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Lumbar Assistive Exoskeletons in Caregiving (ExoCare)

Primary Purpose

Healthy, Low Back Pain, Musculoskeletal Pain

Status
Recruiting
Phase
Not Applicable
Locations
Spain
Study Type
Interventional
Intervention
Exoskeleton
Sponsored by
University of the Basque Country (UPV/EHU)
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Healthy focused on measuring Low back pain, Exoskeleton, Caregiver, Nursing home, Musculoskeletal disease, Quality of life

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • nursing home caregivers

Exclusion Criteria:

  • pregnancy
  • presence of condition that prevents from the use of a lumbar exoskeleton

Sites / Locations

  • IFAS/GUFE Centro Asistencial LeioaRecruiting
  • IFAS/GUFE Centro Asistencial ElorrioRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

No Intervention

Experimental

Arm Label

Control Group

Exoskeleton Group

Arm Description

Participants randomly assigned to control group will not wear an exoskeleton during working hours.

Participants randomly assigned to exoskeleton group will be given instructions and explanations on how to use/adjust/loosen the exoskeleton, and after a period of familiarisation, they will be wearing an exoskeleton during their working hours for a period of one year.

Outcomes

Primary Outcome Measures

Change from baseline Pain Intensity at 3 months
Average pain intensity during the last 7 days in a Numerical Rating Scale for pain ranging from 0 (complete absence of pain) to 10 (worst imaginable pain). This information will be collected for pain in the low back, neck, shoulders and wrists/hands
Change from baseline Pain Intensity at 6 months
Average pain intensity during the last 7 days in a Numerical Rating Scale for pain ranging from 0 (complete absence of pain) to 10 (worst imaginable pain). This information will be collected for pain in the low back, neck, shoulders and wrists/hands
Change from baseline Pain Intensity at 9 months
Average pain intensity during the last 7 days in a Numerical Rating Scale for pain ranging from 0 (complete absence of pain) to 10 (worst imaginable pain). This information will be collected for pain in the low back, neck, shoulders and wrists/hands
Change from baseline Pain Intensity at 12 months
Average pain intensity during the last 7 days in a Numerical Rating Scale for pain ranging from 0 (complete absence of pain) to 10 (worst imaginable pain). This information will be collected for pain in the low back, neck, shoulders and wrists/hands

Secondary Outcome Measures

Usability measured by System Usability Scale
It is a simple scale of ten items that provides a subjective global vision of the usability of the evaluated exoskeleton on a scale of 1 to 5 (1 being strongly disagree and 5 strongly agree). Higher values mean the users found the device more usable.
User Satisfaction measured by Quebec User Evaluation of Satisfaction with Assistive Technology
Scale to evaluate the satisfaction of the person during the use of the exoskeleton. It is made up of two subscales: the first considers eight aspects related to the support product (in this case, the exoskeleton); the second subscale evaluates four items regarding maintenance services during the use of the device. The scale goes from 1 (not satisfied at all) to 5 (very satisfied). Higher values mean that users are more satisfied.
Self-reported work ability by Work Ability Index
It yields a continuous score ranging from 7 to 49 points, where higher scores indicate better work ability.
Borg's CR-10 scale for perceived physical exertion at work
It measures perceived physical exertion while doing physical work in a scale ranging from 0 (nothing at all) to 10 (extremely strong).
Muscular resistance of the trunk muscles measured by the "Shirado-Ito" test
It measures trunk muscle endurance based on the maximum time the participant is able to maintain a defined body position.
Discomfort measured by Body Part Discomfort Scale
Survey of subjective symptoms that evaluates both the direct experience of discomfort of the person surveyed in different parts of the body, as well as the intensity of said discomfort on a scale of 0 to 10 (0 being no discomfort and 10 extremely high discomfort).
Absenteeism
Days of absence from work will be collected from the official registry of the company and by the following question: "In total, how many days of work have you missed due to health reasons (injury, illness, medical consultation / treatment ...) during the last 12 weeks?". Possible answers will be: "0 days", "1-7 days", "8-30 days", "more than 30 days". In addition, number of days of absenteeism during the last 7 days (0-7) will be recorded.
Musculoskeletal disorders prevalence
Prevalence of musculoskeletal injuries such as tendinopathies, unspecific low back pain
Prevalence of Side Effects
Side effects secondary to the use of the exoskeleton such as: chafe, irritation, pressures.

