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CompletedNCT06214546Updated May 16, 2025

Effect of Different Support Systems on Gait

An interventional study of Regular walking and Myosuit in Incomplete Spinal Cord Injury, sponsored by Sint Maartenskliniek. Completed at 1 site in Netherlands. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-05-16.

Sponsored by Sint Maartenskliniek · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
15
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Body weight support systems are commonly used for gait training. A new breed of devices for gait training are soft exosuits. To optimize rehabilitation outcomes, it is important to gain deeper insight in the effect of these support systems on gait. The aim of this study is to investigate the effect of a body weight support system and soft exosuit on dynamic balance and knee and hip kinematics during gait in people with incomplete spinal cord injury.

Read the detailed description

Rationale: People with incomplete spinal cord injury (iSCI) often experience gait impairments. Body weight support (BWS) systems are commonly used for gait training. Overground BWS systems could have 2 or 3 degrees of freedom (DoF). A decrease in DoF will reduce the demand's on people's balance capacity during walking. A new breed of devices for gait training are soft exosuits. They could deliver support around the knee and the hip joint, which are the main contributors for bodyweight support. Although a BWS system and a soft exosuit provide both support against gravity these systems differ in the approach of delivering this support. To optimize rehabilitation outcomes, it is important to gain deeper insight in the effect of these support systems on gait. In this study a 2-DoF BWS system, the ZeroG, and a soft exosuit, the Myosuit, will be studied.

Objective: Investigate the effect of a BWS system and soft exosuit on dynamic balance and knee and hip kinematics during gait in people with incomplete spinal cord injury.

Study design: Experimental design.

Study population: Fourteen people with subacute or chronic iSCI (at least 2 weeks after injury) will be included. People with iSCI will be included when having an injury level of C or D on the American Spinal Injury Association Impairment Scale.

Intervention: Participants will visit the Sint Maartenskliniek once and perform overground walking trials in a laboratory setting: regular walking, walking with the ZeroG (BWS system) and walking with the Myosuit (soft exosuit). Each condition consists of 6 walking trials over a distance of 12.5 m.

Main study parameters/endpoints: The main study parameter for dynamic balance during gait will be medio-lateral center of mass excursion. The main study parameter for gait kinematics will be maximum extension of the knee in sagittal plane.

02

Conditions studied

  • Incomplete Spinal Cord Injury

Keywords

  • ZeroG
  • Myosuit
  • Gait
  • Rehabilitation
03

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 15 is below the median of 24 across 1,566 interventional studies indexed under Spinal Cord Injuries.

Browse Spinal Cord Injuries studies →

Lead sponsor

Sint Maartenskliniek is the lead sponsor of 28 studies on the registry; 5 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

  • People with subacute or chronic iSCI (at least 2 weeks after injury)
  • Have an injury level of C or D on the American Spinal Injury Association Impairment Scale
  • Age ≥ 18 years
  • Walking speed between 0.4 and 0.8 m/s (limited community ambulation) (24)
  • Must be able to stand up from a chair without deviating to the left or right side for more than 45 degrees during the movement
  • Can walk for 10 meter without the assistance of another person but can be assisted by assistive devices such as, crutches, walking sticks or ankle foot orthoses except knee orthoses or walkers
  • Reduced knee and/or hip strength (MRC=\<4).

Exclusion criteria

Exclusion Criteria:

  • Have another (neurological) disease which can influence motor performance.
  • Have wounds
  • Taller than 195 and smaller than 150 cm
  • Body weight of more than 110 kg or less than 45 kg
  • Pregnancy
  • Flexion contracture in knee or hip in excess of 10 degrees
  • Knee varus malposition in excess of 10 degrees or knee valgus malposition in excess of 10 degrees
  • Insufficient mastery of the Dutch language
  • Psychiatric backgrounds
  • Oncological spinal cord injury
  • Stoma
  • Unsuitable for participation according to the rehabilitation physician or researcher
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
15 participants (actual)

Interventions

  • OtherRegular walking

    Participants perform 6 overground walking trials (12.5 m) without support system. Participants perform all measurements (regular walking, Myosuit, ZeroG) on one single measurement day.

  • DeviceMyosuit

    Participants perform 6 overground walking trials (12.5 m) while wearing the Myosuit. ZeroG and Myosuit intervention will be performed in random order.

