ClinicalTrials.gg
Not yet recruitingNCT07773974Updated Oct 26, 2026

Functional Electrical Stimulation Plus High Intensity Interval Training at Home

An interventional study of FES+HIIT@Home in Spinal Cord Injuries (SCI), sponsored by University Health Network, Toronto. Not yet recruiting at 1 site in Canada. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-26.

Sponsored by University Health Network, Toronto · Not applicable, Interventional, and Other

Updated Oct 26, 2026Start date movedGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
24
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 21 studies in Spinal Cord Injuries by University Health Network, Toronto — 7 open to participants now, 7 under way, none of them phase 3. Spinal Cord Injuries · University Health Network, Toronto.

Planned enrollment
3rd of 19
24 · median 18
Started
2027
the only one that year
No phase
18 of 21
6 open now
Registered
21st of 21
by date

Among the 21 studies in Spinal Cord Injuries by University Health Network, Toronto, this one is the 3rd largest by planned enrollment of the 19 interventional ones that give a count, is the only one that started in 2027, is one of 18 with no phase, and was the 21st registered.

Spinal Cord Injuries

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

Browse Spinal Cord Injuries studies →

Open to participants now

7 of the 21 studies in Spinal Cord Injuries by University Health Network, Toronto are open now, in 1 country. Recruiting first, the newest first:

1 more — sign in →

By country, each count listing its studies:

All 7 open studies →

Where they have run

Who these studies take

Of the 375 Spinal Cord Injuries studies recruiting now, 166 (44%) set no upper age limit and 158 (42%) stop at 75 or younger; 41 take children under 18; 52 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

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02

Study summary

People living with SCI may experience loss of sensation, movement and regular body function. One way to address these impairments is activity-based therapy (ABT), which includes movement-based activities that promote the muscle-brain connection below the level of injury. A technology often used during ABT is functional electrical stimulation (FES), which is an electrical stimulus applied to nerves or paralyzed muscles through sticky gel pads placed on the skin. The purpose of this multi-method pilot study is to look at the safety, interest in and acceptance of an at-home, virtual training program that combines FES with high intensity interval training (HIIT). Up to 24 individuals with SCI will be enrolled in the study. The study activities will span over 34 weeks, from pre-training tests to the 12-week follow-up tests.

03

Conditions studied

  • Spinal Cord Injuries (SCI)

Keywords

  • functional electrical stimulation
  • high intensity interval training
  • home-based rehabilitation
04

Who can participate

Ages eligible
18 Years and older
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

  1. Be an adult (i.e., ≥18 years old) with a SCI at T12 or above as individuals with a lower motor neuron condition are considered poor candidates for FES.
  2. Have a SCI rated as American Spinal Injury Association Impairment Scale A, B, C or D. If no recent (i.e., in past six months) AIS rating is available in the medical record, the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) exam (Rupp et al. 2021) will be completed by the research team.
  3. Be >1 year post-injury, in the case of traumatic SCI, or >1 year post-onset of neurological symptoms, in the case of a non-progressive, non-traumatic cause of SCI.
  4. Be able to attend 8 assessment sessions and three education sessions at the Lyndhurst Centre or Rumsey Cardiac Rehab, as well as 36 FES+HIIT@Home sessions and one education session on Microsoft Teams.
  5. Be ambulatory or use a manual wheelchair.
  6. Be able to don/doff electrodes independently or with support from a family member or other caregiver.
  7. Have physician clearance to participate in high intensity interval training (i.e., no to HIIT).
  8. Have an emergency contact who can be reached by the research team during FES+HIIT@Home sessions.
  9. Able to understand spoken English.

