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Procedure
Noninvasive Spinal Stimulation for Stroke Recovery
N/A
Recruiting
Led By Arun Jayaraman, PT, PhD
Research Sponsored by Shirley Ryan AbilityLab
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Functional Ambulation Category of 2 or greater - i.e., subject needs continuous or intermittent support of one person to help with balance and coordination
Not currently receiving regular physical therapy services
Timeline
Screening 3 weeks
Treatment Varies
Follow Up aim 1: baseline pre-intervention immediately post intervention for interventions 1, 2, 3 and 4. aim 2: baseline pre-intervention, 4 weeks into the intervention, immediately post intervention and 3 months post intervention for intervention 1 and 2.
Awards & highlights
Study Summary
This trial will study if a non-invasive spinal cord stimulator can help improve gait and balance for people with hemiplegia caused by stroke.
Who is the study for?
This trial is for adults over 18 who have hemiplegia from a stroke at least 6 months ago and need some help walking. They shouldn't be getting regular physical therapy, must have doctor's approval to join, and can't be pregnant or nursing. People with seizures unrelated to stroke, certain neurological conditions, severe muscle tightness in legs, recent Botox in the leg, metal implants in head/face or using heart devices like pacemakers are excluded.Check my eligibility
What is being tested?
The study tests if non-invasive spinal cord stimulation improves walking and balance in people with hemiplegia after a stroke. It has two parts: one where participants try different methods one after another (cross-over), and another where they're randomly assigned to either get the real treatment or a pretend (sham) version.See study design
What are the potential side effects?
Potential side effects may include discomfort at the stimulation site, skin irritation from electrode placement, fatigue due to gait training exercises, mild headaches or dizziness immediately following stimulation sessions.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I need someone's help to walk because of balance or coordination issues.
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I am not currently undergoing regular physical therapy.
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I am 18 years old or older.
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I have paralysis on one side of my body due to a stroke.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ aim 1: baseline pre-intervention immediately post intervention for interventions 1, 2, 3 and 4. aim 2: baseline pre-intervention, 4 weeks into the intervention, immediately post intervention and 3 months post intervention for intervention 1 and 2.
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~aim 1: baseline pre-intervention immediately post intervention for interventions 1, 2, 3 and 4. aim 2: baseline pre-intervention, 4 weeks into the intervention, immediately post intervention and 3 months post intervention for intervention 1 and 2.
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
Change in Gait Symmetry
Secondary outcome measures
Change in 10 Meter Walk Test
Change in 6 Minute Walk Test
Trial Design
6Treatment groups
Experimental Treatment
Active Control
Placebo Group
Group I: Aim 2: Gait Training + StimulationExperimental Treatment2 Interventions
Up to 60 min of locomotion training with transcutaneous spinal cord stimulation. However, the amount of time spent in side-lying locomotion training, treadmill training and over ground training will depend on individual tolerance and progression.
Group II: Aim 1: Gait Training + StimulationExperimental Treatment2 Interventions
Up to 60 min of locomotion training with transcutaneous spinal cord stimulation. However, the amount of time spent in side-lying locomotion training, treadmill training and over ground training will depend on individual tolerance and progression.
Group III: Aim 1: Stimulation OnlyActive Control2 Interventions
Up to 60 minutes of transcutaneous spinal cord stimulation while resting in a comfortable position.
Group IV: Aim 1: Gait Training + Sham StimulationActive Control2 Interventions
Up to 30 seconds of transcutaneous spinal cord stimulation in order to blind them to the intervention while performing locomotion training. However, the amount of time spent in side-lying locomotion training, treadmill training and over ground training will depend on individual tolerance and progression.
Group V: Aim 2: Gait Training + Sham StimulationActive Control2 Interventions
Up to 30 seconds of transcutaneous spinal cord stimulation in order to blind them to the intervention while performing locomotion training. However, the amount of time spent in side-lying locomotion training, treadmill training and over ground training will depend on individual tolerance and progression.
Group VI: Aim 1: Sham OnlyPlacebo Group2 Interventions
Up to 60 minutes of transcutaneous spinal cord stimulation while resting in a comfortable position during which they will receive up to 30 seconds of transcutaneous spinal cord stimulation in order to blind them to the intervention.
Find a Location
Who is running the clinical trial?
University of California, Los AngelesOTHER
1,530 Previous Clinical Trials
10,278,087 Total Patients Enrolled
34 Trials studying Stroke
6,255 Patients Enrolled for Stroke
Shirley Ryan AbilityLabLead Sponsor
194 Previous Clinical Trials
16,797 Total Patients Enrolled
70 Trials studying Stroke
8,230 Patients Enrolled for Stroke
Arun Jayaraman, PT, PhDPrincipal InvestigatorShirley Ryan AbilityLab
22 Previous Clinical Trials
2,787 Total Patients Enrolled
9 Trials studying Stroke
1,437 Patients Enrolled for Stroke
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I need someone's help to walk because of balance or coordination issues.I am not currently undergoing regular physical therapy.I currently have a urinary tract infection.You have a pacemaker implanted in your heart.I do not have a brain injury or neurological condition affecting the study.I am taking medication that affects my nervous system's activity.I have pain in my muscles or joints due to recent injuries or infections.I am 18 years old or older.I have a medical condition that makes it hard for me to walk.I have a bone fracture that has not yet healed.It has been over 6 months since my stroke.I do not have uncontrolled heart, lung, or metabolic conditions.I have severe stiffness in my legs that limits movement.I have paralysis on one side of my body due to a stroke.You have a special device in your heart or body for helping with heart function or muscle spasticity.I have nerve damage in my hands or feet.You have had a concussion in the past 6 months.I have active pressure sores.You have severe depression, mental health disorders, or are currently misusing drugs.I have a leg condition that affects my ability to walk or move.My cancer is active or has been in remission for less than 5 years.I have metal implants in my head or face.I have had more than one stroke.I have had skull abnormalities or fractures.I have had seizures not caused by a stroke, or I have epilepsy.I often have headaches for no known reason.I have not had a Botox injection in my leg in the last 4 months.I have difficulty coordinating my movements.My leg stiffness is severe, scoring 3 or more.
Research Study Groups:
This trial has the following groups:- Group 1: Aim 1: Stimulation Only
- Group 2: Aim 1: Gait Training + Stimulation
- Group 3: Aim 1: Gait Training + Sham Stimulation
- Group 4: Aim 1: Sham Only
- Group 5: Aim 2: Gait Training + Stimulation
- Group 6: Aim 2: Gait Training + Sham Stimulation
Awards:
This trial has 0 awards, including:Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
Frequently Asked Questions
These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
Are there any open slots for new participants in this research?
"Yes, this is an active trial that has been posted since March 1st, 2022 and was edited recently on September 9th. They are looking for 115 individuals to participate at a single site."
Answered by AI
Who else is applying?
What state do they live in?
Illinois
How old are they?
65+
What site did they apply to?
Shirley Ryan AbilityLab
What portion of applicants met pre-screening criteria?
Met criteria
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