search
Back to results

The Effect of Whole Body Vibration on Spasticity in Persons With Spinal Cord Injury

Primary Purpose

Spinal Cord Injury, Spasticity

Status
Unknown status
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Vibration with tilt-table standing
Sponsored by
Kessler Foundation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Spinal Cord Injury

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • The subject is male or female, 18 to 70 years of age, inclusive.
  • The subject has neurological impairment secondary to a spinal cord injury that occurred at least six (6) months prior to the study that can be categorized as either a complete or incomplete spinal cord injury.
  • The neurological level of lesion is above T10.
  • The subject has self-reported stable moderate to severe spasticity (Modified Ashworth Score scale at or greater than a 2 at the hips or knees). Patients can be enrolled if on a stable dose of oral medications or intrathecal medications.
  • The subject has self reported spasticity that negatively impacts his or her quality of life, impairs ability to perform activities of daily living (such as transfers, sitting, sleep, wheelchair use, and hobbies).
  • The subject is able to stand with the assistance of a tilt table at a minimum of 70 degrees for 45 minutes without significant orthostasis or other adverse events or symptoms.
  • The subject is able and willing to comply with the protocol.
  • The subject is able to and has voluntarily given informed consent prior to the performance of any study-specific procedures.

Exclusion Criteria:

  • The subject does not self report lower limb spasticity.
  • The subject does not have self reported spasticity that negatively impacts his or her quality of life, impairs ability to perform activities of daily living (such as transfers, sitting, sleep, wheelchair use, and hobbies).
  • The subject experiences symptoms consistent with infection, including but not limited to fever, chills, dysuria, gallbladder or kidney stones.
  • The subject experiences pain that is not well controlled with consistent pain medication use.
  • The subject has recent thromboembolism, diabetes mellitus, intractable hypertension or cardiac/pulmonary instability, internal fixation implants, acute thrombosis, pregnancy, acute inflammation of the locomotor system including active arthrosis or arthropathy, acute tendinopathy, acute hernia, acute discopathy, recent post-surgical wounds, epilepsy, rheumatoid arthritis, or recent fractures<6 months.
  • The subject has a lumbar spinal hardware or artificial joints in the lower extremities.
  • The subject is participating in any experimental studies that could alter the patient's spasticity.
  • The subject has a concomitant brain injury or other cognitive deficits that would preclude following instructions.
  • The subject has skin breakdown in areas receiving direct pressure during tilt table standing.
  • The subject has any medical condition, including psychiatric disease that would interfere with the interpretation of the study results or the conduct of the study.

Sites / Locations

  • Kessler Institute for RehabilitationRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Vibration with tilt-table standing

Arm Description

Participants in this arm will undergo alternating side-to-side, whole body vibration while standing on a tilt table for multiple treatments for a total of approximately 14 minutes for 3 sessions over 3 different days

Outcomes

Primary Outcome Measures

Change from Baseline in the Spinal Cord Injury Spasticity Evaluation Tool (SCI-SET) score after the third treatment

Secondary Outcome Measures

Change from Baseline in the Pain Severity Numerical Rating Scale (NRS) score after the third treatment
Change from Baseline in the Penn Spasm Frequency Scale score after the third treatment

Full Information

First Posted
April 24, 2014
Last Updated
November 25, 2014
Sponsor
Kessler Foundation
search

1. Study Identification

Unique Protocol Identification Number
NCT02127606
Brief Title
The Effect of Whole Body Vibration on Spasticity in Persons With Spinal Cord Injury
Official Title
The Effect of Whole Body Vibration on Spasticity in Spinal Cord Injury Patients
Study Type
Interventional

2. Study Status

Record Verification Date
November 2014
Overall Recruitment Status
Unknown status
Study Start Date
April 2014 (undefined)
Primary Completion Date
July 2015 (Anticipated)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Kessler Foundation

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Extended periods of tilt table standing have been observed to improve spasticity in individuals with spinal cord injury (SCI). The purpose of this study is to determine the effect of three sessions of whole body vibration while tilt table standing on spasticity in individuals with a complete or incomplete SCI above the neurological level of T10. Participants in this study will undergo whole body vibration while standing on a tilt table for a total of approximately 14 minutes for a total of 3 sessions on 3 separate days. Spasticity monitoring will be evaluated prior to and after the intervention with the Modified Penn Spasm Frequency Scale, an interview to obtain the individual's perception and impression of the effect of whole body vibration on the performance of activities of daily living, quality of life, pain scale, and global impression of change.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Spinal Cord Injury, Spasticity

