The Effectiveness of Locomotor Therapy Using Robot-Driven Gait Orthosis System in Multiple Sclerosis Patients
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Purpose
Objective: To evaluate the efficacy of robot-assisted gait training (RAGT) in MS patients with severe walking disabilities (Expanded Disability Status Scale [EDSS] 5.5-7) as compared to regular physiotherapy.
Methods: Prospective, randomized, controlled clinical trial comparing RAGT with conventional walking training (CWT) in a group of stable MS patients (n=40) during an outpatient rehabilitation program. Inclusion criteria are chronic or secondary progressive MS patients with EDSS between 5.5-7, stable treatment 3 months before study entry, without generalized diseases. All patients will sign an informed consent. Following randomization, 20 patients will be treated with RAGT, 12 sessions over three weeks. The control group will be treated by CWT, 12 sessions in three weeks. The primary outcome measures will be the Functional Ambulatory Capacity (FAC) scale and the 6-minutes walking distance. The secondary outcome measures will be the Time up & Go (TUG) test, 10 Meter Walking test, Berg balance test, EDSS score, FIM score and RAND questioner for quality of life. All tests will be performed by an external blinded assessor at baseline, after three weeks, and at follow-up after 3 months and six months.
Importance: We anticipated that Robot-assisted gait training will be found as feasible and may be an effective therapeutic option in MS patients with severe walking disabilities.
| Condition | Intervention | Phase |
|---|---|---|
|
Multiple Sclerosis |
Device: robot-assisted gait training (RAGT) Device: conventional walking training (CWT) |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Phase II Study of the Effectiveness of Locomotor Therapy Using Robot-Driven Gait Orthosis System in Acute Stroke Patients: A Randomized Controlled Trial. |
- Functional Ambulatory Capacity (FAC) scale and the 6-minutes walking distance [ Time Frame: At baseline, after three weeks, and at follow-up after 3 months and six months. ] [ Designated as safety issue: No ]
- Time up & Go (TUG) test, 10 Meter Walking test, Berg balance test, EDSS score, FIM score and SF36 questioner for quality of life. [ Time Frame: At baseline, after three weeks, and at follow-up after 3 months and six months. ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 40 |
| Study Start Date: | March 2009 |
| Study Completion Date: | August 2010 |
| Primary Completion Date: | August 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1: RAGT
Following randomization, 20 patients will be treated with RAGT, 12 sessions over three weeks
|
Device: robot-assisted gait training (RAGT)
20 patients will be treated with RAGT, 12 sessions over three weeks.
|
|
Active Comparator: 2: Control
The control group will be treated by CWT, 12 sessions in three weeks.
|
Device: conventional walking training (CWT)
The control group will be treated by CWT, 12 sessions in three weeks.
|
Eligibility| Ages Eligible for Study: | 18 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- chronic or secondary progressive MS patients with EDSS between 5.5-7,
- stable treatment 3 months before study entry.
Exclusion Criteria:
- Other generalized diseases.
- Pregnancy.
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Dr. Zeev Meiner, Hadassah Medical Center |
| ClinicalTrials.gov Identifier: | NCT00843128 History of Changes |
| Other Study ID Numbers: | 0558-08-HMO-CTIL |
| Study First Received: | February 12, 2009 |
| Last Updated: | April 7, 2011 |
| Health Authority: | United States: Institutional Review Board |
Additional relevant MeSH terms:
|
Multiple Sclerosis Sclerosis Demyelinating Autoimmune Diseases, CNS Autoimmune Diseases of the Nervous System Nervous System Diseases |
Demyelinating Diseases Autoimmune Diseases Immune System Diseases Pathologic Processes |
ClinicalTrials.gov processed this record on May 23, 2013