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Status unknownNCT01570816Updated Mar 14, 2018

Improving Ambulatory Community Access After Paralysis

A Phase 1 interventional study of IRS-8 (8 channel implanted receiver stimulator) in Stroke, Partial Paralysis and Spinal Cord Injury, sponsored by Louis Stokes VA Medical Center. Status unknown at 1 site in United States. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2018-03-14.

Sponsored by Louis Stokes VA Medical Center · Phase 1, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Mar 2018), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 1
Study type
Interventional
Enrollment
6
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
All
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Study summary

The purpose of this research study is to evaluate the effectiveness of functional electrical stimulation (FES) provided by an implanted pulse generator (IPG) in correcting hip, knee and ankle function to improve walking in people with partial paralysis.

Read the detailed description

In a surgical procedure electrodes are inserted into muscles of the lower extremities to correct hip, knee and ankle function. The electrode leads are connected to an implanted pulse generator located in the abdomen. After a typical post-operative period of two to five days, the recipient will be discharged home for two to six weeks of moderate activity. Following a 6 week period of laboratory exercise and training, functional use of the neuroprosthesis will begin at home and in the community with follow-up evaluations at 1, 3, 6 and 12 months. Laboratory assessments include walking speed and distance, physiologic cost, muscle strength, measure of spasticity, and gait analysis with and without stimulation. A number of self-reporting instruments are administered to capture individual's participation, quality of life and various aspects of perceived community ambulation.

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Conditions studied

  • Stroke
  • Partial Paralysis
  • Spinal Cord Injury
  • Tetraplegia
  • Quadriplegia

Keywords

  • stroke
  • partial paralysis
  • gait correction
  • functional electrical stimulation
  • paraplegia
  • tetraplegia
  • spinal cord injury
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In context

Muscle Weakness

601 studies on the registry are indexed under Muscle Weakness; 99 are open to participants now.

This study's planned enrollment of 6 is below the median of 46 across 444 interventional studies indexed under Muscle Weakness.

Browse Muscle Weakness studies →

Lead sponsor

Louis Stokes VA Medical Center is the lead sponsor of 15 studies on the registry; 5 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • problems walking because of paralysis for more than 6 months
  • weak hip flexors and extensors or excessive tone
  • weak ankle dorsiflexors (muscles bringing the foot up)
  • weak plantar flexors (ankle muscles for push-off)
  • foot drop that is causing "dragging" or "catching" toes during walking
  • swinging the leg sideways or hiking the hip to clear affected leg during stepping
  • endurance to walk at least 10 ft with minimal assistance
  • hip extension range to neutral
  • hip flexion range greater or equal to 90 degrees
  • ankle range to neutral
  • sufficient upper extremity function to use a walking aid
  • muscles respond to electrical stimulation

Exclusion criteria

Exclusion Criteria:

  • cardiac arrythmias
  • demand pacemaker
  • pregnancy
  • Parkinson's disease
  • traumatic brain injury
  • autoimmune deficiency
  • uncontrolled diabetes
  • significant edema of the affected limb
  • active pressure ulcers or open wounds
  • sepsis or an active infection
  • severe osteoporosis
  • uncontrolled seizures
  • moderate depression
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Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
6 participants (estimated)

Study arms

  • Experimental
    Experimental

    Volunteers are evaluated for appropriateness for inclusion in the study on an intent-to-treat basis. Qualifying candidates all receive the implanted neuroprosthesis and participate in post-operative training and follow-up procedures

    Device: IRS-8 (8 channel implanted receiver stimulator)

Interventions

  • DeviceIRS-8 (8 channel implanted receiver stimulator)

    Surgical implantation of an 8 channel pulse generator to stimulate paralyzed muscles of the lower extremities

    Also known as: Implanted pulse generator for ambulation, Implanted FES system for lower extremities, Implated FES system for ambulation, FES system for walking, Implanted neuroprosthesis for gait correction, Gait correction in partial paralysis

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What researchers measure

Primary outcomes

  1. The effect of functional electrical stimulation of the hip, knee and ankle muscles to improve walking in people with partial paralysis

    Experiments involving analyses of individual's speed, distance and quality of walking will be performed both with and without stimulation to determine if individuals are able to improve community ambulatory access with use of neuroprosthesis.

    Time frame: up to 36 months

Secondary outcomes

  1. Feasibility of initiating a step with a trigger from an accelerometer incorporated in the external control unit to adjust to environmental circumstances and situations encountered in community ambulation

    Experiments involving analyses of individual's speed, distance and quality of walking will be performed both with and without accelerometer triggered stepping to determine if individuals are able to adjust to environmental circumstances and situations encountered in community ambulation.

    Time frame: up to 36 months

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Study locations

1 of 1 sites recruiting
  • Louis Stokes Cleveland Dept. of Veterans Affairs Medical Center
    Cleveland, Ohio 44106, United States
    • Lisa M Lombardo, MPT · Contact · llombardo@fescenter.org · 216-791-3800
    • Rudi Kobetic, MSBE · Principal investigator
    • Gilles Pinault, M.D. · Sub investigator
    • Stephen Selkirk, M.D., Ph.D. · Sub investigator
    • Ronald J Triolo, Ph.D. · Sub investigator
    Recruiting
08

References and documents

Publications

  • Bailey SN, Hardin EC, Kobetic R, Boggs LM, Pinault G, Triolo RJ. Neurotherapeutic and neuroprosthetic effects of implanted functional electrical stimulation for ambulation after incomplete spinal cord injury. J Rehabil Res Dev. 2010;47(1):7-16. doi: 10.1682/jrrd.2009.03.0034. PubMed 20437323 ↗
  • Hardin E, Kobetic R, Murray L, Corado-Ahmed M, Pinault G, Sakai J, Bailey SN, Ho C, Triolo RJ. Walking after incomplete spinal cord injury using an implanted FES system: a case report. J Rehabil Res Dev. 2007;44(3):333-46. doi: 10.1682/jrrd.2007.03.0333. PubMed 18247230 ↗
  • Triolo RJ, Bailey SN, Foglyano KM, Kobetic R, Lombardo LM, Miller ME, Pinault G. Long-Term Performance and User Satisfaction With Implanted Neuroprostheses for Upright Mobility After Paraplegia: 2- to 14-Year Follow-Up. Arch Phys Med Rehabil. 2018 Feb;99(2):289-298. doi: 10.1016/j.apmr.2017.08.470. Epub 2017 Sep 9. PubMed 28899825 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 14, 2018, 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
NCT01570816
Lead sponsor
Louis Stokes VA Medical Center
Responsible party
Rudi Kobetic (Biomedical Engineer, Louis Stokes VA Medical Center) — Principal investigator
First posted
Apr 4, 2012
Start date
Apr 2012
Primary completion
Jul 2021 (estimated)
Completion
Jul 2021 (estimated)
Last update
Mar 14, 2018

Study contacts

Lisa M Lombardo, MPT
Contact
llombardo@fescenter.org
216-791-3800 ext. 4909
Rudi Kobetic, MSBE
principal investigator · Louis Stokes Cleveland Dept. of Veterans Affairs Medical Center

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Mar 2018. You cannot join it, but the record below documents what was studied.

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