Full Information

First Posted
July 20, 2022
Last Updated
January 4, 2023
Sponsor
University of the Basque Country (UPV/EHU)
Collaborators
Diputación Foral de Bizkaia
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1. Study Identification

Unique Protocol Identification Number
NCT05473208
Brief Title
Lumbar Assistive Exoskeletons in Caregiving
Acronym
ExoCare
Official Title
"Effectiveness of Lumbar Assistive Exoskeleton in Nursing Home Caregivers: Randomized Control Trial"
Study Type
Interventional

2. Study Status

Record Verification Date
January 2023
Overall Recruitment Status
Recruiting
Study Start Date
October 11, 2022 (Actual)
Primary Completion Date
September 30, 2023 (Anticipated)
Study Completion Date
December 31, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of the Basque Country (UPV/EHU)
Collaborators
Diputación Foral de Bizkaia

4. Oversight

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

5. Study Description

Brief Summary
A randomized control trial will be conducted, for evaluating the effectiveness of the implementation of a lower back assistive exoskeleton on the caregivers working in nursing homes.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Healthy, Low Back Pain, Musculoskeletal Pain, Musculoskeletal Injury
Keywords
Low back pain, Exoskeleton, Caregiver, Nursing home, Musculoskeletal disease, Quality of life

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
InvestigatorOutcomes Assessor
Masking Description
The investigators in charge of doing the statistical analysis and assessing the outcome measures (e.g., physical performance tests) will be blinded to group allocation. Due to the characteristics of the study (use of the exoskeleton during working hours) blinding of the participants is not possible.
Allocation
Randomized
Enrollment
50 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Control Group
Arm Type
No Intervention
Arm Description
Participants randomly assigned to control group will not wear an exoskeleton during working hours.
Arm Title
Exoskeleton Group
Arm Type
Experimental
Arm Description
Participants randomly assigned to exoskeleton group will be given instructions and explanations on how to use/adjust/loosen the exoskeleton, and after a period of familiarisation, they will be wearing an exoskeleton during their working hours for a period of one year.
Intervention Type
Device
Intervention Name(s)
Exoskeleton
Intervention Description
Lumbar assistive exoskeleton evaluation
Primary Outcome Measure Information:
Title
Change from baseline Pain Intensity at 3 months
Description
Average pain intensity during the last 7 days in a Numerical Rating Scale for pain ranging from 0 (complete absence of pain) to 10 (worst imaginable pain). This information will be collected for pain in the low back, neck, shoulders and wrists/hands
Time Frame
At Baseline and at 3 months
Title
Change from baseline Pain Intensity at 6 months
Description
Average pain intensity during the last 7 days in a Numerical Rating Scale for pain ranging from 0 (complete absence of pain) to 10 (worst imaginable pain). This information will be collected for pain in the low back, neck, shoulders and wrists/hands
Time Frame
At Baseline and at 6 months
Title
Change from baseline Pain Intensity at 9 months
Description
Average pain intensity during the last 7 days in a Numerical Rating Scale for pain ranging from 0 (complete absence of pain) to 10 (worst imaginable pain). This information will be collected for pain in the low back, neck, shoulders and wrists/hands
Time Frame
At Baseline and at 9 months
Title
Change from baseline Pain Intensity at 12 months
Description
Average pain intensity during the last 7 days in a Numerical Rating Scale for pain ranging from 0 (complete absence of pain) to 10 (worst imaginable pain). This information will be collected for pain in the low back, neck, shoulders and wrists/hands
Time Frame
At Baseline and at 12 months
Secondary Outcome Measure Information:
Title
Usability measured by System Usability Scale
Description
