Acute Effects: A Prospective Study to Evaluate Use of the Tibion Bionic Leg in Sub-Acute Post-stroke Patients
Study Details
Study Description
Brief Summary
The objective of this clinical study is to examine acute changes in stability, force allocation, work, and mobility from using a wearable, portable, battery-operated robotic orthosis (the Tibion Bionic Leg) in subacute post-stroke persons undergoing lower extremity physical therapy.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
Samples text.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Tibion Arm Arm of the study in which enrolled subacute post-stroke subjects undergo lower extremity physical therapy using the Tibion Bionic Leg. |
Device: Tibion Bionic Leg
The Tibion Bionic Leg is used as an adjunct in post-stroke and post-operative rehabilitative physical therapy. The leg is a lightweight, wearable, portable, battery-powered, motorized leg orthosis that provides active assistance and resistance to lower limb movement during walking, stair ascent and descent, and transfers from sitting to standing (and standing to sitting).
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Outcome Measures
Primary Outcome Measures
- Ambulation Speed [Baseline (prior to training); at conclusion of training regimen, an average of 2 weeks.]
Walking speed (comfortable and fastest possible), in meters per second, as measured by the 10 Meter Walk Test (10 MWT).
Secondary Outcome Measures
- Measurements of Gait [Baseline (prior to training); prior to the first training session; prior to the second training session; at the conclusion of training regimen completed an average of 2 weeks.]
The secondary endpoints are obtained from the GAITRite analysis system: Measurements of gait, such as the length and time of step, cycle, and stride, Heel to Heel base support, single/double limb support time, and stance and swing phase timing.
- Measurements of Stride [Baseline (prior to training); prior to the first training session; prior to the second training session; at the conclusion of training regimen completed an average of 2 weeks.]
Other secondary endpoints are obtained from the GAITRite analysis system: Measurements of Stride such as distance, ambulation time, velocity, normalized velocity, cadence, step time, step length, cycle time.
- Measurements of Force, Stance, and Stability [Baseline (prior to training); prior to the first training session; prior to the second training session; at the conclusion of training regimen completed an average of 2 weeks.]
Other secondary endpoints are obtained from Balance Master system: Limb parameters, including force in transfers from sitting to standing, standing to sitting, weight-bearing squats, and limits of stability.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Single stroke with residual unilateral lower-extremity weakness
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Subacute post-stroke period (>3 and <12 months)
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Eligible to participate to lower extremity physical therapy
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Age 40 years or greater
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Able to ambulate at least 10 meters
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Able to ambulate without a leg brace
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Ambulation speed less than 0.8 meters/second
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Minimum to moderate assist for transfer or ambulation by physical therapist evaluation
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Subject must understand the nature of the study and provide written informed consent prior to enrollment.
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Subject must be willing and able to attend all study sessions
Exclusion Criteria:
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Medically unstable
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Age younger than 40 years
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Acute post-stroke (< 3 months)
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Chronic post-stroke (> 12 months)
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Status-post multiple strokes
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Status-post traumatic brain injury
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Ambulation speed greater than 0.8 meters/second
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Currently using a Knee-Ankle-Foot Orthosis (KAFO)
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Not eligible for lower extremity physical therapy
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Concomitant degenerative neurological conditions
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Not able to ambulate at least 10 meters without assistance
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Greater than moderate assist during transfer or ambulation by physical therapist evaluation
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Unable to ambulate without a leg brace
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Unable to follow instructions, complete follow-up, or provide informed consent.
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Currently enrolled in another investigational device or drug trial
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Magee Rehabilitation Hospital | Philadelphia | Pennsylvania | United States | 19102 |
Sponsors and Collaborators
- Tibion Bionics, Inc.
Investigators
- Principal Investigator: Barbara Browne, MD, Magee Rehabilitation Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
- Horst RW, Marcus RR. FlexCVA: a continuously variable actuator for active orthotics. Conf Proc IEEE Eng Med Biol Soc. 2006;2006:2425-8.
- Horst RW. A bio-robotic leg orthosis for rehabilitation and mobility enhancement. Annu Int Conf IEEE Eng Med Biol Soc. 2009;2009:5030-3. doi: 10.1109/IEMBS.2009.5333581.
- Wong CK, Bishop L, Stein J. A wearable robotic knee orthosis for gait training: a case-series of hemiparetic stroke survivors. Prosthet Orthot Int. 2012 Mar;36(1):113-20. doi: 10.1177/0309364611428235. Epub 2011 Nov 14.
- CP001