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Transcutaneous Spinal Cord Electrical Stimulation Combined With Kunming Locomotor Training for the Treatment of Spinal Cord Injury

Not Applicable
Not yet recruiting
Conditions
Spinal Cord Injuries
Registration Number
NCT06802640
Lead Sponsor
Kunming Tongren Hospital
Brief Summary

Spinal cord injury (SCI) is a common and severe traumatic central nervous system injury in clinical practice. Currently, the treatment of SCI remains a worldwide challenge.International studies have confirmed that TSCS is an effective non-invasive technique to activate the body's movement-related circuits. This method utilizes a unique stimulation waveform that is transmitted through electrodes placed on the skin of the spine and spreads through the dorsal roots (DRs) to activate the spinal cord neural circuits.The main objective of this study is to have patients with chronic incomplete (AIS B/C/D) spinal cord injuries wear "transcutaneous spinal cord electrical stimulator " and undergo "Kunming locomotor training" for 6 months, observe the synergistic effects of the two, and evaluate whether this treatment method can improve patients' motor functions.

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
18
Inclusion Criteria
    1. Chronic (≧6 months) paraplegics (T1-T10) with incomplete(AIS B/C/D) spinal cord injury Incomplete aged 16-50 years;
  • 2.Subjects must be able to read, understand, and complete the Visual Analogue Scale;
  • 3.Subjects voluntarily sign the informed consent form approved by the ethics committee.
Exclusion Criteria
    1. Obvious renal, cardiovascular, hepatic, and mental diseases;
  • 2.Pregnant or lactating women and women of childbearing age who are unwilling to use contraception;
    1. Limb contracture deformity;
    1. Modified Ashworth > Grade 2;
    1. Unhealed fractures;
    1. The subject is currently participating in other studies;
    1. The researcher's opinion is that the subject does not comply with the research protocol and/or is not suitable to participate in this study.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Change from Baseline Kunming Locomotor Scale (KLS) at 6 monthsDay 0, Month 6

Scale from minimum (1) to maximum (10), higher scales mean a better outcome.

Change from Baseline 10 Meter Walk Test (10mWT) at 6 monthsDay 0, Month 6

The primary measure obtained from the test is the walking speed, which is calculated by dividing the distance by the time taken to complete the walk.

Secondary Outcome Measures
NameTimeMethod
Change from Baseline Spinal cord injury functional ambulation profile (SCI-FAP) at 6 monthsDay 0, Month 6

Higher scores generally indicate greater independence and better walking ability.

Change from Lower extremity motor score(LEMS) at 6 monthsDay 0, Month 6

a lower score indicates greater motor impairment in the lower extremities

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