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Indego® Exoskeleton; Assessing Mobility for Persons With Spinal Cord Injury (SCI). (Indego)

Primary Purpose

Spinal Cord Injury

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Indego
Sponsored by
Parker Hannifin Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Spinal Cord Injury focused on measuring SCI, Indego, Walking

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Be 18 years or older
  • Height 5'1" to 6'3" (Acceptable height may vary by a few inches depending on femur length).
  • Hip width as measured in sitting no greater than 16.6" (42 cm) (acceptable hip width may vary depending on soft tissue).
  • Femur length as measured in sitting must be between 14 inches (35.5cm) and 18.5 inches (47 cm)
  • Weight 250lbs (113.4 kg) or less
  • Present with Spinal Cord Injury and NLI C5 and lower, with ISNCSCI A, B, C or D who are non-ambulatory or poorly ambulatory.
  • There are no restrictions on time since injury. However, each subject must have signed medical clearance/approval for full weight bearing and locomotor training.
  • Determined to have sufficient bone health for walking with full weight bearing without undue risk for fracture. Meeting of this criterion is at the discretion of each subject's personal MD and must be approved by each site's Medical PI.
  • Passive range of motion (PROM) at shoulders, trunk, upper extremities and lower extremities within functional limits for safe gait and use of appropriate assistive device/stability aid.
  • Skin must be intact where it interfaces with robotic device
  • Modified Ashworth Scale for spasticity score must be 3 or less.
  • Blood pressure and heart rate within established guidelines for locomotor training:

    • At rest; Systolic 150 or less Diastolic 90 or less and Heart rate 105 or less
    • Exercise; Systolic 180 or less Diastolic 105 or less and Heart Rate 145 or less
  • Tolerate being in an upright standing position (passive or active) without being lightheaded or having a headache.

Exclusion Criteria:

  • Weight in excess of 250 lbs
  • Heterotopic ossification that, in the opinion of the investigator, would place the subject at undue risk for fracture.
  • Any subject deemed at increased risk for injury by Medical Personnel
  • Lower extremity joint limitation that exceeds 10 degrees at their hips, knees or ankles.
  • Light headedness or headache in standing position (active or passive)
  • Moderate to Severe Traumatic (or Acquired) Brain Injury
  • Inability to follow instructions
  • Colostomy bag
  • Women who are pregnant or attempting to become pregnant during the study intervention.
  • Unable to obtain informed consent (either from the subject or from the subjects Legally Authorized Representative).
  • Any disease, concomitant injury, or condition that interferes with the performance or interpretation of the protocol specified assessments
  • Unlikely to be available for follow-up phone call.
  • Any other issue which, in the opinion of the investigators, will make the subject unsuitable for study participation.

Sites / Locations

  • Craig Hospital
  • Shepherd Center
  • Rehabilitation Institue of Chicago
  • Kessler Institute for Rehabilitation
  • RUSK Rehabilitation Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Indego

Arm Description

Indego

Outcomes

Primary Outcome Measures

Percentage of Subjects Able to Complete the 600 Meter Walk Test (600MWT)
Measured time for an individual to complete walking 600 meters on a level surface with the Indego and stability aid at the end of the study, proposed to be representative of an individual's ability to ambulate in the community.
Average Speed of 10 Meter Walk Test (10MWT) Mid Study Versus End of Study
Measured time for an individual to complete walking 10 meters with the Indego and a stability aid midway through the study and at the end of the study.
Timed Up and Go (TUG) Test
Measures the time required for an individual to stand from a seated position, walk three meters, turn, walk back three meters, turn and return to a seated position.
Average Time to Don/Doff Device
Time needed for an individual to don or doff the device.
Percentage of Subjects That Could Don/Doff the Device Independently
The percentage of participants that could don/doff the device independently at the end of the study, without the help of their Physical Therapist.

