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CompletedNCT04837157Updated Apr 8, 2021

Evaluation of the Exoskeleton ATLAS 2030 as Robot-assisted Physical Therapy to Children With Neuromuscular Diseases

An interventional study of Exoskeleton rehabilitation in Cerebral Palsy, SMA II and Neuromuscular Diseases, sponsored by MarsiBionics. Completed at 1 site in Spain. Open to participants aged 3 Years to 14 Years. Per ClinicalTrials.gov, last updated 2021-04-08.

Sponsored by MarsiBionics · Not applicable, Interventional, and Device feasibility

Phase
Not applicable
Study type
Interventional
Enrollment
6
Allocation
Not applicable
Ages
3 Years to 14 Years
Sex
All
01

Study summary

This study aims to evaluate the safety, usability and acceptability of a motorized mobility assistance exoskeleton. The protocol explores the use of the motorized device during static and dynamic rehabilitation sessions focused on walking and functional activities, with the expectation of evaluating the safety and usability of the device in the population studied. The protocol has been focused on defining how the device can be used appropriately in this population in a safe and effective manner by rehabilitation specialists. The study also aims to assess the safety of clinical staff who implement the intervention.

02

Conditions studied

  • Cerebral Palsy
  • SMA II
  • Neuromuscular Diseases

Keywords

  • Exoskeleton
  • robot-assisted
  • physical therapy
  • ATLAS
03

In context

Cerebral Palsy

1,853 studies on the registry are indexed under Cerebral Palsy; 435 are open to participants now.

This study's enrollment of 6 is below the median of 33 across 1,368 interventional studies indexed under Cerebral Palsy.

Browse Cerebral Palsy studies →

Lead sponsor

MarsiBionics is the lead sponsor of 13 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
3 Years to 14 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Maximum user weight of 35 kg
  • Thigh length (distance from the greater trochanter to the lateral condyle of the tibia) from 24 cm to 40 cm.
  • Leg length (distance from the lateral condyle of the tibia to the lateral malleolus) from 23 to 39 cm.
  • Pelvis width (between greater trochanters) from 24 to 35 cm.
  • Ability to achieve ankle dorsiflexion to 90˚
  • 20º or more hip flessum.
  • 20º or more knee flessum.
  • No allergies to any of the ATLAS materials: cotton, nylon, polyester, polyamide, polyethylene or propylene.
  • Informed consent signed by legal guardians.
  • Confirmed diagnosis of cerebral palsy or neuromuscular disease affecting walking ability at early development stages
  • Stable medical condition with no changes in disease-specific medication in the last 6 months, and additional medication in the last month.
  • Patient being followed according to the recommended standards for his or her illness
  • Ability to maintain, spontaneously or with a brace, the head and trunk while standing and walking.
  • No need for daytime ventilation (have an oxygen saturation and PCO2 with normal ambient oxygen
  • Score on the FAC scale between 1 and 4 points
  • Not being able to walk without assistance

Exclusion criteria

Exclusion Criteria:

  • Patient's inability to follow simple instructions and/or communicate discomfort.
  • Invasive or non-invasive daytime ventilation.
  • Orthostatic hypotension.
  • 20º or more hip flessum.
  • 20º or more knee flessum
  • Scoliosis with a Cobb angle of more than 25º that cannot wear a corset during the test.
  • Severe skin injury to the lower extremities.
  • Scheduled surgery (spine, extremities) during the period of the study or surgery performed (spine, extremities) in the last 6 months.
  • History of fracture without trauma.
  • History of traumatic bone fracture in lower limbs or pelvic girdle in the last 3 months
  • Not receiving regular standing rehabilitation sessions.
  • Absence of control of the head or trunk in an upright position without the possibility of wearing a corset during the use of the exoskeleton
  • Refusal of the patient or legal guardian to include the child in the study.
  • Skin problems (diseases, allergies, sensitivity ...) that prevent the use of exoskeleton accessories on the skin of patients.
05

Study design

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

Study arms

  • Experimental
    Intervention Group

    9 treatment sessions will be performed with the ATLAS2030 exoskeleton. The rehabilitation sessions last approximately 90 minutes. Two sessions are scheduled per week, for two weeks.

    Device: Exoskeleton rehabilitation

Interventions

  • DeviceExoskeleton rehabilitation

    The participants will perform physical therapy with the ATLSA2030 device, for 90 minutes per session.

    Also known as: ATLAS2030, ATLAS, robot-assisted therapy

06

What researchers measure

Primary outcomes

  1. Safety as number of serious device adverse events

    Presence of a serious device adverse events where the participant or therapist is involved

    Time frame: after each use of exoskeleton, for 5 weeks

Secondary outcomes

  1. Safety as presence of adverse events or adverse device events

    Presence of a device adverse events where the participant or therapist is involved.

