ClinicalTrials.gg
RecruitingNCT05644522Updated May 11, 2026

Nomad P-KAFO Study

An interventional study of Indego Nomad® Powered Knee-Ankle-Foot Orthosis (P-KAFO) (Parker Hannifin Corp., Cleveland, OH) in Cerebrovascular Accident, Post-polio Syndrome and Spinal Cord Injuries, sponsored by Shirley Ryan AbilityLab. Recruiting at 1 site in United States. Open to participants aged 18 Years to 89 Years. Per ClinicalTrials.gov, last updated 2026-05-11.

Sponsored by Shirley Ryan AbilityLab · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2024; still recruiting 2 years 8 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
36
Allocation
Randomized
Ages
18 Years to 89 Years
Sex
All
01

Study summary

The goal of this clinical trial is to evaluate the impact of using the Nomad powered KAFO in people who have had a musculoskeletal or neurological injury that has affected their ability to walk. The main questions it aims to answer are to quantify the effectiveness of the Nomad in improving mobility, balance, frequency of falls, and quality of life in individuals with lower-extremity impairments compared to their own brace, over three months of daily home and community use.

Participants will:

  • Wear a sensor that records everyday activities and mobility.
  • Perform measures of mobility and different activities of participation using their own brace.
  • Perform measures of mobility and different activities of participation using the Nomad powered KAFO
02

Conditions studied

  • Cerebrovascular Accident
  • Post-polio Syndrome
  • Spinal Cord Injuries
  • Multiple Sclerosis
  • Muscular Dystrophy
  • Paralysis
03

In context

Stroke

8,255 studies on the registry are indexed under Stroke; 2,056 are open to participants now.

This study's planned enrollment of 36 is below the median of 49 across 6,024 interventional studies indexed under Stroke.

Browse Stroke studies →

Lead sponsor

Shirley Ryan AbilityLab is the lead sponsor of 180 studies on the registry; 44 are open to participants now.

Of its 10 completed or terminated interventional studies of FDA-regulated products, 4 (40%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 89 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Regular and compliant use of a unilateral or bilateral KAFO or SCO or other passive KAFOs for impairment due to neurological or neuromuscular disease, orthopedic disease, or trauma
  • Cognitive ability to understand and follow the study protocol; willingness to provide
  • Willing to wear and charge an activity monitor for three-months home trials.

Exclusion criteria

Exclusion Criteria:

  • Flexion contracture in the knee and/or hip joint in excess of 15 degrees
  • Non-correctable knee varus/valgus in excess of 15 degrees
  • Severe spasticity
  • Inability to stabilize the trunk with or without assistive devices (crutches, canes, etc.)
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
36 participants (estimated)

Study arms

  • Experimental
    Group A

    Group A receives the intervention Nomad KAFO first; fitting \& training will occur with the intervention and will then be used for a 3 month home trial, followed by outcomes testing. Group A then will cross over and train with their own Traditional Assistive Device and will then use their own device for a 3 month home trial, followed by outcomes testing.

    Device: Indego Nomad® Powered Knee-Ankle-Foot Orthosis (P-KAFO) (Parker Hannifin Corp., Cleveland, OH)

  • Active comparator
    Group B

    Group B receives training in their own Traditional Assistive Device first; training will occur with their own Traditional Assistive Device and will then use their own device for a 3 month home trial, followed by outcomes testing. Group B then will cross over and receive the intervention Nomad KAFO; fitting \& training will occur with the intervention and will then be used for a 3 month home trial, followed by outcomes testing.

    Device: Indego Nomad® Powered Knee-Ankle-Foot Orthosis (P-KAFO) (Parker Hannifin Corp., Cleveland, OH)

Interventions

  • DeviceIndego Nomad® Powered Knee-Ankle-Foot Orthosis (P-KAFO) (Parker Hannifin Corp., Cleveland, OH)

    The Nomad is a microprocessor-controlled knee-ankle-foot orthosis P-KAFO that incorporates a motor for powered movement assistance and an electronic brake for stance support. The system provides active assistance for knee flexion and extension during the swing phase of gait, reliable stance phase locking at any knee angle, and reliable unlocking without requiring user-generated knee or hip extension torque.

