"Evaluation of Usability and Safety of the Self-balancing Walking Syst
"Evaluation of Usability and Safety of the Self-balancing Walking System Atalante in Patients With Multiple Sclerosis"
We could not find results for this trial
What it found
We found no results in the registry or in papers.
This trial finished 3 years ago. We found no results in the registry or in any paper that cites it.
What was tested
Treatment tested
- Atalante
What it measured
Main measures
To describe usability of Robotic-Assisted Gait therapy (RAGT) using the Atalante self-balance exoskeleton for persons with multiple sclerosis (PwMS) and explore patient characteristics related to this feature.
4 months
Walking and mobilityQuality of life (reported by participants)
Other measures (7)
To describe safety and occurrence of adverse effect of Robotic-Assisted Gait therapy (RAGT) using the Atalante self-balance exoskeleton for persons with multiple sclerosis (PwMS).
4 months
Walking and mobilitySafetyTo describe safety of Robotic-Assisted Gait therapy (RAGT) using the Atalante self-balance exoskeleton for persons with multiple sclerosis (PwMS), measured by the occurrence of pressure ulcers
4 months
Walking and mobilitySafetyTo describe the effect at the functional level of RAGT using the Atalante self-balance exoskeleton for improving Balance outcome.
4 months
Walking and mobilityTo describe the effect at the functional level of RAGT using the Atalante self-balance exoskeleton for improving Walking speed, quality of life, depression.
4 months
Walking and mobilityMood and sleepQuality of life (reported by participants)To describe the effect at the functional level of RAGT using the Atalante self-balance. Physiological Changes at Bowel Dysfunction
4 months
Walking and mobilityBladder, bowel and sexual functionTo describe the effect at the self-perception and psychological level of RAGT using the Atalante self-balancing exoskeleton to improve quality of life.
4 months
Quality of life (reported by participants)To describe the effect at the self-perception and psychological level of RAGT using the Atalante self-balancing exoskeleton to improve quality of life and depression.
4 months
Mood and sleepQuality of life (reported by participants)
Who could take part
MS (type not specified) · 10 to 70 · EDSS 6.0 to 7.0
Show the full criteria
Inclusion criteria
* Male or female, between 18 and 65 years of age * Confirmed diagnosis of MS * Expanded Disability Status Scale (EDSS) de Kurtzke from 6.0 to 7.0 * Able to verticalize on a daily basis * Stable course of disease-modifying therapy over the past 6 months * Clinical comorbidity asymptomatic (i.e., no underlying cardiovascular disease) * Height: between approximately 1.60 and 1.90 m. * Willingness to visit the Multiple Sclerosis Center of Catalonia (CEMCAT) for testing and training. * Gait disorder conditioned by paresis or hemiparesis associated with ataxia or sensory problems * Patient having given written consent Atalante is able to accommodate the following limb lengths: * Thigh: 380-460mm * Distance between the ground and the joint space of the knee (to be measured while wearing the shoes they intend to wear with Atalante): * 457-607mm for patient with an ankle dorsiflexion ≥ 16° * 457-577mm for patient with an ankle dorsiflexion between 13° et 16° * 457-567mm for patient with an ankle dorsiflexion between 10° et 13° * 457-557mm for patient with an ankle dorsiflexion between 0° and 10° * Hip with less or equal to 460mm when seated * Maximum weight:90 kg
Exclusion criteria
* Pregnancy * Starting or switching from fampridine (Fampyra®) in the last 4 weeks * Height and weight outside the secure standard of safe use, described in the safety guides * Contraindications to training with Atalante (eg, bone instability, history of osteoporosis or osteoporotic fractures) * Subjects under Corticosteroids treatment or relapse * Changes in disease-modifying and symptomatic therapy for MS during the study period * Subjects with psychiatric or cognitive comorbidities that may interfere with the trial * Whose joint centers cannot be aligned Atalante's * Ranges of motion below: * Knee: 5° extension, 110° flexion * Ankle: 0° dorsiflexion, 9° plantar flexion, 18° inversion and eversion * Hip: 115° flexion, 15° extension, 17° abduction, 10° adduction, 10° * medial rotation, 20° lateral rotation * Severe spasticity (greater than Ashworth 3) or uncontrolled clonus * Severe concurrent medical diseases: infections, circulatory, heart or lung, pressure sores * Active implantable medical device
As registered. Criteria can change, so ask the trial team or your neurologist.
About this trial
In the sponsor's words
Multiple sclerosis (MS) is the most prevalent chronic inflammatory disease of the central nervous system (CNS), affecting more than 2 million people worldwide,1 it is a degenerative disease that selectively affects the central nervous system and represents the main cause of non-traumatic disability in young adults. Gait and balance disturbances in MS are common even in the early stages of the disease. Half of the patients report some alteration in the quality of walking within the first month after diagnosis, reaching 90% after 10 years of evolution. 4 5 In addition, it is the symptom to which patients give the most importance 6 and the one that most conditions their activity and participation. 7 The causes of gait disturbance are multifactorial and are influenced by different aspects such as muscle strength, balance, coordination, proprioception, vision, spasticity, fatigue and even cognitive aspects4. There are multiple interventions, including aerobic, resistance training, yoga, and combined exercise, that have shown significant improvements in walking endurance, regardless of outcome measures (six-minute walking test (6MWT), two-minute walking test 2MWT). 8 In recent years, evidence has been growing around rehabilitation with robotic equipment in people with multiple sclerosis (PwMS), in their study Ye et al. concluded that robotic locomotor training has limited impact on motor functions in multiple sclerosis, but improves fatigue and spasticity, is safe and well-tolerated for PwMS, and less demanding for physical therapists.10 Bowman et al. concluded that robot-assisted gait therapy (RAGT) improves balance and gait outcomes in a clinically significant way in PwMS, RAGT appears more effective compared to non-specific rehabilitation, while showing similar effects compared to non-specific rehabilitation. specific balance and gait training in studies with level 2 evidence. RAGT has several advantages in terms of patient motor assistance, training intensity, safety and the possibility of combining other therapeutic approaches and should be promoted for PwMS with disability in a multimodal rehabilitation setting as an opportunity to maximize recovery.11 In this setting, more larger-scale and better-designed studies with longer training duration and more studies evaluating satisfaction, usability, and effectiveness are needed. of RAGT.
Papers
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History
Started
Sept 2022
Main results due
Dec 2022
Finished
Mar 2023