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Mobility Training Using a Bionic Knee Orthosis in Patients Chronic Post-Stroke: A Case Series

Primary Purpose

Stroke

Status
Completed
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
Tibion Bionic Leg
Sponsored by
Tibion Bionics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Stroke focused on measuring Stroke, Tibion, Bionics, Rehab, Therapy, Robotics, Intention

Eligibility Criteria

40 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male or female
  • Aged 40 to 60 years
  • One year status post-stroke
  • Able to walk at least 10 meters
  • Independence in self-care

Exclusion Criteria:

  • Medically unstable
  • Major cardiopulmonary deficiency
  • Major depression
  • Significant cognitive deficit
  • Currently receiving gait training
  • Younger than 40 years of age
  • Older than 60 years of age
  • Unable to walk at least 10 meters

Sites / Locations

  • Bakar Community Center at the University of California San Francisco

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Tibion Arm

Arm Description

Arm of the study in which enrolled post-stroke subjects undergo rehabilitative therapy with the Tibion Bionic Leg.

Outcomes

Primary Outcome Measures

Ambulation Speed
Ambulation speed, in meters per second, as obtained by the Ten (10) Meter Walk Test (10 MWT). The 10 MWT measures the time required to walk 10 meters at the subject's comfortable walking pace.

Secondary Outcome Measures

6 Minute Walk Test (6 MWT)
The total distance walked by the patient, in meters, as obtained by the Six (6) Minute Walk Test (6 MWT). The 6 MWT is performed over level ground, using any walking aids (canes, walkers, etc.) the patient requires for comfortable walking.
Timed Up and Go (TUG) Test
The time, in seconds, for the patient to rise from sitting in a standard arm chair, walk 3 meters, turn around, walk back to the chair, and sit down. This evaluation is called the Timed Up and Go test (TUG). The patient may wear their usual footwear and use any aids (canes, walkers, etc.) they typically employ for comfortable walking.
Five Times Sit to Stand Test (5 x STS)
The time, in seconds, for the patient to rise from a seated to full standing position and return to sitting five times in rapid succession. This evaluation is called the Five Times Sit to Stand Test (5 x STS)
Step Length
The length of the patient's average step, in meters, as measured during comfortable walking.

Full Information

First Posted
December 20, 2011
Last Updated
June 30, 2013
Sponsor
Tibion Bionics, Inc.
Collaborators
University of California, San Francisco
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1. Study Identification

Unique Protocol Identification Number
NCT01499862
Brief Title
Mobility Training Using a Bionic Knee Orthosis in Patients Chronic Post-Stroke: A Case Series
Official Title
Discriminatory Neurosensory Stimulation Neurological H5394-11417-15
Study Type
Interventional

2. Study Status

Record Verification Date
June 2013
Overall Recruitment Status
Completed
Study Start Date
June 2009 (undefined)
Primary Completion Date
December 2011 (Actual)
Study Completion Date
December 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Tibion Bionics, Inc.
Collaborators
University of California, San Francisco

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This pilot study examined the effect of task-oriented mobility training in three persons chronic post-stroke using a novel, wearable, mobile intention-based robotic orthosis (Tibion Bionic Leg).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Stroke
Keywords
Stroke, Tibion, Bionics, Rehab, Therapy, Robotics, Intention

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
3 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Tibion Arm
Arm Type
Experimental
Arm Description
Arm of the study in which enrolled post-stroke subjects undergo rehabilitative therapy with the Tibion Bionic Leg.
Intervention Type
Device
Intervention Name(s)
Tibion Bionic Leg
Intervention Description
A programmable, carbon-fiber robotic leg orthosis (Tibion Bionic Leg, Tibion Corporation, Sunnyvale, CA) was used during therapy to actively supplement concentric and eccentric quadriceps function on the participant's impaired side. The device uses internal sensors at the foot and knee joint to detect intention of movement and, once a variable force threshold is passed, the devices provides appropriate assistive and resistive adjustments.
Primary Outcome Measure Information:
Title
Ambulation Speed
Description
Ambulation speed, in meters per second, as obtained by the Ten (10) Meter Walk Test (10 MWT). The 10 MWT measures the time required to walk 10 meters at the subject's comfortable walking pace.
Time Frame
Baseline (prior to training); at conclusion of 4 week training regimen (1.5 hours/session with 2 to 4 sessions per week); and 1 Month post-training regimen.
Secondary Outcome Measure Information:
Title
6 Minute Walk Test (6 MWT)
Description
The total distance walked by the patient, in meters, as obtained by the Six (6) Minute Walk Test (6 MWT). The 6 MWT is performed over level ground, using any walking aids (canes, walkers, etc.) the patient requires for comfortable walking.
Time Frame
Baseline (prior to training); at conclusion of 4 week training regimen (1.5 hours/session with 2 to 4 sessions per week); and 1 Month post-training regimen.
Title
Timed Up and Go (TUG) Test
Description
The time, in seconds, for the patient to rise from sitting in a standard arm chair, walk 3 meters, turn around, walk back to the chair, and sit down. This evaluation is called the Timed Up and Go test (TUG). The patient may wear their usual footwear and use any aids (canes, walkers, etc.) they typically employ for comfortable walking.
Time Frame
Baseline (prior to training); at conclusion of 4 week training regimen (1.5 hours/session with 2 to 4 sessions per week); and 1 Month post-training regimen.
Title
Five Times Sit to Stand Test (5 x STS)
Description
The time, in seconds, for the patient to rise from a seated to full standing position and return to sitting five times in rapid succession. This evaluation is called the Five Times Sit to Stand Test (5 x STS)
Time Frame
Baseline (prior to training); at conclusion of 4 week training regimen (1.5 hours/session with 2 to 4 sessions per week); and 1 Month post-training regimen.
Title
Step Length
Description
The length of the patient's average step, in meters, as measured during comfortable walking.
Time Frame
Baseline (prior to training); at conclusion of 4 week training regimen (1.5 hours/session with 2 to 4 sessions per week); and 1 Month post-training regimen.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female Aged 40 to 60 years One year status post-stroke Able to walk at least 10 meters Independence in self-care Exclusion Criteria: Medically unstable Major cardiopulmonary deficiency Major depression Significant cognitive deficit Currently receiving gait training Younger than 40 years of age Older than 60 years of age Unable to walk at least 10 meters
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Nancy N Byl, PhD, PT
Organizational Affiliation
University of California, San Francisco
Official's Role
Principal Investigator
Facility Information:
Facility Name
Bakar Community Center at the University of California San Francisco
City
San Francisco
State/Province
California
ZIP/Postal Code
94158-2332
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
22082495
Citation
Wong CK, Bishop L, Stein J. A wearable robotic knee orthosis for gait training: a case-series of hemiparetic stroke survivors. Prosthet Orthot Int. 2012 Mar;36(1):113-20. doi: 10.1177/0309364611428235. Epub 2011 Nov 14.
Results Reference
background
Links:
URL
http://www.tibion.com
Description
Tibion Bionic Technologies

Learn more about this trial

Mobility Training Using a Bionic Knee Orthosis in Patients Chronic Post-Stroke: A Case Series

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