NCT07306052招募中不适用

Safety and Efficacy of Epidural Spinal Cord Stimulation for Restoring Walking in Spinal Cord Injury

Second Affiliated Hospital, School of Medicine, Zhejiang University1 个研究点分布在 1 个国家目标入组 12 人开始时间: 2025年12月12日最近更新: 2026年5月29日

干预措施

试验速览

阶段: 不适用
状态: 招募中
发起方
入组人数: 12
试验地点: 1
主要终点: Adverse Events (AEs)

研究概览研究设计入排标准研究组 & 干预措施结局指标研究者研究点记录与标识符相似试验

研究概览

简要总结

The goal of this clinical trial is to evaluate the safety and effectiveness of Epidural Electrical Stimulation (EES) combined with rehabilitation training for the reconstruction of walking in patients with chronic spinal cord injury (SCI) classified as AIS B-D. The main questions it aims to answer are:

Does the intervention of EES combined with rehabilitation significantly improve walking capacity? Is the combined intervention a safe approach for this patient population? Researchers will compare participants' functional assessments before EES implantation and at 2, 4, 7, 10, and 13 months post-implantation to evaluate the longitudinal effects. The primary assessments include the Walking Index for Spinal Cord Injury II (WISCI II), the Spinal Cord Independence Measure (SCIM III), and the adverse event. Secondary outcome measures encompass the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI), the Functional Independence Measure (FIM), the Modified Ashworth Scale (MAS), the Penn Spasm Frequency Scale, the 10-Meter Walk Test (10mWT), the 6-Minute Walk Test (6minWT), and pain Visual Analogue Scale (VAS) scores. Neurophysiological and imaging evaluations, including electromyography (EMG), motor evoked potentials (MEPs), somatosensory evoked potentials (SEPs), and positron emission tomography-computed tomography (PET-CT), will be conducted preoperatively and at 6 months postoperatively to explore the mechanisms of neuroplasticity.

Participants will:

Undergo surgical implantation of an EES device. Receive personalized EES parameter programming combined with rehabilitation training (≥2 hours daily) post-operatively.

Complete a series of standardized functional and clinical outcome assessments at scheduled follow-up intervals.

Undergo scheduled neurophysiological and metabolic imaging studies. Report any adverse events throughout the study duration.

研究设计

研究类型: Interventional
分配方式: Na
干预模型: Single Group
主要目的: Treatment
盲法: None

入排标准

年龄范围: 16 Years 至 70 Years（Child, Adult, Older Adult）
性别: All
接受健康志愿者: 否

入选标准

•Age between 16 and 70 years.
•Diagnosed with traumatic spinal cord injury for ≥ 6 months and ≤ 60 months.
•American Spinal Injury Association Impairment Scale (AIS) grade B-D.
•Spinal cord injury level above T10;
•Walking Index for Spinal Cord Injury II (WISCI II) score ≤
•Completion of a standard conventional rehabilitation program prior to enrollment.
•Preserved upper limb function sufficient for self-propelling a manual wheelchair.
•Sitting balance grade ≥
•Ability to elicit clear electromyographic responses in lower limb muscles (e.g., rectus femoris, biceps femoris, gastrocnemius, tibialis anterior) upon transcutaneous electrical spinal cord stimulation at the T12-L1 vertebral levels.
•Willingness to voluntarily participate, and commitment to compliance with all necessary postoperative rehabilitation, assessments, and follow-up visits.

排除标准

•History of myocardial infarction or stroke within the past 6 months.
•Diagnosis of psychiatric disorders with active suicidal ideation or risk.
•Current pregnancy or planned pregnancy during the study period.
•Bleeding tendency or coagulopathy (prothrombin time ≥18 seconds).
•History of alcohol or substance abuse or dependence.
•Intellectual disability, cognitive impairment, or personality disorders.
•Other chronic medical conditions that may interfere with rehabilitation (e.g., unhealed severe fractures, hepatic or renal failure, severe anemia, etc.).
•Implantation of cardiac pacemakers, cardioverters, or defibrillators.
•Any other condition deemed inappropriate for participation by the investigators.