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Vibration with tilt-table standing
Arm Type
Experimental
Arm Description
Participants in this arm will undergo alternating side-to-side, whole body vibration while standing on a tilt table for multiple treatments for a total of approximately 14 minutes for 3 sessions over 3 different days
Intervention Type
Device
Intervention Name(s)
Vibration with tilt-table standing
Other Intervention Name(s)
Galileo Tilt-Table, Galileo System, Vibrating platform, Whole-body vibration with tilt-table standing
Primary Outcome Measure Information:
Title
Change from Baseline in the Spinal Cord Injury Spasticity Evaluation Tool (SCI-SET) score after the third treatment
Time Frame
Participants will be followed for the duration of the 3 treatments, an expected average of 1 week
Secondary Outcome Measure Information:
Title
Change from Baseline in the Pain Severity Numerical Rating Scale (NRS) score after the third treatment
Time Frame
Participants will be followed for the duration of the 3 treatments, an expected average of 1 week
Title
Change from Baseline in the Penn Spasm Frequency Scale score after the third treatment
Time Frame
Participants will be followed for the duration of the 3 treatments, an expected average of 1 week
Other Pre-specified Outcome Measures:
Title
Subject Global Impression of Change (SGIC)
Time Frame
After the third treatment, an expected average of 1 week
Title
Adverse Events
Time Frame
Participants will be followed for the duration of the 3 treatments, an expected average of 1 week

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The subject is male or female, 18 to 70 years of age, inclusive. The subject has neurological impairment secondary to a spinal cord injury that occurred at least six (6) months prior to the study that can be categorized as either a complete or incomplete spinal cord injury. The neurological level of lesion is above T10. The subject has self-reported stable moderate to severe spasticity (Modified Ashworth Score scale at or greater than a 2 at the hips or knees). Patients can be enrolled if on a stable dose of oral medications or intrathecal medications. The subject has self reported spasticity that negatively impacts his or her quality of life, impairs ability to perform activities of daily living (such as transfers, sitting, sleep, wheelchair use, and hobbies). The subject is able to stand with the assistance of a tilt table at a minimum of 70 degrees for 45 minutes without significant orthostasis or other adverse events or symptoms. The subject is able and willing to comply with the protocol. The subject is able to and has voluntarily given informed consent prior to the performance of any study-specific procedures. Exclusion Criteria: The subject does not self report lower limb spasticity. The subject does not have self reported spasticity that negatively impacts his or her quality of life, impairs ability to perform activities of daily living (such as transfers, sitting, sleep, wheelchair use, and hobbies). The subject experiences symptoms consistent with infection, including but not limited to fever, chills, dysuria, gallbladder or kidney stones. The subject experiences pain that is not well controlled with consistent pain medication use. The subject has recent thromboembolism, diabetes mellitus, intractable hypertension or cardiac/pulmonary instability, internal fixation implants, acute thrombosis, pregnancy, acute inflammation of the locomotor system including active arthrosis or arthropathy, acute tendinopathy, acute hernia, acute discopathy, recent post-surgical wounds, epilepsy, rheumatoid arthritis, or recent fractures<6 months. The subject has a lumbar spinal hardware or artificial joints in the lower extremities. The subject is participating in any experimental studies that could alter the patient's spasticity. The subject has a concomitant brain injury or other cognitive deficits that would preclude following instructions. The subject has skin breakdown in areas receiving direct pressure during tilt table standing. The subject has any medical condition, including psychiatric disease that would interfere with the interpretation of the study results or the conduct of the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Trevor A. Dyson-Hudson, M.D.
Phone
973-324-3576
Email
tdysonhudson@kesslerfoundation.org
First Name & Middle Initial & Last Name or Official Title & Degree
Steven C. Kirshblum, M.D.
Phone
800-248-3221
Ext
2258
Email
skirshblum@kessler-rehab.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Steven C. Kirshblum, M.D.
Organizational Affiliation
Kessler Institute for Rehabilitation
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Trevor A. Dyson-Hudson, M.D.
Organizational Affiliation
Kessler Foundation
Official's Role
Principal Investigator
Facility Information:
Facility Name
Kessler Institute for Rehabilitation
City
West Orange
State/Province
New Jersey
ZIP/Postal Code
07052
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Trevor A. Dyson-Hudson, M.D.
Phone
973-324-3576
Email
tdysonhudson@kesslerfoundation.org
First Name & Middle Initial & Last Name & Degree
Matthew Weiner
Phone
973-324-3515
Email
mweiner@kesslerfoundation.org
First Name & Middle Initial & Last Name & Degree
Steven C. Kirshblum, M.D.
First Name & Middle Initial & Last Name & Degree
Trevor A. Dyson-Hudson, M.D.
First Name & Middle Initial & Last Name & Degree
Alice Hon, M.D.

12. IPD Sharing Statement

Learn more about this trial

The Effect of Whole Body Vibration on Spasticity in Persons With Spinal Cord Injury

We'll reach out to this number within 24 hrs