ClinicalTrials.gg
RecruitingNCT06455137Updated Jul 22, 2026

Epidural Electrical Stimulation for Spinal Cord Injury Patients and Corticospinal Motor Circuit Improvement

An interventional study of Epidural Stimulator in Spinal Cord Injuries, sponsored by Buddhist Tzu Chi General Hospital. Recruiting at 1 site in Taiwan. Open to participants aged 20 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-07-22.

Sponsored by Buddhist Tzu Chi General Hospital · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Apr 2024; still recruiting 2 years 6 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
20 Years to 70 Years
Sex
All
01

Study summary

The study aims to examine the plausible interventional mechanisms underlying the effects of epidural spinal cord stimulation.

Read the detailed description

The purpose of this study is for the treatment of spinal cord injury (SCI) paralysis patients use the signal by electrophysiological analysis of epidural spinal cord stimulation (SCS) settings that promote limbs activity so that SCI patients can restore motor ability under multiple sensory stimuli and multimodal electrical stimulation rehabilitation. The investigators hope to establish an atresia nerve regulation strategy and observe that the original blocked neural circuits can improve nerve plasticity by SCS. Even can establish new connections through residual nerves and allow SCI patients to rebuild neural circuits without SCS to restore limbs mobility and improve quality of life.

02

Conditions studied

  • Spinal Cord Injuries
03

In context

Spinal Cord Injuries

2,025 studies on the registry are indexed under Spinal Cord Injuries; 537 are open to participants now.

This study's planned enrollment of 20 is below the median of 24 across 1,633 interventional studies indexed under Spinal Cord Injuries.

Browse Spinal Cord Injuries studies →

Lead sponsor

Buddhist Tzu Chi General Hospital is the lead sponsor of 88 studies on the registry; 20 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

Ages eligible
20 Years to 70 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

  • SCI ASIA: A, B, C,D
  • Between 20 and 70 year of age
  • >1 year post SCI
  • Complete or incomplete spinal cord injury.
  • Expected will undergo spinal cord stimulation surgery.
  • Continued rehabilitation after surgery for spinal cord injury.
  • Able to comply with procedures and follow up.
  • Stable medical condition without cardiopulmonary disease or dysautonomia that would - contraindicate participation in lower extremity rehabilitation or testing activities

Exclusion criteria

Exclusion Criteria:

  • Have significant cognitive impairment (\<24).
  • Had a mental illness within one year or been treated in the past.
  • Have Major depressive disorder.
  • Active cancer diagnosis.
  • Painful musculoskeletal dysfunction, unhealed fracture, contracture, pressure sore, or urinary tract infection that might interfere with stand or step training.
  • Cardiovascular or musculoskeletal disease or injury that would prevent full participation in physical therapy intervention.
  • Unable to read and/or comprehend the consent form.
  • Have concerns about this trial and do not sign consent.
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.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

05

Study design

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

Study arms

  • Experimental
    Epidural Stimulator

    Participants will have a 16-electrode epidural array implanted in the C4-C7 and T11-L2 areas of the spinal cord. Following a 2 weeks recovery period, patients will engage in a structured training of physical rehabilitation and electrical stimulation.

    Device: Epidural Stimulator

Interventions

  • DeviceEpidural Stimulator

    Participants will have a 16-electrode epidural array implanted in the C4-C7 and T11-L2 areas of the spinal cord. Following a 2 weeks recovery period, patients will engage in a structured training of physical rehabilitation and electrical stimulation.

06

What researchers measure

Primary outcomes

  1. Electroencephalography and Electromyography

    To measure activity in the brain

    Time frame: To measure assessing change between pre-implant and every 3 months until 24 months.

  2. Electromyographic analysis

    Average of 5-repetitive EMG activity for each superficial component of muscles from a five-second ramp contraction to the end of a ten-second rest

    Time frame: To measure assessing change between pre-implant and every 3 months until 24 months.

  3. Single transcranial magnetic stimulation

    To evaluate the function of corticospinal tract nerve conduction

    Time frame: To measure assessing change between pre-implant and every 3 months until 24 months.

  4. Motion Analysis

    To evaluate the angles that can be achieved at each joint of the upper limbs

    Time frame: To measure assessing change between pre-implant and every 3 months until 24 months.

  5. Functional Test

    To evaluate gait for subjects who can walk by assistive device or independently

    Time frame: To measure assessing change between pre-implant and every 3 months until 24 months.

Secondary outcomes

  1. American Spinal Injury Association (ASIA-2019) Impairment Scale

    To measure and record disease history In simpler terms, it's a 5-point scale that categorizes individuals from "A" (complete spinal cord injury) to "E" (normal sensory and motor function), with each letter representing a different level of injury severity: A: Complete spinal cord injury. B: Sensory incomplete injury. C: Motor incomplete injury. D: Motor incomplete injury. E: Normal sensory and motor function.

    Time frame: To measure assessing change between pre-implant and every 3 months until 24 months.

  2. Modified Ashworth scale

    To measure the increase of muscle tone,it uses a 6-point system. Scores range from 0 to 4. Lower scores indicate normal muscle tone, while higher scores indicate spasticity or increased resistance to passive movement.

    Time frame: To measure assessing change between pre-implant and every 3 months until 24 months.

  3. Barthel Index

    To measure performance in activities of daily living

    Time frame: To measure assessing change between pre-implant and every 3 months until 24 months.

  4. World Health Organization Quality of Life Brief Version

    A brief version scale of World Health Organization Quality-of-Life scale

    Time frame: To measure assessing change between pre-implant and every 3 months until 24 months.

  5. Spinal Cord Independence Measure

    To measure performance in activities of daily living and mobility

    Time frame: To measure assessing change between pre-implant and every 3 months until 24 months.

  6. Box and Block Test

    To measure unilateral gross manual dexterity.

    Time frame: To measure assessing change between pre-implant and every 3 months until 24 months.

  7. Action Research Arm Test Scoring Sheet

    To measures upper limb function by scoring the ability to complete functional tasks.

    Time frame: To measure assessing change between pre-implant and every 3 months until 24 months.

  8. Berg Balance Scale

    To measure balance and the risk of falls,it's a list of 14 things to rate, where each thing has a scale from 0 to 4. Zero means the lowest function, while four means the highest function.

    Time frame: To measure assessing change between pre-implant and every 3 months until 24 months.

  9. Walking Index for Spinal Cord Injury II (WISCI II- March 2005)

    To measure walking ability for spinal cord injury.

    Time frame: To measure assessing change between pre-implant and every 3 months until 24 months.

07

Study locations

1 of 1 sites recruiting
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 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06455137
Lead sponsor
Buddhist Tzu Chi General Hospital
Responsible party
Sponsor
First posted
Jun 12, 2024
Start date
Apr 30, 2024
Primary completion
Dec 31, 2029 (estimated)
Completion
Dec 31, 2029 (estimated)
Last update
Jul 22, 2026

Study contacts

Sheng-Tzung Tsai, M.D., Ph.D.
Contact
flydream.tsai@gmail.com
+886-3-856-1825 ext. 13054
Yu-Chen Chen
Contact
spring810569@gmail.com
+886-3-856-1825 ext. 13054
Sheng-Tzung Tsai, M.D., Ph.D.
principal investigator · Hualien Tzu Chi General Hospital

Oversight

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

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