Brindley procedure, etc.);
- •Prostatic hypertrophy or bladder outlet disorder;
- •7\. Cardiopulmonary disease that precludes lower extremity training or rehabilitation.
Arms & Interventions
Stimulation of Non-Naive
Evaluate neuromodulation in 6 subjects with prior motor training.
Intervention: Electromagnetic Neuromodulation
Stimulation of Naive
Evaluate neuromodulation in 6 naive subjects.
Intervention: Electromagnetic Neuromodulation
Stimulation
Apply parameters discovered in Arm 1 and Arm 2 to evaluate neuromodulation in 12 naive subjects.
Intervention: Electromagnetic Neuromodulation
Outcomes
Primary Outcomes
Urine flow and volume
Time Frame: Months 1-48