Status:

COMPLETED

Augmenting Reactive Stepping With FES After SCI

Lead Sponsor:

University Health Network, Toronto

Conditions:

Spinal Cord Injuries

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

Up to 25 individuals living with chronic incomplete spinal cord injury (iSCI) who can stand but have limited ability to elicit a step without physical assistance or upper limb (U/L) support will be re...

Eligibility Criteria

Inclusion

  • have a motor incomplete SCI (i.e., AIS grade C or D) that is non-progressive;
  • be at least one year post-injury (i.e., chronic injury);
  • ≥ 18 years old;
  • be able to stand independently for 60 sec;
  • unable to take a step bilaterally without physical assistance or upper extremity support;
  • able to understand spoken English;
  • free of any other condition besides SCI that significantly affects walking or balance (e.g., no vestibular disorder, significant vision loss, stroke);
  • be able to provide informed, written consent.

Exclusion

  • Contraindications for EMS. Electrical stimulation will not be used if:
  • it will be applied to areas where it could cause malfunction of electronic devices, including cardiac pacemakers;
  • a woman is pregnant;
  • the applied region has known or suspected malignancy;
  • the person has active deep vein thrombosis or thrombophlebitis;
  • there are active bleeding tissues, or the person has untreated hemorrhagic disorders;
  • there are infected tissues, tuberculosis, or wounds with underlying osteomyelitis;
  • tissues have been radiated in the past six months;
  • there are damaged skin areas or at-risk skin areas that would result in uneven conduction of current;
  • severe spasticity is present in the legs;
  • the person has contractures in the lower limbs that prevent achieving a neutral hip and ankle position, or extended knee;
  • there is a history of prior lower limbs fragility fracture;
  • the leg muscles are unresponsive to electrical stimulation (i.e., peripheral nerve damage in the legs).
  • Pressure sores on pelvis or trunk, where safety harness will be donned.

Key Trial Info

Start Date :

September 1 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

June 30 2020

Estimated Enrollment :

2 Patients enrolled

Trial Details

Trial ID

NCT04309448

Start Date

September 1 2019

End Date

June 30 2020

Last Update

April 1 2021

Active Locations (1)

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Lyndhurst Centre, Toronto Rehabilitation Institute-UHN

Toronto, Ontario, Canada, M4G 3V9