Status:

RECRUITING

Activating Spinal Circuits to Improve Walking, Balance, Strength, and Reduce Spasticity

Lead Sponsor:

Shepherd Center, Atlanta GA

Collaborating Sponsors:

National Institute on Disability, Independent Living, and Rehabilitation Research

Conditions:

Incomplete Spinal Cord Injury

Spasticity, Muscle

Eligibility:

All Genders

18-70 years

Phase:

NA

Brief Summary

For many people with spinal cord injury (SCI), the goal of walking is a high priority. There are many approaches available to restore walking function after SCI; however, these approaches often involv...

Detailed Description

Individuals with SCI will be asked to participate in this study over a four-week period. During the first 2 weeks (wash-in phase), individuals will participate in 6 aerobic and exercise training sessi...

Eligibility Criteria

Inclusion

  • Be 18-70 years of age
  • Have a spinal cord injury (neurological level C3-T12) that occurred ≥3 months (sub-acute to chronic) prior to enrollment
  • Have ISNCSCI severity classification C or D
  • Able to stand for at least 5 minutes (with or without the aid of an assistive device)
  • Able to move each leg independently for at least 3 steps (with or without the aid of an assistive device)
  • Able to rise from sit to stand with moderate assistance from one person
  • Use of prescription medication(s) for control of spasticity if the dosage has not changed in the last 2 weeks and you notify the study staff if your medication(s) change during study participation
  • Ability and willingness to consent and authorize use of personal health information
  • Ability to follow multiple instructions and communicate pain or discomfort

Exclusion

  • Progressive spinal lesions including degenerative, or progressive vascular disorders of the spine and/or spinal cord
  • Injuries below the neurological spinal level of T12
  • Pregnant, or if you have reason to believe you are or may become pregnant due to unknown risks to the fetus associated with TSS
  • History of cardiovascular irregularities
  • Presence of orthopedic conditions that would adversely affect participation in exercise
  • Implanted stimulators of any type will be excluded due to unknown potential of electrical stimulation effects (e.g., baclofen pump, epidural spinal stimulator, implanted cardiac defibrillator, diaphragmatic pacemaker)
  • Any cuts or sensitivity of the skin near the level of stimulation
  • Active cancer or history of cancer
  • Inability and unwillingness to consent and authorize use of personal health information

Key Trial Info

Start Date :

March 1 2022

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

March 1 2026

Estimated Enrollment :

28 Patients enrolled

Trial Details

Trial ID

NCT05429736

Start Date

March 1 2022

End Date

March 1 2026

Last Update

September 9 2025

Active Locations (1)

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1

Shepherd Center

Atlanta, Georgia, United States, 30309