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The Effects of Passive Gait Training in Complete Motor Spinal Cord Injury (SCI)

Phase 1
Completed
Conditions
Motor Complete Spinal Cord Injury
Interventions
Device: LOKOMAT
Registration Number
NCT01349478
Lead Sponsor
Dr. Gabriel Zeilig
Brief Summary

The purpose of this study is to determine whether a three times per week, 2 month robotic assisted treadmill gait training program, will beneficially affect the fitness, physical and psychological well-being, and the vascular and metabolic cardiovascular risk factors in individuals with complete motor Spinal Cord Injury (SCI).

Detailed Description

Cardiovascular morbidity and mortality are a source of increasing concern among people with SCI and their health providers. The importance of physical activity in reducing the risk of heart disease in this population is indisputable, but exercise opportunities for persons with SCI are limited by physiologic and functional factors. Decreased functional muscle mass, impaired autonomic control of myocardial function, and decreased venous return limits training responses.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
11
Inclusion Criteria
  • Male and non-pregnant non-lactating female
  • At least 6 months after injury
  • Complete (AIS A-B) cervical (C4-8) or thoracic (T1-T6) spinal cord injury according to American Spinal Injury Association (AIS) guidelines.
  • Under 100 kg and between 155 - 200 cm of height
Exclusion Criteria
  • History of severe neurological injuries other than SCI (MS, CP, ALS, TBI etc).
  • Severe concurrent medical diseases: infections, heart or lung, pressure sores, etc
  • Unstable spine or unhealed limbs or pelvic fractures
  • Psychiatric or cognitive situations that may interfere with the trial
  • Spasticity above 3 degree according to Ashworth scale
  • Reduced range of motion of knee/hip > 15°

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
study armLOKOMAT-
Primary Outcome Measures
NameTimeMethod
Electrical stimulation induced lower limb exercise capacity in individuals with SCI4 and 8 weeks of training

The lower limb exercise capacity in response to electrical stimulation will be measured by the use of the ERGYS II system

Secondary Outcome Measures
NameTimeMethod
Reduction of risk factors for CVD4 and 8 weeks

1. Plasms levels of: Total cholesterol, LDL-C, HDL-C, TC/HDL, LDL/HDL, CRP, Triglycerides, IL6, fasting glucose and fasting insulin

2. blood pressure, O2 consumption, CO2 production, O2 saturation, Heart rate, RER max (respiratory exchange ratio), VE (minute ventilation), AT (Anaerobic Threshold), Work rate max

Trial Locations

Locations (1)

Sheba medical center

🇮🇱

Tel Hashomer, Israel

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