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Study of an Implantable Functional Neuromuscular Stimulation System for Patients with Spinal Cord Injuries



Study of an Implantable Functional Neuromuscular Stimulation System for Patients with Spinal Cord Injuries

For Condition: Spinal Cord Injury
Status: Recruiting
Sponsor(s): FDA Office of Orphan Products Development , Case Western Reserve University
Synopsis: OBJECTIVES: I. Establish the procedures for implementing and assessing the clinical utility of functional neuromuscular stimulation using an implanted eight-channel standing and transfer system in patients with incomplete tetraplegia or paraplegia. II. Develop and apply quantitative functional evaluations of system performance in these patients. III. Perform long term follow up and monitor system use outside of the laboratory.
Details: PROTOCOL OUTLINE: Patients undergo surgery in which electrodes are sutured into areas of the pelvis and legs. Electrode leads are inserted into a receiver/stimulator implanted in a subcutaneous pocket in the abdomen. Following implantation, patients undergo training in standing, transfers, and other advanced mobility skills using the functional neuromuscular stimulation system. Restricted activity continues for 2 weeks after surgery, followed by 8 weeks of exercise. Standing training then begins, and continues for up to 6 weeks. Home-based training follows prior to discharge with the system for spontaneous use. Patients are followed at 3, 6, and 12 months, then annually thereafter.
Eligibility:
Study Type:
  Interventional, Treatment, Non-Randomized
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: PROTOCOL ENTRY CRITERIA: --Disease Characteristics-- Low cervical or thoracic spinal cord injuries (C6-T12) Must be skeletally mature ASIA impairment scale A (complete motor and sensory deficits), B (sensory sparing), or C (motor and sensory sparing) Intact lower motor neurons Greater than 6 months since injury Range of motion within normal limits --Patient Characteristics-- Renal: No renal compromise Cardiovascular: No cardiac abnormalities No circulatory compromise Pulmonary: No pulmonary compromise Other: No acute or chronic psychological problems or chemical dependency No acute orthopedic complications (scoliosis, history of spontaneous fractures, dislocations, etc.) No acute medical complications (no skin breakdowns, uncontrolled seizures, immunological compromise, etc.)
Total Enrollment: 17

Location and Contact Information:

Overall Study Official:
RonaldTriolo,  Study Chair,  Case Western Reserve University

Case Western Reserve University *Recruiting*
Cleveland,  Ohio,  44106
United States
Recruiting Ronald  Triolo 216-778-7877

MetroHealth System *Recruiting*
Cleveland,  Ohio,  44109
United States
Recruiting John  Davis 216-778-3456


Additional Information:
Study ID Numbers:
  199/13455;  CWRU-FDR001244
Study Start Date: September 1996
Record last reviewed: May 1999
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00004445

Other Spinal Cord Injury Studies:
1. Cardiac Disease and the Electrocardiogram in SCI Patients

2. Magnetic Resonance Imaging Studies of Motor and Thought Processes

3. Study of Bilateral Phrenic Nerve Pacing Via Intramuscular Electrodes Surgically Implanted Into the Diaphragm To Achieve Artificial Ventilation in Patients With Ventilator-Dependent Tetraplegia

4. Phase II Randomized Pilot Study of Body Weight Support and Treadmill Training for Chronic Thoracic Spinal Cord Injury

5. Functional Magnetic Micturition in Patients w/SCI

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Study of an Implantable Functional Neuromuscular Stimulation System for Patients with Spinal Cord Injuries

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