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The Effectiveness of Locomotor Therapy Using Robot-Driven Gait Orthosis System in Multiple Sclerosis Patients

Phase 2
Completed
Conditions
Multiple Sclerosis
Interventions
Device: robot-assisted gait training (RAGT)
Device: conventional walking training (CWT)
Registration Number
NCT00843128
Lead Sponsor
Hadassah Medical Organization
Brief Summary

Objective: To evaluate the efficacy of robot-assisted gait training (RAGT) in MS patients with severe walking disabilities (Expanded Disability Status Scale \[EDSS\] 5.5-7) as compared to regular physiotherapy.

Methods: Prospective, randomized, controlled clinical trial comparing RAGT with conventional walking training (CWT) in a group of stable MS patients (n=40) during an outpatient rehabilitation program. Inclusion criteria are chronic or secondary progressive MS patients with EDSS between 5.5-7, stable treatment 3 months before study entry, without generalized diseases. All patients will sign an informed consent. Following randomization, 20 patients will be treated with RAGT, 12 sessions over three weeks. The control group will be treated by CWT, 12 sessions in three weeks. The primary outcome measures will be the Functional Ambulatory Capacity (FAC) scale and the 6-minutes walking distance. The secondary outcome measures will be the Time up \& Go (TUG) test, 10 Meter Walking test, Berg balance test, EDSS score, FIM score and RAND questioner for quality of life. All tests will be performed by an external blinded assessor at baseline, after three weeks, and at follow-up after 3 months and six months.

Importance: We anticipated that Robot-assisted gait training will be found as feasible and may be an effective therapeutic option in MS patients with severe walking disabilities.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  1. chronic or secondary progressive MS patients with EDSS between 5.5-7,
  2. stable treatment 3 months before study entry.
Exclusion Criteria
  1. Other generalized diseases.
  2. Pregnancy.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
1: RAGTrobot-assisted gait training (RAGT)Following randomization, 20 patients will be treated with RAGT, 12 sessions over three weeks
2: Controlconventional walking training (CWT)The control group will be treated by CWT, 12 sessions in three weeks.
Primary Outcome Measures
NameTimeMethod
Functional Ambulatory Capacity (FAC) scale and the 6-minutes walking distanceAt baseline, after three weeks, and at follow-up after 3 months and six months.
Secondary Outcome Measures
NameTimeMethod
Time up & Go (TUG) test, 10 Meter Walking test, Berg balance test, EDSS score, FIM score and SF36 questioner for quality of life.At baseline, after three weeks, and at follow-up after 3 months and six months.

Trial Locations

Locations (1)

Hadassah University Hospital

🇮🇱

Jerusalem, Israel

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