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CompletedNCT04102826Updated Jul 23, 2024

Restoration of Arm Function in People With High-level Tetraplegia

An interventional study of Functional electrical stimulation (FES) in Incomplete Spinal Cord Injury, sponsored by Robert Jones and Agnes Hunt Orthopaedic and District NHS Trust. Completed at 1 site in United Kingdom. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-07-23.

Sponsored by Robert Jones and Agnes Hunt Orthopaedic and District NHS Trust · Not applicable, Interventional, and Device feasibility

Phase
Not applicable
Study type
Interventional
Enrollment
4
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Functional electrical stimulation (FES) has been used to activate paralysed muscles and restore movement after spinal cord injury and stroke. This technology involves the application of low-level electrical currents to the nerves and muscles to cause muscle contraction where the user's ability to achieve that through voluntary means has been lost.

Providing control of muscle contraction in a coordinated way can mean that users are able once again to produce functional movements in otherwise paralysed limbs.

Routine clinical use is limited to the prevention of drop foot in the lower limb following stroke and occasional therapeutic use in the hand and shoulder. Systems providing functional reach and grasp, however, have not achieved clinical or commercial success. This project aims to develop methods for personalising assistive technology to restore arm function in people with high-level spinal cord injury. The investigators will use a combination of electrical stimulation to elicit forces in muscles no longer under voluntary control, and mobile arm supports to compensate for insufficient muscle force where necessary. The investigators will use computational models specific to an individual's functional limitations to produce patient-specific interventions. The project will be in three phases: building a model to predict the effects of electrical stimulation on a paralysed arm with arm support, development of methodologies using this model to optimise the arm support and stimulation system, and testing of stimulation controllers designed using this approach.

02

Conditions studied

  • Incomplete Spinal Cord Injury
03

In context

Spinal Cord Injuries

1,950 studies on the registry are indexed under Spinal Cord Injuries; 507 are open to participants now.

This study's enrollment of 4 is below the median of 24 across 1,567 interventional studies indexed under Spinal Cord Injuries.

Browse Spinal Cord Injuries studies →

Lead sponsor

Robert Jones and Agnes Hunt Orthopaedic and District NHS Trust is the lead sponsor of 36 studies on the registry; 16 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients with mid- to high-level spinal cord injury resulting in partial or full paralysis of the upper limb will be eligible for inclusion in the study. In addition, they must be:
  • Able to give informed consent;
  • Able to remain comfortably seated with provision of trunk stability;
  • Medically stable and at least six weeks from injury; and
  • Have sufficient passive range of motion without discomfort.

Exclusion criteria

Exclusion Criteria:

  • Have orthopaedic implants across or between electrode sites;
  • Have active cardiac implant;
  • Have poor skin conditions, scar or carcinogenic tissue at site of stimulation;
  • Have uncontrolled pain;
  • Have uncontrolled epilepsy;
  • Have skin reactions to electrodes;
  • Have open wounds or injuries; and
  • Are pregnant or planning for a pregnancy.
05

Study design

Phase
Not applicable
Primary purpose
Device feasibility
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
4 participants (actual)

Interventions

  • DeviceFunctional electrical stimulation (FES)

    Functional electrical stimulation combined with mobile arm support to restore upper limb function.

06

What researchers measure

Primary outcomes

  1. Change in Canadian Occupational Performance Measure (COPM)

    The COPM is a questionnaire based assessment of performance and satisfaction of functional tasks. The COPM measures an individuals self-perception of occupational performance over time. This is a 10 point scale, with 1 indicating poor performance and low satisfaction, and 10 indicating very good performance and high satisfaction. The scale is applied to up to 5 problems identified by an individual that affect their everyday life. An average score is then calculated.

    Time frame: At baseline and at study completion for each participant. Study completion will be up to 6 months after the baseline measurement.

07

Study locations

1 site
  • Neil Postans
    Oswestry, Shropshire SY10 7AG, United Kingdom
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 23, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04102826
Lead sponsor
Robert Jones and Agnes Hunt Orthopaedic and District NHS Trust
Collaborators
Engineering and Physical Sciences Research Council, UK, Keele University
Responsible party
Sponsor
First posted
Sep 25, 2019
Start date
Sep 29, 2021
Primary completion
Dec 13, 2023
Completion
Dec 13, 2023
Last update
Jul 23, 2024

Study contacts

Neil Postans, PhD
principal investigator · RJAH Orthopaedic Hospital NHS Foundation Trust

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2024. You cannot join it, but the record below documents what was studied.

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