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Clinical Trials/NCT05705453
NCT05705453
Recruiting
Not Applicable

Epidural Stimulation After Neurologic Damage: Long-Term Outcomes

University of Minnesota1 site in 1 country50 target enrollmentMay 11, 2023

Overview

Phase
Not Applicable
Intervention
Epidural Spinal Cord Stimulation
Conditions
SCI - Spinal Cord Injury
Sponsor
University of Minnesota
Enrollment
50
Locations
1
Primary Endpoint
Change in Volitional electromyography (EMG) power
Status
Recruiting
Last Updated
24 days ago

Overview

Brief Summary

This study will evaluate the long-term effect of chronic spinal cord stimulation to restore volitional movement for patients with chronic spinal cord injuries.

Detailed Description

Participants will be enrolled in this study for the duration of 10 years. They will need to come to Minneapolis twice a year for the Brain Motor Control Assessment and will be given different settings within their Spinal Cord Stimulator (SCS) programing.

Registry
clinicaltrials.gov
Start Date
May 11, 2023
End Date
April 1, 2034
Last Updated
24 days ago
Study Type
Interventional
Study Design
Single Group
Sex
All

Investigators

Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • 22 years of age or older
  • Able to undergo the informed consent process
  • Stable spinal cord injury
  • International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) neurologic level of injury below C5
  • No ventilator dependency within the last year
  • American Spinal Injury Association (AISA) imparement scale"A" or "B" in the absence of spinal cord stimulation
  • Medically stable in the judgment of the Principal investigator
  • Greater than 1 year since initial injury and at least 6 months from any required spinal instrumentation and 2 months from spinal cord stimulator surgery
  • Has an existing and functional implanted spinal cord stimulator system that is FDA approved and can be corroborated by hospital documentation
  • Spinal imaging of the stimulator system

Exclusion Criteria

  • Current and anticipated need for opioid pain medications or pain that would prevent full participation in the rehabilitation program in the judgment of the principal investigator
  • Use of botulinum toxin (Botox) injections in the previous six months
  • Clinically significant mental illness in the judgment of the principal investigator
  • Other conditions or medications that would make the subject unable to participate in testing/rehabilitation in the judgment of the principal investigator
  • Nonfunctional spinal cord stimulator or near end-of-life, determined by the PI
  • Current Pregnancy
  • Current pain relief from the spinal cord stimulator if the indication for implantation was for management of chronic pain.

Arms & Interventions

Volitional EMG power

Assessing the change in volitional EMG power during the Brain Motor Control Assement (BMCA) between nonstimulation baseline and stimulation.

Intervention: Epidural Spinal Cord Stimulation

Outcomes

Primary Outcomes

Change in Volitional electromyography (EMG) power

Time Frame: 10 years

The measurement of volitional change using EMG during the Brain Motor Control assessment between nonstimulation baseline and stimulation

Secondary Outcomes

  • Prediction of power preferences(10 years)

Study Sites (1)

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