06

What researchers measure

Primary outcomes

  1. Change in 10 Meter Walk Test speed

    A test to measure the change of speed of both self selected and fastest walking speeds

    Time frame: Baseline, Post 3-month home trials with each device

Secondary outcomes

  1. Six Minute Walk Test

    A test to measure how much distance is traveled over the course of 6 minutes.

    Time frame: Baseline, Post 3-month home trials with each device

  2. Berg Balance Test

    A test of standing balance

    Time frame: Baseline, Post 3-month home trials with each device

  3. Functional Gait Assessment

    A test of postural stability during walking tasks

    Time frame: Baseline, Post 3-month home trials with each device

  4. Hill Assessment Index

    Used to assess different gait patterns during ascent or descent of slopes

    Time frame: Baseline, Post 3-month home trials with each device

  5. Stair Assessment Index

    Used to assess functional abilities during ascent and descent of stairs

    Time frame: Baseline, Post 3-month home trials with each device

  6. Timed Up and Go

    A functional mobility test to measure how long it takes to rise from a chair, walk 3 meters, turn around, and return back to a sitting position in the chair.

    Time frame: Baseline, Post 3-month home trials with each device

  7. Activities Specific Balance Confidence Scale

    A self-report questionnaire designed to measure fear of falling across 16 items.

    Time frame: Baseline, Post 3-month home trials with each device

  8. Modified Falls Efficacy Scale

    A self-report questionnaire designed to measure fear of falling across 14 items.

    Time frame: Baseline, Post 3-month home trials with each device

  9. Orthotics and Prosthetics User Survey

    A self-report questionnaire designed to evaluate the outcome of orthotic and prosthetic services.

    Time frame: Baseline, Post 3-month home trials with each device

  10. World Health Organization Quality of Life

    A self-report questionnaire that measures an individual's perceived quality of life.

    Time frame: Baseline, Post 3-month home trials with each device

  11. EQ5D-5L

    A self-report questionnaire that measures quality of life with mobility, self-care, usual activities, pain/discomfort, and anxiety/depression.

    Time frame: Baseline, Post 3-month home trials with each device

  12. Numeric Pain Rating Scale

    A measure of perceived pain intensity

    Time frame: Baseline, Post 3-month home trials with each device, and as needed throughout course of study.

  13. Borg Rate of Perceived Exertion

    A measure of perceived exertion during an activity

    Time frame: Baseline, Post 3-month home trials with each device, and as needed throughout course of study

  14. Manual Muscle Test

    A rating of overall gross muscle strength

    Time frame: Screening, Baseline, Post 3-month home trials with each device

  15. Range of Motion (both passive and active)

    A measurement of overall joint mobility of both lower extremities

    Time frame: Screening, Baseline, Post 3-month home trials with each device

  16. Six Minute Push Test

    A test to determine distance traveled in a wheelchair with self-propulsion over the course of 6 minutes.

    Time frame: Baseline, Post 3-month home trials with each device

Other outcomes

  1. Cross Walk Blinking Signal Test

    Measuring the time needed to cross a designated street

    Time frame: Baseline, Post 3-month home trials with each device

  2. Community Mobility

    Measured by wearing an activity monitor to capture motion / step counts

    Time frame: During each 3 month home trial with each device.

  3. Self Reported Goals

    Subjects will be interviewed to understand their self-reported functional goals.

    Time frame: Baseline, Post 3-month home trials with each device

07

Study locations

1 of 1 sites recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Mar 2024 (actual). Primary completion is estimated for Dec 2027, 45 months after the start.

Of 3,108 non-industry interventional studies with no phase under Stroke, half reached primary completion within 23 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 46. This study's planned 45 months is above that.

Counting every sponsor, half of 3,252 studies reached it within 23 months; a quarter within 10 and three quarters within 46.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 28, 2022
First posted
Dec 9, 2022
StartActual
Mar 1, 2024
Primary completionEst.
Dec 2027
CompletionEst.
Dec 2027
Last update
May 11, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 11, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05644522
Responsible party
Arun Jayaraman, PT, PhD (Principal Investigator, Shirley Ryan AbilityLab) — Principal investigator
First posted
Dec 9, 2022
Start date
Mar 1, 2024
Primary completion
Dec 2027 (estimated)
Completion
Dec 2027 (estimated)
Last update
May 11, 2026

Study contacts

Arun Jayaraman, PhD
Contact
ajayaraman@sralab.org
312-238-6875

Oversight

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

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