Secondary Outcome Measures

Walking Index for Spinal Cord Injury (WISCI-II) Assessment
Assesses physical assistance and devices required for persons to walk following paralysis resulting from a Spinal Cord Injury. 0:unable parallel bars, braces, help of 2 persons,<10m parallel bars, braces, help of 2 persons,10m parallel bars, braces, help of 1 person,10m parallel bars, no braces, help of 1 person,10m parallel bars, braces, no help,10m walker, braces, help of 1 person,10m 7:2 crutches, braces, help of 1 person,10m 8:walker, no braces, help of 1 person,10m 9:walker, braces, no help,10m 10:1 cane/crutch, braces, help of 1 person,10m 11:2 crutches, no braces, help of 1 person,10m 12:2 crutches, braces, no help,10m 13:walker, no braces/help,10m 14:1 cane/crutch, no braces, help of 1 person,10m 15:1 cane/crutch, braces, no help,10m 16:2 crutches, no braces/help,10m 17:no devices/braces, help of 1 person,10m 18: no devices, braces, no help,10m 19:1cane/crutch, no braces/help,10m 20:no devices/braces/help,10m Reference: rehabmeasures.org
Functional Independence Measure (FIM) Score for Walking Indoors
FIM measures an individual's level of disability and indicates how much assistance is needed for that individual to carry out activities of daily living. 7: complete independence 6: modified independence 5: supervision or setup assistance 4: minimal contact assistance 3: moderate assistance 2: maximal assistance 1: total assistance Reference: rehabmeasures.org
Borg Rating of Perceived Exertion (BRPE) for Walking Indoors
The BPRE characterizes the level of effort required by an individual to perform a task and takes into account both the person's fitness level and the difficulty of the task. 6: no exertion at all 7: extremely light 8-9: very light 10-11: light 12-13: somewhat hard 14-15: hard (heavy) 16-17: very hard 18-19: extremely hard 20: maximal exertion

Full Information

First Posted
July 23, 2014
Last Updated
June 26, 2017
Sponsor
Parker Hannifin Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT02202538
Brief Title
Indego® Exoskeleton; Assessing Mobility for Persons With Spinal Cord Injury (SCI).
Acronym
Indego
Official Title
Indego® Exoskeleton; Assessing Mobility for Persons With Spinal Cord Injury (SCI).
Study Type
Interventional

2. Study Status

Record Verification Date
June 2017
Overall Recruitment Status
Completed
Study Start Date
August 2014 (undefined)
Primary Completion Date
October 2015 (Actual)
Study Completion Date
October 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Parker Hannifin Corporation

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study will evaluate the Indego® device for safety and effectiveness at allowing persons with SCI who are non-ambulatory or poorly ambulatory to stand up and walk under a variety of conditions.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Spinal Cord Injury
Keywords
SCI, Indego, Walking

