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Xavier Electromyographic Wheelchair Control for Limited Mobility Patients

Primary Purpose

Amyotrophic Lateral Sclerosis

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Xavier wheelchair controller
Sponsored by
Mayo Clinic
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional device feasibility trial for Amyotrophic Lateral Sclerosis

Eligibility Criteria

18 Years - 89 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • ALS diagnosis by revised el Escorial criteria (definite, probable or probable laboratory supported)
  • Age 18-89
  • Limited mobility with use of motorized wheelchair at screening-time
  • Impairment of hand function limiting the use of a standard joystick control
  • Caregiver willing to assist with transfers into wheelchair and application of controllers
  • Ability to attend study visits with a motorized wheelchair
  • Ability to communicate and answer patient reported outcome measure questions

Exclusion Criteria:

  • Cognitive impairment prohibiting safe independent mobility as defined by an ALS-Cognitive Behavioral Screen (ALS-CBS) score of <10 or the opinion of the investigator
  • A sensory impairment prohibiting safe independent mobility in the opinion of the investigator
  • Allergy to adhesives or electrode gels (required for EMG electrodes)
  • Skin breakdown over the temporalis muscle that would predispose to further breakdown and/or infection with electrodes
  • Severe loss of facial muscle functionality or control that would preclude EMG electrode efficacy
  • Subjects who do not have the capacity to consent

Sites / Locations

  • Mayo Clinic in Florida

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Xavier wheelchair controller

Arm Description

Surface electromyography control of wheelchair

Outcomes

Primary Outcome Measures

Wheelchair Skills Test (WST)
Questionnaire

Secondary Outcome Measures

Drive test
Driving around cones in a controlled environment

Full Information

First Posted
December 28, 2018
Last Updated
March 14, 2021
Sponsor
Mayo Clinic
Collaborators
University of Central Florida
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1. Study Identification

Unique Protocol Identification Number
NCT04800926
Brief Title
Xavier Electromyographic Wheelchair Control for Limited Mobility Patients
Official Title
Xavier Electromyographic Wheelchair Control for Limited Mobility Patients
Study Type
Interventional

2. Study Status

Record Verification Date
March 2021
Overall Recruitment Status
Completed
Study Start Date
January 11, 2019 (Actual)
Primary Completion Date
October 30, 2019 (Actual)
Study Completion Date
October 30, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Mayo Clinic
Collaborators
University of Central Florida

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to assess the functional mobility and self-reported satisfaction with the Xavier electromyography hands-free wheelchair control system in comparison with a standard joystick.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Amyotrophic Lateral Sclerosis

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Xavier wheelchair controller
Arm Type
Experimental
Arm Description
Surface electromyography control of wheelchair
Intervention Type
Device
Intervention Name(s)
Xavier wheelchair controller
Intervention Description
Controlling a wheelchair using the Xavier surface EMG system
Primary Outcome Measure Information:
Title
Wheelchair Skills Test (WST)
Description
Questionnaire
Time Frame
approximately 3 days
Secondary Outcome Measure Information:
Title
Drive test
Description
Driving around cones in a controlled environment
Time Frame
approximately 3 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
89 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: ALS diagnosis by revised el Escorial criteria (definite, probable or probable laboratory supported) Age 18-89 Limited mobility with use of motorized wheelchair at screening-time Impairment of hand function limiting the use of a standard joystick control Caregiver willing to assist with transfers into wheelchair and application of controllers Ability to attend study visits with a motorized wheelchair Ability to communicate and answer patient reported outcome measure questions Exclusion Criteria: Cognitive impairment prohibiting safe independent mobility as defined by an ALS-Cognitive Behavioral Screen (ALS-CBS) score of <10 or the opinion of the investigator A sensory impairment prohibiting safe independent mobility in the opinion of the investigator Allergy to adhesives or electrode gels (required for EMG electrodes) Skin breakdown over the temporalis muscle that would predispose to further breakdown and/or infection with electrodes Severe loss of facial muscle functionality or control that would preclude EMG electrode efficacy Subjects who do not have the capacity to consent
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bjorn Oskarsson, MD
Organizational Affiliation
Mayo Clinic
Official's Role
Principal Investigator
Facility Information:
Facility Name
Mayo Clinic in Florida
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32224
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
35965311
Citation
Manero AC, McLinden SL, Sparkman J, Oskarsson B. Evaluating surface EMG control of motorized wheelchairs for amyotrophic lateral sclerosis patients. J Neuroeng Rehabil. 2022 Aug 14;19(1):88. doi: 10.1186/s12984-022-01066-8.
Results Reference
derived
Links:
URL
https://www.mayo.edu/research/clinical-trials
Description
Mayo Clinic Clinical Trials

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Xavier Electromyographic Wheelchair Control for Limited Mobility Patients

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