A Head-to-head Study Comparing the Functional Value of Two Models of Robotically Assisted Rehabilitation in SMA (Spinal Muscular Atrophy) Patients
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Robotically Assisted Locomotion, Robotically Assisted Verticalization.
- Кому может быть актуально
- Состояния в реестре: SMA. Базовые параметры: до 21 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Польша
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
A Head-to-head Study Comparing the Functional Value of Two Models of Robotically Assisted Rehabilitation in SMA Patients: Single-center, Randomized, Single-blinded, Comparative Study of a Robotically Active Verticalization Model Versus Robotically Assisted Locomotion Model
Обзор
A head-to-head study comparing the functional value of two models of robotically assisted rehabilitation in patients with SMA. A single-center, randomized, single-blinded, comparative study of Robotically Assisted Verticalization versus Robotically Assisted Locomotion. The objective of research: The main goal of the project is to determine the optimal robotically assisted rehabilitation model for people with SMA depending on age and baseline functional status. The study consists of a head-to-head comparison of two rehabilitation models. 1. Research period: 4 years 2. Patients age: 0-21 y.o. 3. Group size: 200 patients (100 patients in each group) 4. Assignment of patients to study groups in a randomised manner
Вмешательства
- Процедура Robotically Assisted Locomotion
* Motor control training * Locomotion and motor control training with elements of balance and coordination * Verticalization training: standing frame device and vibration platform * Cognitive therapy - Процедура Robotically Assisted Verticalization
* Motor control training * Verticalization training with Standard Frame Devices * Locomotion and motor control training with elements of balance and coordination * Cognitive therapy
Первичные конечные точки
- Clinical assessment of patients using Children's Hospital Of Philadelphia Infant Test Of Neuromuscular Disorders, Revised Upper Limb Module, Hammersmith Functional Motor Scale [Срок оценки: Through study completion, max. for 2.5 year every 6 months]
- Clinical assessment of patients using Balance test minimum 1 min., Self-walk test of at least 2 meters, 6-minute gait test, Up&Go test, 10 meters gait test, hip range of motion and muscle strength evaluation. [Срок оценки: Through study completion, max. for 2.5 year every 6 months]
- Functional assessment of patients using GMFM (Gross Motor Function Measure) scale [Срок оценки: Through study completion, max. for 2.5 year every 6 months]
- X-ray or ultrasound scan imaging assessment of the spine, hip joints and bone mineral density [Срок оценки: Once per 1 year]
- Assessment of the quality of life of patients and their caregivers using Pediatric Quality of Life Inventory ver. 4.0 [Срок оценки: Through study completion, max. for 2.5 year every 6 months]
Вторичные конечные точки (3)
- Hospitalization during or between rehabilitations that take place each 6 months [Срок оценки: Through study completion, max. for 2.5 year]
- Occurence of discomfort during therapy requiring abrupt interruption or significant modification [Срок оценки: Through study completion, max. for 2.5 year every 6 months]
- Number of fractures [Срок оценки: Through study completion, max. for 2.5 year]
Критерии участия
Критерии включения
- Signing of informed consent to participate in the experiment by the participant or the participant's parent/legal guardian
- Diagnosis of SMA (spinal muscular atrophy 1-4) confirmed by genetic testing, symptomatic or pre-symptomatic
- Age between 0 and 21 years of age (will be determined on the day of starting participation in the project based on the date of birth)
- Treatment under a drug program for spinal muscular atrophy, provided that the patient has a diagnosis of spinal muscular atrophy at the date of eligibility.
Критерии исключения
- Cardio-respiratory disorders requiring invasive ventilation
- Advanced osteoporosis with multiple fractures prior to treatment
- Functional deterioration during the rehabilitation process in the range of scales appropriately selected for the SMA type: Prechtl, HINE, CHOP-INTEND, HFMS, RULM
- Lack of cooperation with the therapist
- Other functional indications preventing exercise
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Простое слепое
- Основная цель
- Поддерживающая терапия
Центры проведения
Польша · 1 центр
- Wiktor Dega University Orthopedic and Rehabilitation Hospital — Poznan
Идентификаторы
NCT: NCT06322654 · 2023/ABM/01/00004/P/02