Exclusion criteria

Exclusion Criteria:

  1. Presents with to FES (i.e. implanted electronic device, radiation in past six months, active deep vein thrombosis, pregnancy) (Houghton et al. 2010).
  2. Presents with cognitive deficits that would prevent independent use of an FES device.
  3. Has irritated and/or damaged skin in areas where the electrodes will be applied.
  4. Has a cardiovascular morbidity that would limit exercise tolerance, as identified through pre-intervention cardiorespiratory fitness testing (e.g., complex arrhythmias).
  5. Participant receives a Botox injection or begins a new therapy or exercise program during the first 20 weeks of the study (i.e., prior to the post-intervention assessments).
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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

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

Study arms

  • Experimental
    FES+HIIT@Home

    Functional electrical stimulation combined with high intensity interval training at home

    Other: FES+HIIT@Home

Interventions

  • OtherFES+HIIT@Home

    The FES+HIIT@Home intervention will be 16 weeks in duration. During the first four weeks of the FES+HIIT@Home intervention (i.e., weeks 3-6), participants and caregivers who will be assisting will receive education and hands-on training with FES and HIIT exercises. Each participant will receive a two-channel FES device to keep (i.e., Chattanooga® Continuum). During weeks 7-18, participants will complete 36 online, group-based FES+HIIT@Home sessions (i.e., three 1-hour sessions/week for 12 weeks) that are led by trainers over Microsoft Teams. Sessions will include warm-up exercises (10 minutes), three task-specific exercises (15 minutes/exercise) and cool-down exercises (5 minutes). Each task-specific exercise will be performed in 30-second "all out" bouts with a 1.5-minute rest after each bout.

06

What researchers measure

Primary outcomes

  1. Enrollment rates

    Number of participants screened per month (plus reasons for exclusion) and the number of participants enrolled per month

    Time frame: During enrollment

  2. Adherence

    Session attendance (plus reasons for absences) and assessment attendance (plus reasons for omissions)

    Time frame: From enrollment until the end of the study at 34 weeks

  3. Feasibility of FES+HIIT@Home

    Number of sessions in which each participant achieves the targeted "all out" RPE (and HR for those with lower thoracic SCI)

    Time frame: During the FES+HIIT@Home intervention

  4. Attrition

    Number of participants who drop out of the study and the reasons for drop out

    Time frame: From enrollment until the end of the study at 34 weeks

  5. Safety of FES+HIIT@Home

    Number of minor and serious adverse events

    Time frame: From enrollment until the end of the study at 34 weeks

  6. Function for participants unable to stand

    Function will be assessed with the Function in Sitting Test (FIST-SCI) for participants unable to stand. The FIST-SCI assesses postural control during functional sitting activities. Items are rated on the amount of assistance required to accomplish each task on a 5-point scale of 0 (complete assistance - patient cannot perform the task at all) to 4 (independent - patient completely autonomous in performing the task). Scores can be summed for a total score ranging from 0 to 56.

    Time frame: From enrollment to the end of the 12-week follow-up at 34 weeks

  7. Function for participants able to stand

    Function will be assessed with the mini-Balance Evaluation Systems Test (mini-BESTest) for participants who are able to stand. The mini-BESTest assesses a variety of functional activities in standing and walking. The Mini BESTest is scored on a 3-level ordinal scale (0 to 2). Scores can be summed for a total score between 0 and 28.

    Time frame: From enrollment until the end of the study at 34 weeks

  8. Muscle Strength

    Isometric strength of the trunk, upper limb and lower limb muscles will be evaluated with manual muscle testing (MMT) and/or hand-held dynamometry. Testing positions will be standardized, following guidelines of the ISNCSCI, as appropriate, and strength scored on a 0 to 5 scale. Muscles with a MMT score of ≥4 will also be assessed with hand-held dynamometry, which is a valid assessment method that has greater sensitivity to detect changes in the strength of stronger muscles. Three peak force values will be collected per muscle group and the mean value normalized by body weight.

    Time frame: From enrollment until the end of the study at 34 weeks

  9. Penn Spasm Frequency Scale

    The Penn Spasm Frequency Scale is a valid and reliable self-report measure that evaluates an individual's perception of spasticity frequency (on a 5-point scale from 0 (no spasms) to 4 (spontaneous spasms occurring ≥10 times/hour)) and severity (on a 3-point scale from 1 (mild) to 3 (severe)). A spasm severity rating will not be provided if spasm frequency is 0.