  • DeviceZeroG

    Participants perform 6 overground walking trials (12.5 m) while walking in the ZeroG. ZeroG and Myosuit intervention will be performed in random order.

06

What researchers measure

Primary outcomes

  1. Dynamic balance during gait: medio-lateral center of mass excursion (cm)

    Difference between regular walking, walking with the Myosuit and walking with the ZeroG. Medio-lateral center of mass excursion

    Time frame: At baseline (during regular walking, during walking with the Myosuit, during walking with the ZeroG)

  2. Gait kinematics: maximum knee extention

    Difference between regular walking, walking with the Myosuit and walking with the ZeroG. Maximum extension of the knee in sagittal plane

    Time frame: At baseline (during regular walking, during walking with the Myosuit, during walking with the ZeroG)

Secondary outcomes

  1. Dynamic balance during gait: step width (cm)

    Difference between regular walking, walking with the Myosuit and walking with the ZeroG.

    Time frame: At baseline (during regular walking, during walking with the Myosuit, during walking with the ZeroG)

  2. Gait kinematics: maximum hip extension

    Difference between regular walking, walking with the Myosuit and walking with the ZeroG. Maximum extension of the hip in sagittal plane

    Time frame: At baseline (during regular walking, during walking with the Myosuit, during walking with the ZeroG)

  3. Gait kinematics: range of motion of the knee

    Difference between regular walking, walking with the Myosuit and walking with the ZeroG. Range of motion of the knee in sagittal plane

    Time frame: At baseline (during regular walking, during walking with the Myosuit, during walking with the ZeroG)

  4. Gait kinematics: range of motion of the hip

    Difference between regular walking, walking with the Myosuit and walking with the ZeroG. Range of motion of the hip in sagittal plane

    Time frame: At baseline (during regular walking, during walking with the Myosuit, during walking with the ZeroG)

  5. Gait kinematics: trunk inclination angle

    Difference between regular walking, walking with the Myosuit and walking with the ZeroG. Trunk inclination angle excursion

    Time frame: At baseline (during regular walking, during walking with the Myosuit, during walking with the ZeroG)

  6. Walking speed (m/s)

    Difference between regular walking, walking with the Myosuit and walking with the ZeroG

    Time frame: At baseline (during regular walking, during walking with the Myosuit, during walking with the ZeroG)

  7. Stride length (m)

    Difference between regular walking, walking with the Myosuit and walking with the ZeroG

    Time frame: At baseline (during regular walking, during walking with the Myosuit, during walking with the ZeroG)

  8. Step time (s)

    Difference between regular walking, walking with the Myosuit and walking with the Zero.

    Time frame: At baseline (during regular walking, during walking with the Myosuit, during walking with the ZeroG)

  9. Double support phase (%)

    Difference between regular walking, walking with the Myosuit and walking with the ZeroG

    Time frame: At baseline (during regular walking, during walking with the Myosuit, during walking with the ZeroG)

Other outcomes

  1. Sex (man/woman)

    Descriptive outcome measure

    Time frame: Subject enrollment

  2. Age (years)

    Descriptive outcome measure

    Time frame: Subject enrollment

  3. Body Mass Index

    Descriptive outcome measure. Calculated with weight and height.

    Time frame: Subject enrollment

  4. Time since spinal cord injury (years)

    Descriptive outcome measure.

    Time frame: Subject enrollment

  5. Spinal cord injury classification defined by the American Spinal Injury Association (ASIA) impairment scale (C or D)

    Descriptive outcome measure. The scale has five classification levels (A-E), ranging from complete loss of neural function (A) in the affected area to completely normal (E).

    Time frame: Subject enrollment

  6. Level of spinal cord injury

    Descriptive outcome measure. There are four sections that impact the level of spinal cord injury: cervical, thoracic, lumbar and sacral.

    Time frame: Subject enrollment

07

Study locations

1 site
  • Sint Maartenskliniek
    Ubbergen, Netherlands
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 May 16, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06214546
Lead sponsor
Sint Maartenskliniek
Responsible party
Noel Keijsers (Prof N.L.W Keijsers, Sint Maartenskliniek) — Principal investigator
First posted
Jan 19, 2024
Start date
Oct 25, 2023
Primary completion
Aug 28, 2024
Completion
Aug 28, 2024
Last update
May 16, 2025

Study contacts

Bart van den Bemt
principal investigator · Sint Maartenskliniek

Oversight

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

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