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CompletedNCT00854555ATLETUpdated Sep 11, 2020

The ATLET Study: Can Subjects With Incomplete Spinal Cord Injury Learn to Walk?

An interventional study of Locomotor training with robot and Locomotor training with manual assistance in Spinal Cord Injury, sponsored by North Norway Rehabilitation Center. Completed at 2 sites in Norway. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2020-09-11.

Sponsored by North Norway Rehabilitation Center · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 7 months after the study started (first participant enrolled Aug 2008, registered Mar 2009).
Phase
Not applicable
Study type
Interventional
Enrollment
44
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
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Study summary

The ATLET study will assess the effect of manual or robotic body-weight supported locomotor training of patients with stable motor incomplete spinal cord injury (SCI) on gait and overall ADL function as well as on estimated health care costs.

Read the detailed description

There are approximately 100 new cases of spinal cord injuries (SCI) each year in Norway. Most of the SCI occur after traumatic accidents among young people and adults during the time of their productive life. Loss of walking and standing ability restricts their independent mobility and autonomy and severely impacts their quality of life.

The study has two arms: 1) manual locomotor training (Tromsø) and 2) robot assisted training (Oslo). Each study arm has 30 patients, randomized to receive standard care or intervention. The intervention group receives 60 days of intensive locomotor training over 6 months. Single-blind, before/after evaluation of effect will be performed at Sunnaas hospital using a standardized set of evaluation tools.

02

Conditions studied

  • Spinal Cord Injury

Keywords

  • incomplete spinal cord injury
  • locomotor activity
  • walking function
  • gait
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In context

Spinal Cord Injuries

1,948 studies on the registry are indexed under Spinal Cord Injuries; 505 are open to participants now.

This study's enrollment of 44 is above the median of 24 across 1,566 interventional studies indexed under Spinal Cord Injuries.

Browse Spinal Cord Injuries studies →

Lead sponsor

This is the only study on the registry with North Norway Rehabilitation Center as lead sponsor.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Motor incomplete SCI grade AIS-C or -D
  • Age: 18 - 70 years
  • Body mass index of \<30
  • Wheelchair dependent
  • At least 2 years since time of injury
  • Cognitively unaffected and motivated for locomotor training
  • Lives within driving distance of Oslo (\< 70 km), if considered for the outpatient arm of the study.

Exclusion criteria

Exclusion Criteria:

  • Complete SCI grade AIS-A or -B
  • Cognitively reduced
  • BMI ≥ 30
  • Age: under 18 years or above 71 years
  • Spasms and contractures which can prevent locomotor training
  • Changes in use of spasm reducing medication during intervention
  • Significant osteoporosis in spine and/or joints
  • Pregnancy (adequate contraceptive use is required of women in fertile age)
  • Physical limitations for the use of the robotic orthosis
  • Participation in other intensive training programs
  • Those who live 70 or more kilometers from the Oslo training center, will be enrolled in the Tromso arm of the study.
  • Other medical condition which can interfere with the training protocol
  • Previous knee- or hip replacement
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
44 participants (actual)

Study arms

  • Experimental
    robot

    30 persons with incomplete SCI who live within driving distance to Oslo and who meet the inclusion/exclusion criteria will be selected for randomization to robotic assisted training or control (conventional treatment). Intervention consists of locomotor training with robot for 60 days during 6 months period in an out-patient setting. Minimum 60 min training up to 3 times per week. Control group receives conventional training/treatment.

    Other: Locomotor training with robot

  • Experimental
    manual assistance

    30 persons with incomplete SCI who live outside driving distance to Oslo and who meet inclusion/exclusion criteria will be selected for manually assisted training in Tromsø or control (conventional treatment). Intervention consists of 60 days locomotor training with manual assistance during 6 months period in an in-patient setting. Training 2 times per day total 120 minutes. Control group receives conventional training/treatment.

    Other: Locomotor training with manual assistance

Interventions

  • OtherLocomotor training with robot

    60 days locomotor training during 6 months period in out-patient setting. Minimum 60 min training up to 3 times per week. Control group receives conventional training/treatment.

    Also known as: LOKOMAT

  • OtherLocomotor training with manual assistance

    60 days training during 6 months period on in-patient setting. Training 2 times per day total 120 minutes. Control group receives conventional training/treatment.

    Also known as: Vigor Equipment treadmill and suspension system, Therapist assisted

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What researchers measure

Primary outcomes

  1. To assess whether locomotor training with body-weight support in patients with motor incomplete SCI results in full or partial recovery of the ability to walk and/or stand.

    Time frame: 2-4 weeks before and after intervention

  2. Patients with motor incomplete SCI are able to improve ADL function after locomotor training.

    Time frame: 2 - 4 weeks before and after intervention

  3. Locomotor training is cost-effective rehabilitation.

    Time frame: 2-4 weeks before and after intervention

Secondary outcomes

  1. Locomotor training in persons with motor incomplete SCI will lead to change in walking function

    Time frame: 2-4 weeks before and after intervention

  2. Locomotor training in persons with motor incomplete SCI will lead to change in ADL function and independency

    Time frame: 2-4 weeks before and after intervention

  3. Locomotor training in persons with motor incomplete SCI will lead to change in balance

    Time frame: 2-4 weeks before and after intervention

  4. Locomotor training in persons with motor incomplete SCI will lead to change in strength in lower extremities

    Time frame: 2-4 weeks before and after intervention

  5. Locomotor training in persons with motor incomplete SCI will lead to change in sensibility below the level of injury

    Time frame: 2-4 weeks before and after intervention

  6. Locomotor training in persons with motor incomplete SCI will lead to change in ASIA impairment scale

    Time frame: 2-4 weeks before and after intervention

  7. Locomotor training in persons with motor incomplete SCI will lead to change in quality of life

    Time frame: 2-4 weeks before and after intervention

  8. Locomotor training in persons with motor incomplete SCI will lead to change in use of personal assistant or home health nurse

    Time frame: 2-4 weeks before and after intervention

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Study locations

2 sites
  • Sunnaas Hospital
    Oslo, 1450, Norway
  • North Norway Rehabilitation Center
    Tromsø, 9011, Norway
08

References and documents

Publications

  • Piira A, Lannem AM, Gjesdal K, Knutsen R, Jorgensen L, Glott T, Hjeltnes N, Knutsen SF, Sorensen M. Quality of life and psychological outcomes of body-weight supported locomotor training in spinal cord injured persons with long-standing incomplete lesions. Spinal Cord. 2020 May;58(5):560-569. doi: 10.1038/s41393-019-0401-2. Epub 2019 Dec 17. PubMed 31848443 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 11, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00854555
Lead sponsor
North Norway Rehabilitation Center
Collaborators
Sunnaas Rehabilitation Hospital, Norwegian School of Sport Sciences, University of Tromso, University of Oslo, Norwegian Foundation for Health and Rehabilitation, Norwegian Department of Health and Social Affairs, Loma Linda University
Responsible party
Synnove Knutsen (MD, PhD, Professor, North Norway Rehabilitation Center) — Principal investigator
First posted
Mar 3, 2009
Start date
Aug 2008
Primary completion
Dec 31, 2018
Completion
Jan 31, 2019
Last update
Sep 11, 2020

Study contacts

Synnove F Knutsen, MD PhD
principal investigator · North Norway Rehabilitation Center
Raymond Knutsen, MD MPH
study chair · ATLET Steering group
Nils Hjeltnes, MD PhD
principal investigator · Sunnaas Hospital

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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