Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID06471517

Neuroprosthetic Device for Improving Issues Caused by Diabetic Neuropathy With Specifically Designed Neural Stimulation

Led by Institute Mihajlo Pupin · Updated on 2024-06-24

20

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

Sponsors

I

Institute Mihajlo Pupin

Lead Sponsor

C

Clinical Centre of Serbia

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating a neuroprosthetic device designed to improve problems caused by diabetic neuropathy, a condition resulting from nerve damage often due to diabetes. This condition affects millions worldwide and can lead to sensory loss in the feet, causing difficulties with walking, balance, and increased risk of falls. The study aims to understand if restoring lost sensation with electrical stimulation can reduce these issues and related chronic pain. The study uses a wearable sensory restoration system that provides non-invasive, precise electrical stimulation through electrodes integrated into a sock garment. This system communicates with force-sensitive insoles in the shoes to adjust stimulation in real time, creating a closed-loop feedback system. Participants will perform various mobility tasks during 10 sessions where the device provides somatotopic sensory feedback to affected nerves. Participants will be assessed over about two weeks on factors like the location of sensations evoked by stimulation, stimulation thresholds, and overall safety for up to 1.5 months. Researchers will also measure mobility, balance, neuropathic pain, oxygen consumption during walking, tactile acuity, proprioception, sensitivity, gait performance, foot swelling, and treatment satisfaction. These evaluations help understand the device's impact on sensory and functional outcomes in neuropathy.

CONDITIONS

Brief Title

Neuroprosthetic Device for Improving Issues Caused by Diabetic Neuropathy With Specifically Designed Neural Stimulation

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosed polyneuropathy
  • Ability to stand and walk unassisted
  • Sensory loss in the feet
Not Eligible

You will not qualify if you...

  • Open ulcers on the feet
  • Pregnancy
  • History of or current psychological diseases including schizophrenia and major depression
  • Hypersensitivity to electrical stimulation

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Approximately 2 weeks

Participants perform different mobility tasks in 10 separate sessions while the device provides somatotopic sensations through non-invasive electrical stimulation. This stage assesses benefits connected to sensory nerve stimulation.

10 visits (in-person)

Trial Site Locations

Total: 1 location

1

Clinics for Endocrinology, Diabetes and Metabolic Diseases, Clinical Center of Serbia

Belgrade, Serbia

Actively Recruiting

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Research Team

N

Natalija Secerovic, PhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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Published Research Related To This Trial

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Dana L Dailey, Barbara A Rakel, Carol G T Vance...

https://pubmed.ncbi.nlm.nih.gov/23900134

Pain reducing effect of three types of transcutaneous electrical nerve stimulation in patients with chronic pain: a randomized crossover trial.

Albère J A Köke, Jan S A G Schouten, Myriam J H Lamerichs-Geelen...

https://pubmed.ncbi.nlm.nih.gov/15109505

Optimally-calibrated non-invasive feedback improves amputees' metabolic consumption, balance and walking confidence.

Lauren Chee, Giacomo Valle, Michele Marazzi...

https://pubmed.ncbi.nlm.nih.gov/35944515

Extended effects of a wearable sensory prosthesis on gait, balance function and falls after 26 weeks of use in persons with peripheral neuropathy and high fall risk-The walk2Wellness trial.

Lars I E Oddsson, Teresa Bisson, Helen S Cohen...

https://pubmed.ncbi.nlm.nih.gov/36204554

Sensory feedback restoration in leg amputees improves walking speed, metabolic cost and phantom pain.

Francesco Maria Petrini, Marko Bumbasirevic, Giacomo Valle...

https://pubmed.ncbi.nlm.nih.gov/31501600

Using Plantar Electrical Stimulation to Improve Postural Balance and Plantar Sensation Among Patients With Diabetic Peripheral Neuropathy: A Randomized Double Blinded Study.

Bijan Najafi, Talal K Talal, Gurtej Singh Grewal...

https://pubmed.ncbi.nlm.nih.gov/28627217

Effectiveness of transcutaneous electrical nerve stimulation in management of neuropathic pain in patients with post traumatic incomplete spinal cord injuries.

Amir Zeb, Aatik Arsh, Sher Bahadur...

https://pubmed.ncbi.nlm.nih.gov/30344571