At a glance
ClinicalIndex Comparison Record- ✓Adults aged ≥18 years
- ✓Spinal cord injury at least 6 months since injury
- ✓Motor incomplete SCI (ASIA C or D) with upper motor neuron lesion at cervical or thoracic levels
- ✓SCI from trauma, vascular, or orthopedic pathology (first-time SCI)
- ✕Current participation in another rehabilitation program or research protocol that could interfere with outcome measures
- ✕History of congenital SCI (myelomeningocele, intraspinal neoplasm, Friedreich's ataxia) or degenerative spinal disorders (spinocerebellar degeneration, syringomyelia)
- ✕Inappropriate or unsafe fit of harness or robotic trainer due to body size, joint contractures, or severe spasticity prohibiting safe training
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Differential Effects of Robotic vs. Manually-Assisted Locomotor Training
In Brief
A clinical study evaluating Manually Assisted Locomotor Training and Robotic Assisted Locomotor Training for Spinal Cord Injuries. Completed, enrolled 19 participants across 1 site.
Detailed Summary
The purpose of this study is to collect data comparing two means of providing locomotor training: manual and robotic and the possible differential effects it may have on walking ability for persons with spinal cord injury (SCI).
Study Details
Timeline
Interventions
The total program is 45 sessions, 5x/week with total locomotor training (LT) duration of 30 stepping minutes/day. 1) BWS is initiated at 40% and gradually decreasing to 0%, 2) treadmill speed is set at normal walking speeds and increased as tolerated, and 3) manual assistance given when the subject is unable to independently step or control upright posture, and decreased as participant progresses. Trainers assist via verbal cues and manual assistance to achieve good stepping. The goal for endurance is 20 mins of continuous, independent, coordinated stepping on the treadmill at 0% BWS. Participants are encouraged to assist and/or independently maintain an upright posture, weight shift onto the loaded limb, flex or extend their legs, and to swing their arms in coordination with the legs.
The total program is 45 sessions, 5x/week with total locomotor training (LT) duration of 30 stepping minutes/day. 1) BWS is initiated at 40% and gradually decreasing to 0%, 2) treadmill speed is set at normal walking speeds and increased as tolerated, and 3) manual assistance given when the subject is unable to independently step or control upright posture, and decreased as participant progresses. Trainers assist via verbal cues and manual assistance to achieve good stepping. The goal for endurance is 20 mins of continuous, independent, coordinated stepping on the treadmill at 0% BWS. Participants are encouraged to assist and/or independently maintain an upright posture, weight shift onto the loaded limb, flex or extend their legs, and to swing their arms in coordination with the legs.