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Home > "I" Clinical Trials Conditions > Improving Gait in Patients with Spinal Cord Injuries  Improving Gait in Patients with Spinal Cord Injuries
Improving Gait in Patients with Spinal Cord Injuries
For Condition: Spinal Cord Injuries
Status: Completed
Sponsor(s): National Institute of Child Health and Human Development (NICHD) ,
Synopsis: This study is part of a larger clinical trial that examines the potential of a 12-week treadmill-training program to improve walking in patients with spinal cord injuries (SCIs). Patients in the trial are at least 1 year past their injury. This substudy tests a combination of two strategies to enhance the treadmill training program: electrically stimulating a muscle withdrawal reflex and providing body weight support by partially suspending patients as they walk on the treadmill.
Details: Patients with spastic paresis due to incomplete SCI have inadequate motor control of the lower extremities that results in a number of abnormalities of movement. Among these are unregulated spinal reflexes, inadequate and delayed motor recruitment, and balance deficits. If the patient can walk, these abnormalities manifest in a gait pattern that has poorly coordinated timing between different muscle groups, decreased weight bearing capacity, and inappropriate muscle activity, such as scissoring. Research in patients with SCIs has demonstrated that, despite the damage to the spinal cord, many of the nervous system pathways that control walking remain intact and can be activated by the proper sensory stimulation. Two technologies that may enhance the benefits of treadmill walking are body weight support (BWS) and functional electrical stimulation (FES). Preliminary studies indicate that by combining these two interventions, gait performance is improved such that more efficient and functional movement emerges. This study will evaluate the benefits of adding BWS and FES to a treadmill-training program for patients with SCIs. During the treadmill training, patients are suspended in an apparatus to provide partial body weight support (BWS). The training effects of BWS locomotion with FES over the course of a multi-session training program will be examined. Study visits will be scheduled 3 days each week for 12 weeks. Participants will have follow-up visits at Months 3 and 12. Gait parameters modified by training will be identified and the nature of these changes will be characterized. Specifically, walking speed, kinematics, electromyography (EMG), and muscle strength will be assessed.
Eligibility:
Study Type: Interventional, Treatment, Randomized, Single Blind, Active Control, Parallel Assignment, Efficacy Study
Minimum Age/Maximum Age: 18 Years/60 Years
Genders: Both
Protocol Entry Criteria: Inclusion Criteria: - Spinal cord injury classified as American Spinal Injury Association (ASIA) C - At least 1 year post injury Exclusion Criteria: - Spinal cord injuries of other severities (classified ASIA A, B, D, or E)
Total Enrollment: 36
Location and Contact Information:
Overall Study Official:
EdelleField, Principal Investigator, University of Miami
Miami Project, Bantle Center
Miami, Florida, 33136
United States
Additional Information:
Study ID Numbers: 5K01HD01193-02;
Study Start Date: May 1998
Record last reviewed: May 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00060983
Other Spinal Cord Injuries Studies:
1. Non-Invasive Electrical Stimulation of the Human Brain
2. Chronic Pain in Spinal Cord Injury
3. Improving Gait in Patients with Spinal Cord Injuries
4. Treatment of Chronic Pain after Spinal Cord Injury (SCI) or Amputation
5. Determine the association between the level of SCI with chronic respiratory symptoms, measures of pulmonary function, and respiratory illness.
Related Studies:
Other Spinal Cord Injuries Clinical Trials
Other Florida Clinical Trials
Other Miami Clinical Trials
Improving Gait in Patients with Spinal Cord Injuries
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