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Trial registered on ANZCTR
Registration number
ACTRN12616001284459
Ethics application status
Approved
Date submitted
18/08/2016
Date registered
12/09/2016
Date last updated
25/05/2017
Type of registration
Retrospectively registered
Titles & IDs
Public title
The evaluation of rehabilitation effects using exoskeleton EKSO GT in patients with multiple sclerosis
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Scientific title
The evaluation of rehabilitation effects using exoskeleton EKSO GT in patients with multiple sclerosis
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Secondary ID [1]
289841
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
multiple sclerosis
299776
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gait limitations
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postural control
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fatigue
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Condition category
Condition code
Neurological
299709
299709
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0
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Multiple sclerosis
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Physical Medicine / Rehabilitation
299710
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0
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Physiotherapy
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
People with multiple sclerosis will participate in the study.
The main objective of the study is to assess the efficacy of physiotherapy with the use of a lower body exoskeleton EKSO GT with Variable Assist software extension (EKSO Bionics, Richmond, CA, USA).
The assessment will be performed before program, after 3 weeks (a
period without training with EKSO GT), after 6 weeks (after training
with EKSO GT), after 12 weeks (6 weeks follow up from the end of
training). All measurement procedures will be performed by members of
the research team.
Each patient will participate in 15 training sessions with using EKSO GT. Each patient's training will last 3 weeks, 5 times a week. Standing and walking in EKSO GT exosceleton will be a part of the training session. Time of each training session is - from 45 to 60 minutes.
The duration of each training session will depend on the patient walking capabilities.
During the 3-week rehabilitation program using exoskeleton EKSO, patients will not use of any form of rehabilitation except exercises at home.
Physiotherapists who conduct the trainings, are certified EKSO
specialists. Each training session in Ekso GT will be stored in exoskeleton software
and recorded in patient's medical documentation.
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Intervention code [1]
295525
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Treatment: Devices
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Intervention code [2]
295526
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Rehabilitation
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Changes in muscular strength assessed by isokinetic dynamometer during knee flexion-extension (Biodex System 4 Pro, Biodex Medical Systems Inc. USA)
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Assessment method [1]
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Timepoint [1]
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Baseline, after 3 weeks (time without EKSO GT), after next 3 weeks (treatment with EKSO), follow up after next 6 weeks
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Primary outcome [2]
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Changes in balance assessed by baropodometric platform (Zebris FDM-S, Zebris Medical GmbH, Germany). Stabilometric evaluation of quiet standing (eyes open/eyes closed), weight bearing during quiet standing
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Assessment method [2]
299271
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Timepoint [2]
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Baseline, after 3 weeks (time without EKSO GT), after next 3 weeks (treatment with EKSO), follow up after next 6 weeks
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Primary outcome [3]
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Changes in gait speed assessed by timed 25-foot walk test (T25FWT)
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Assessment method [3]
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Timepoint [3]
299272
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Baseline, after 3 weeks (time without EKSO GT), after next 3 weeks (treatment with EKSO), follow up after next 6 weeks
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Secondary outcome [1]
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Changes in muscular strength assessed by isokinetic dynamometer during shoulders internal and external rotation (Biodex System 4 Pro, Biodex Medical Systems Inc. USA)
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Assessment method [1]
326700
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Timepoint [1]
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Baseline, after 3 weeks (time without EKSO GT), after next 3 weeks (treatment with EKSO), follow up after next 6 weeks
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Secondary outcome [2]
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Fatigue assessed by Fatigue Severity Scale (FSS)
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Assessment method [2]
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Timepoint [2]
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Baseline, after 3 weeks (time without EKSO GT), after next 3 weeks (treatment with EKSO), follow up after next 6 weeks
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Eligibility
Key inclusion criteria
Participants with Multiple Sclerosis,
Expanded Disability Status Scale (EDSS) 5,5-6,0
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Minimum age
18
Years
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Maximum age
60
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Difference in lower limbs length bigger then 2 cm
Weight above 100 kg
Height lower then 150 cm or above 190 cm
History of significant problems with skin breakdown or current skin breakdown that would prevent subject from wearing the device
Joint contractures of the hip, knee, or ankle that might limit normal ROM during ambulation
Medical issue that precludes full weight bearing and ambulation (e.g. orthopedic injuries, pain, severe osteoporosis, or severe spasticity)
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
20/06/2016
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Date of last participant enrolment
Anticipated
28/10/2016
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Actual
28/10/2016
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Date of last data collection
Anticipated
30/12/2016
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Actual
30/12/2016
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Sample size
Target
15
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Accrual to date
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Final
15
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Recruitment outside Australia
Country [1]
8095
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Poland
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State/province [1]
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Podkarpackie
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University of Rzeszow
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Address [1]
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University of Rzeszow
Aleja Rejtana 16c
35-959 Rzeszow
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Country [1]
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Poland
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Primary sponsor type
University
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Name
University of Rzeszow
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Address
University of Rzeszow
Aleja Rejtana 16c
35-959 Rzeszow
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Country
Poland
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The Ethical Committee of Regional Medical Chamber in Krakow
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Ethics committee address [1]
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ul. Krupnicza 11a 31-123 Krakow
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Ethics committee country [1]
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Poland
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Date submitted for ethics approval [1]
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05/10/2015
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Approval date [1]
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15/12/2015
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Ethics approval number [1]
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173/KBL/OIL/2015
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Summary
Brief summary
The study assesses the effects of the three-weeks gait training among people with MS using a exoskeleton EKSO GT. The study is a clinical trial with follow-up evaluation after 4 weeks. Study will qualify MS patients with an EDSS score of 5.5–6.0. Parameters to be tested are: Static balance - performed on barography platform, strength of the knee muscels ( extensors and flexors) and rotator cuff muscles, gait speed tested by T25-FW and fatigue level measured in the Fatigue Severity Scale. The expected result of the program is to increase muscle strength of the upper and lower extremities, improve static balance, increase walking speed and reduce fatigue level. The hypothesis of this study is to prove that, rehabilitation using exoskeleton EKSO GT significantly improves muscle strength, balance and walking speed in MS patients. The gait training program using Ekso GT lasted 45 to 60 minutes per day, 5 days per week for 3 weeks. The test was performed four times, the initial test, control examination after 3 weeks (control period without training with EKSO), third study after the completion of training with EKSO GT and the final examination after 4 weeks after completion of training. Throughout the test the participants will not use any other gait devices as treadmills, treadmills with partial body weight support (PBWS) such as Lokomat, Ekso GT or the like.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Mariusz Druzbicki
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Address
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University of Rzeszow
Institute of Physiotherapy
Warszawska st. 26a
35-205 Rzeszow
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Country
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Poland
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Phone
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+48 178721921
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Fax
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+48 178721930
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Email
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[email protected]
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Contact person for public queries
Name
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Mariusz Druzbicki
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Address
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University of Rzeszow
Institute of Physiotherapy
Warszawska st. 26a
35-205 Rzeszow
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Country
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Poland
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Phone
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+48 178721920
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Fax
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+48 17 8721930
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Email
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[email protected]
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Contact person for scientific queries
Name
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Mariusz Druzbicki
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Address
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University of Rzeszow
Institute of Physiotherapy
Warszawska st. 26a
35-205 Rzeszow
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Country
66332
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Poland
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Phone
66332
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+48 178721920
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Fax
66332
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+48 178721930
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Email
66332
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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