    Time frame: From enrollment until the end of the study at 34 weeks

  10. Spinal Cord Assessment Tool for Spastic Reflexes

    The Spinal Cord Assessment Tool for Spastic Reflexes is a short clinical exam of three spastic motor behaviors in the lower limb of individuals with SCI: clonus, flexor spasms and extensor spasms. The reactions observed for each motor behavior will be rated on a 4-point ordinal scale and summed for a total score (/9).

    Time frame: From enrollment until the end of the study at 34 weeks

  11. Exercise Self-efficacy Scale

    Exercise self-efficacy will be assessed with the SCI Exercise Self-efficacy Scale, which assesses confidence in performing exercise. Participants will rate their confidence, on a scale from 1 (not always true) to 4 (always true), for ten statements related to carrying out regular exercise and physical activity. Reponses are summed for a total score (/40).

    Time frame: From enrollment until the end of the study at 34 weeks

  12. Cardiorespiratory fitness

    VO2peak (mL/kg/min), will be evaluated with a maximal graded exercise test. Breath-by-breath gas samples will be collected and averaged over 20 seconds via a calibrated metabolic cart to determine V̇O2peak.

    Time frame: From enrollment until the end of the study at 34 weeks

  13. Arterial stiffness

    Pulse wave velocity (PWV, m/s) will be obtained between the common carotid and common femoral arteries (cfPWV). cfPWV (m/sec) will be calculated using the equation: (0.8 × D)÷Δt, where D is the distance between measurement sites and Δt is the pulse transit time.

    Time frame: From enrollment until the end of the study at 34 weeks

  14. Description of the contexts that impact outcomes of FES+HIIT@Home

    To describe the contexts (e.g., virtual setting, group sessions) that impact outcomes from the perspectives of people with SCI

    Time frame: After 24 sessions (or 8 weeks) of the FES+HIIT@Home intervention and at the 12-week follow-up at 34 weeks

  15. Description of the mechanisms that impact outcomes of FES+HIIT@Home

    To describe the mechanisms (e.g., FES, HIIT, education) that impact outcomes from the perspectives of people with SCI

    Time frame: After 24 sessions (or 8 weeks) of the FES+HIIT@Home intervention and at the 12-week follow-up at 34 weeks

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: Yes — The de-identified, quantitative datasets will be shared through the Open Data Commons for Spinal Cord Injury (odc-sci.org) and supplementary files will be made available in the publications.

Supporting information: Study protocol

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar 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

Start is estimated for Jan 2027; primary completion for Jul 2028, 18 months later.

Of 790 non-industry interventional studies with no phase under Spinal Cord Injuries, half reached primary completion within 37 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 65. This study's planned 18 months is below that.

Counting every sponsor, half of 839 studies reached it within 36 months; a quarter within 17 and three quarters within 64.

Start moved once since we started tracking on Sep 25, 2026: Oct 2026 → Jan 2027, on Oct 26, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Aug 11, 2026
First posted
Aug 19, 2026
StartEst.
Jan 2, 2027was Oct 2026
Primary completionEst.
Jul 2028
CompletionEst.
Jul 2028
Last update
Oct 26, 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.
Start date
Oct 1, 2026→Jan 2, 2027
Oct 26, 2026
Show all 1 update
  1. Oct 26, 2026
    Start date Oct 1, 2026→Jan 2, 2027
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07773974
Responsible party
Kristin Musselman (Principal Investigator, University Health Network, Toronto) — Principal investigator
First posted
Aug 19, 2026
Start date
Jan 2, 2027 (estimated)
Primary completion
Jul 2028 (estimated)
Completion
Jul 2028 (estimated)
Last update
Oct 26, 2026

Study contacts

Kristin E Musselman, PhD
Contact
kristin.musselman@utoronto.ca
416-597-3422 ext. 6190
Katherine Chan, MSc
Contact
katherine.chan@uhn.ca
416-597-3422 ext. 6199
Kristin E Musselman, PhD
principal investigator · University Health Network, Toronto

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 not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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