Association Between tDCS and Lokomat Training in Patients With Incomplete Spinal Cord Injury
NCT02562001 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 42
Last updated 2021-06-08
Summary
The spinal cord injury is identified as the major cause of permanent disability worldwide, with the loss of ability to walk being the largest and most devastating of them for these patients. Our goal is to analyze the effects of electrical transcranial direct-current stimulation (tDCS) combined with gait training with partial body weight support aided by robotic device (Lokomat, Hocoma) in the gait of patients with incomplete spinal cord injury (SCI). In this stratified randomized double-blind study, the participants will be randomly allocated into one of both groups, outpatients (GA) or inpatients (GI), and will receive active or placebo tDCS followed by gait training with Lokomat (GA: 3 sessions/week x 10 weeks = 30 sessions; GI: 5 sessions/week x 6 weeks = 30 sessions). The functional assessments (through clinical and functional scales, assess gait, muscle strength, spasticity, balance and pain) and neurophysiological (cortical excitability measured by transcranial magnetic stimulation, electroencephalography and functional near-infrared spectroscopy) will be held before and after the training period. The functional assessments will be also held after 15 sessions (intermediate) and after 3 months follow up. The expected result is that patients that received the active tDCS presents an improvement over the ground gait after the Lokomat training period significantly greater than the placebo group, with relations between neurophysiologic, kinematics and functional measurements.
Conditions
- Spinal Cord Injuries
Interventions
- DEVICE
-
Outpatient active group
active tDCS during 20 minutes before Lokomat training for outpatients
- DEVICE
-
Outpatient placebo group
placebo tDCS during 20 minutes before Lokomat training for outpatients
- DEVICE
-
Inpatient active group
active tDCS during 20 minutes before Lokomat training for inpatients
- DEVICE
-
Inpatient placebo group
placebo tDCS during 20 minutes before Lokomat training for inpatients
Sponsors & Collaborators
-
University of Sao Paulo General Hospital
lead OTHER
Principal Investigators
-
Linamara Battistella, Md PhD · University of Sao Paulo
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-05-06
- Primary Completion
- 2018-05-05
- Completion
- 2018-05-05
Countries
- Brazil
Study Locations
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