    Time frame: after each use of exoskeleton, for 5 weeks

  2. Exercises [measured as time per exercise in seconds]

    Measured as time per event for at each therapy session.

    Time frame: after each use of exoskeleton, for 5 weeks

  3. Transfers [measured as time to carry out the transfers in seconds]

    Measured as time to carry out the transfers

    Time frame: At each use of exoskeleton, for 5 weeks

  4. Acceptability [number of participants which discontinue the participation during the trial in relation with the included participants]

    Measured as abandon ratio

    Time frame: At the end of the study, at the 5th week

  5. Accessibility [number of potential participants in relation with the included participants]

    Measured as relation between number of participants and number of potential participants which weren't recruited

    Time frame: At the end of the study, at the 5th week

  6. Fall Prevalence [number of falls during the using of the device]

    Number of falling events ocurred from the participant or therapist

    Time frame: During the use of the device, for 5 weeks

  7. Skin integrity [number of skin injuries related to the device]

    skin integrity measured as the number of skin injuries

    Time frame: before and after each use of exoskeleton, for 5 weeks

  8. Pain [Wong-Baker FACES Pain Rating Scale]

    Pain registered before and after the use of the device, by the participant and therapist. The options are from 1 to 6. A higher score means a worse outcome.

    Time frame: Before and after the use of the device, during 5 weeks

  9. Fatigue [Borg Rating Scale of Perceived Exertion]

    Fatigue registered before and after the use of the device, by the participant and therapist. Measured from 0 to 10, being 0 as fully rested and 10 very tired. A higher score means a worse outcome.

    Time frame: Before and after the use of the device, during 5 weeks

  10. Spasticity [Modified Ashworth Scale]

    Spasticity registered before and after the use of the device

    Time frame: Before and after the use of the device, during 5 weeks

  11. Heart rate [sphygmomanometer]

    Number of heart bets per minute

    Time frame: Before and after the use of the device, during 5 weeks

  12. Physical evaluation [number of physical injuries detected]

    Physical Evaluation as presence of tissue damage

    Time frame: Before and after the use of the device, during 5 weeks

  13. Muscle Strength [measured with Hand Held Dynamometer in N]

    Muscle Strength measured at hip, knee and ankle muscles

    Time frame: At the first day, 3rd week and 5th week

  14. ROM [measured with goniometer]

    Range of Movement

    Time frame: At the first day, 3rd week and 5th week

  15. Functional Mobility [Functional Ambulation Category scale]

    Functional Mobility with and without the device

    Time frame: At the first day, 3rd week and 5th week

  16. System Usability [System Usability Scale]

    Measurement of System's Usability measured by the therapist

    Time frame: At the end of the study, 5th week

  17. User perception of the device [QUEST 2.0 and QUEST 2.1]

    QUEST 2.0 will be assessed by the therapist, and QUEST 2.1 will be assessed by the participant

    Time frame: At the end of the study, 5th week

  18. Distance covered walking [6MWT]

    6MWT recorded using the device

    Time frame: At the first day, 3rd week and 5th week

  19. Device malfunction [as number and type of device malfunction]

    Any device malfunction will be recorded

    Time frame: During the use of the device, for 5 weeks

  20. Particpant's stability [Functional Reach Test]

    Functional Reach Test

    Time frame: At the first day, 3rd week and 5th week

  21. Systolic/Diastolic Pressure [sphygmomanometer]

    Systolic Pressure and Diastolic Pressure measured with sphygmomanometer (measured in mmHg)

    Time frame: Before and after the use of the device, during 5 weeks

  22. Breath Rate [number of breaths per minute]

    Number of breaths per minute

    Time frame: Before and after the use of the device, during 5 weeks

  23. SpO2 [pulse oximeter]

    SpO2 measured as %

    Time frame: Before and after the use of the device, during 5 weeks

07

Study locations

1 site
  • MarsiCare
    Arganda Del Rey, Madrid 28500, Spain
08

References and documents

Publications

  • Cumplido-Trasmonte C, Ramos-Rojas J, Delgado-Castillejo E, Garces-Castellote E, Puyuelo-Quintana G, Destarac-Eguizabal MA, Barquin-Santos E, Plaza-Flores A, Hernandez-Melero M, Gutierrez-Ayala A, Martinez-Moreno M, Garcia-Armada E. Effects of ATLAS 2030 gait exoskeleton on strength and range of motion in children with spinal muscular atrophy II: a case series. J Neuroeng Rehabil. 2022 Jul 19;19(1):75. doi: 10.1186/s12984-022-01055-x. PubMed 35854321 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 8, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04837157
Lead sponsor
MarsiBionics
Collaborators
Hospital Universitario La Paz
Responsible party
Sponsor
First posted
Apr 8, 2021
Start date
Oct 15, 2020
Primary completion
Dec 31, 2020
Completion
Jan 31, 2021
Last update
Apr 8, 2021

Oversight

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

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