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
53 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Indego
Arm Type
Experimental
Arm Description
Indego
Intervention Type
Device
Intervention Name(s)
Indego
Intervention Description
Indego
Primary Outcome Measure Information:
Title
Percentage of Subjects Able to Complete the 600 Meter Walk Test (600MWT)
Description
Measured time for an individual to complete walking 600 meters on a level surface with the Indego and stability aid at the end of the study, proposed to be representative of an individual's ability to ambulate in the community.
Time Frame
8 weeks
Title
Average Speed of 10 Meter Walk Test (10MWT) Mid Study Versus End of Study
Description
Measured time for an individual to complete walking 10 meters with the Indego and a stability aid midway through the study and at the end of the study.
Time Frame
4 weeks, 8 weeks
Title
Timed Up and Go (TUG) Test
Description
Measures the time required for an individual to stand from a seated position, walk three meters, turn, walk back three meters, turn and return to a seated position.
Time Frame
8 weeks
Title
Average Time to Don/Doff Device
Description
Time needed for an individual to don or doff the device.
Time Frame
8 weeks
Title
Percentage of Subjects That Could Don/Doff the Device Independently
Description
The percentage of participants that could don/doff the device independently at the end of the study, without the help of their Physical Therapist.
Time Frame
8 weeks
Secondary Outcome Measure Information:
Title
Walking Index for Spinal Cord Injury (WISCI-II) Assessment
Description
Assesses physical assistance and devices required for persons to walk following paralysis resulting from a Spinal Cord Injury. 0:unable parallel bars, braces, help of 2 persons,<10m parallel bars, braces, help of 2 persons,10m parallel bars, braces, help of 1 person,10m parallel bars, no braces, help of 1 person,10m parallel bars, braces, no help,10m walker, braces, help of 1 person,10m 7:2 crutches, braces, help of 1 person,10m 8:walker, no braces, help of 1 person,10m 9:walker, braces, no help,10m 10:1 cane/crutch, braces, help of 1 person,10m 11:2 crutches, no braces, help of 1 person,10m 12:2 crutches, braces, no help,10m 13:walker, no braces/help,10m 14:1 cane/crutch, no braces, help of 1 person,10m 15:1 cane/crutch, braces, no help,10m 16:2 crutches, no braces/help,10m 17:no devices/braces, help of 1 person,10m 18: no devices, braces, no help,10m 19:1cane/crutch, no braces/help,10m 20:no devices/braces/help,10m Reference: rehabmeasures.org
Time Frame
8 weeks
Title
Functional Independence Measure (FIM) Score for Walking Indoors
Description
FIM measures an individual's level of disability and indicates how much assistance is needed for that individual to carry out activities of daily living. 7: complete independence 6: modified independence 5: supervision or setup assistance 4: minimal contact assistance 3: moderate assistance 2: maximal assistance 1: total assistance Reference: rehabmeasures.org
Time Frame
8 weeks
Title
Borg Rating of Perceived Exertion (BRPE) for Walking Indoors
Description
The BPRE characterizes the level of effort required by an individual to perform a task and takes into account both the person's fitness level and the difficulty of the task. 6: no exertion at all 7: extremely light 8-9: very light 10-11: light 12-13: somewhat hard 14-15: hard (heavy) 16-17: very hard 18-19: extremely hard 20: maximal exertion
Time Frame
8 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Be 18 years or older Height 5'1" to 6'3" (Acceptable height may vary by a few inches depending on femur length). Hip width as measured in sitting no greater than 16.6" (42 cm) (acceptable hip width may vary depending on soft tissue). Femur length as measured in sitting must be between 14 inches (35.5cm) and 18.5 inches (47 cm) Weight 250lbs (113.4 kg) or less Present with Spinal Cord Injury and NLI C5 and lower, with ISNCSCI A, B, C or D who are non-ambulatory or poorly ambulatory. There are no restrictions on time since injury. However, each subject must have signed medical clearance/approval for full weight bearing and locomotor training. Determined to have sufficient bone health for walking with full weight bearing without undue risk for fracture. Meeting of this criterion is at the discretion of each subject's personal MD and must be approved by each site's Medical PI. Passive range of motion (PROM) at shoulders, trunk, upper extremities and lower extremities within functional limits for safe gait and use of appropriate assistive device/stability aid. Skin must be intact where it interfaces with robotic device Modified Ashworth Scale for spasticity score must be 3 or less. Blood pressure and heart rate within established guidelines for locomotor training: At rest; Systolic 150 or less Diastolic 90 or less and Heart rate 105 or less Exercise; Systolic 180 or less Diastolic 105 or less and Heart Rate 145 or less Tolerate being in an upright standing position (passive or active) without being lightheaded or having a headache. Exclusion Criteria: Weight in excess of 250 lbs Heterotopic ossification that, in the opinion of the investigator, would place the subject at undue risk for fracture. Any subject deemed at increased risk for injury by Medical Personnel Lower extremity joint limitation that exceeds 10 degrees at their hips, knees or ankles. Light headedness or headache in standing position (active or passive) Moderate to Severe Traumatic (or Acquired) Brain Injury Inability to follow instructions Colostomy bag Women who are pregnant or attempting to become pregnant during the study intervention. Unable to obtain informed consent (either from the subject or from the subjects Legally Authorized Representative). Any disease, concomitant injury, or condition that interferes with the performance or interpretation of the protocol specified assessments Unlikely to be available for follow-up phone call. Any other issue which, in the opinion of the investigators, will make the subject unsuitable for study participation.
Facility Information:
Facility Name
Craig Hospital
City
Englewood
State/Province
Colorado
ZIP/Postal Code
80113
Country
United States
Facility Name
Shepherd Center
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30309
Country
United States
Facility Name
Rehabilitation Institue of Chicago
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
Facility Name
Kessler Institute for Rehabilitation
City
West Orange
State/Province
New Jersey
ZIP/Postal Code
07052
Country
United States
Facility Name
RUSK Rehabilitation Center
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States

12. IPD Sharing Statement

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Indego® Exoskeleton; Assessing Mobility for Persons With Spinal Cord Injury (SCI).

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