It is a simple scale of ten items that provides a subjective global vision of the usability of the evaluated exoskeleton on a scale of 1 to 5 (1 being strongly disagree and 5 strongly agree). Higher values mean the users found the device more usable.
Time Frame
Baseline, month 3, month 6, month 9, post intervention
Title
User Satisfaction measured by Quebec User Evaluation of Satisfaction with Assistive Technology
Description
Scale to evaluate the satisfaction of the person during the use of the exoskeleton. It is made up of two subscales: the first considers eight aspects related to the support product (in this case, the exoskeleton); the second subscale evaluates four items regarding maintenance services during the use of the device. The scale goes from 1 (not satisfied at all) to 5 (very satisfied). Higher values mean that users are more satisfied.
Time Frame
Baseline, month 3, month 6, month 9, post intervention
Title
Self-reported work ability by Work Ability Index
Description
It yields a continuous score ranging from 7 to 49 points, where higher scores indicate better work ability.
Time Frame
Baseline, month 3, month 6, month 9, post intervention
Title
Borg's CR-10 scale for perceived physical exertion at work
Description
It measures perceived physical exertion while doing physical work in a scale ranging from 0 (nothing at all) to 10 (extremely strong).
Time Frame
Baseline, month 3, month 6, month 9, post intervention
Title
Muscular resistance of the trunk muscles measured by the "Shirado-Ito" test
Description
It measures trunk muscle endurance based on the maximum time the participant is able to maintain a defined body position.
Time Frame
Baseline, month 3, month 6, month 9, post intervention
Title
Discomfort measured by Body Part Discomfort Scale
Description
Survey of subjective symptoms that evaluates both the direct experience of discomfort of the person surveyed in different parts of the body, as well as the intensity of said discomfort on a scale of 0 to 10 (0 being no discomfort and 10 extremely high discomfort).
Time Frame
Baseline, month 3, month 6, month 9, post intervention
Title
Absenteeism
Description
Days of absence from work will be collected from the official registry of the company and by the following question: "In total, how many days of work have you missed due to health reasons (injury, illness, medical consultation / treatment ...) during the last 12 weeks?". Possible answers will be: "0 days", "1-7 days", "8-30 days", "more than 30 days". In addition, number of days of absenteeism during the last 7 days (0-7) will be recorded.
Time Frame
Baseline, month 3, month 6, month 9, post intervention
Title
Musculoskeletal disorders prevalence
Description
Prevalence of musculoskeletal injuries such as tendinopathies, unspecific low back pain
Time Frame
Baseline, month 3, month 6, month 9, post intervention
Title
Prevalence of Side Effects
Description
Side effects secondary to the use of the exoskeleton such as: chafe, irritation, pressures.
Time Frame
Baseline, month 3, month 6, month 9, post intervention

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: nursing home caregivers Exclusion Criteria: pregnancy presence of condition that prevents from the use of a lumbar exoskeleton
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Ana Rodriguez Larrad, PhD
Phone
0034946017925
Email
ana.rodriguez@ehu.eus
First Name & Middle Initial & Last Name or Official Title & Degree
Maialen Aiestaran, MsC
Phone
0034946017925
Email
maialen.aiestaran@ehu.eus
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ana Rodriguez Larrad, PhD
Organizational Affiliation
Professor
Official's Role
Study Director
Facility Information:
Facility Name
IFAS/GUFE Centro Asistencial Leioa
City
Leioa
State/Province
Bizkaia
ZIP/Postal Code
48940
Country
Spain
Individual Site Status
Recruiting
Facility Name
IFAS/GUFE Centro Asistencial Elorrio
City
Elorrio
State/Province
Vizcaya
ZIP/Postal Code
48230
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
Phone
+34 946583231

12. IPD Sharing Statement

Plan to Share IPD
Undecided
IPD Sharing Plan Description
IPD sharing under acceptable request

Learn more about this trial

Lumbar Assistive Exoskeletons in Caregiving

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