Assessment of a Robotic Exoskeleton for Upper Limb Rehabilitation
This study is looking at a new robotic arm device that might help people with spinal cord injuries move their arms better. It's called a robotic exoskeleton and it's designed to help with everyday tasks, making people more independent. This trial is the first time this specific device will be tested in the NHS. Nine patients with spinal cord injuries will join the study at two hospitals in the UK. They will use the robotic device during 45-minute therapy sessions, three to four times a week, for 12 weeks. Researchers will check their arm movement and other things before, during, and after the program to see how much it helps.
At a glance
What is this study about?
This study is about a new type of robot technology that can help people with spinal cord injuries get more movement back in their arms. These special robotic devices, sometimes called 'exoskeletons', fit over your arm and help it move. The idea is that these devices could make it easier for people to do their rehabilitation exercises at home and feel more in control of their own recovery. This could lead to a better quality of life and more independence.
The main aim of this study is to see how well this particular robotic arm device works for people with spinal cord injuries in the UK. It’s the first time this device, made by an American company called Myomo, will be used in the National Health Service (NHS). Over 12 weeks, the study will involve nine patients with spinal cord injuries who have limited arm movement. They will be taking part at two different special hospitals: the National Spinal Injuries Unit in Glasgow, Scotland, and The Robert Jones and Agnes Hunt Orthopaedic Hospital in Oswestry, England.
Researchers will be looking closely at whether using this robotic device helps improve arm function, how far people can move their arms, and if it helps with muscle stiffness (called spasticity). They also want to understand what both the patients and their therapists think of the device and if it makes a real difference to their daily lives and recovery.
Key takeaways
- This study evaluates a robotic arm device for spinal cord injury rehabilitation.
- It aims to improve arm movement, independence, and quality of life.
- Nine patients will participate over 12 weeks at two UK hospitals.
- Participants will use the device for 45-minute sessions, 3-4 times per week.
- Researchers will assess arm function and patient/therapist satisfaction.
- It's the first NHS trial for this specific robotic device.
Who may be eligible?
To be able to join this study, you need to be at least 18 years old. The study is for people who have specific spinal cord injuries (at levels C5, C6, C7, or C8) that affect their arm and hand movement. You should still have some basic shoulder movement and some feeling in your hands. It's also important that you have some sitting balance, as this helps you use your arms more freely.
The study is looking for people who can already show some very slight muscle activity in their fingers, and in bending and straightening their elbow, even if it's just a little bit. Primarily, it's for people who currently find it difficult to use their arm and hand much in their daily life. If you have some muscle stiffness, known as spasticity, that is generally mild to moderate, you might also be a good fit.
Could this study suit you?
Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.
- Are you 18 years old or older?
- Do you have a spinal cord injury that affects your arm and hand?
- Do you have some feeling in your hands and can move your shoulders a little?
- Do you have some sitting balance?
- Do you have some very slight movement in your fingers or elbow, even if it's weak?
- Do you currently have difficulty using your arm and hand much in daily life?
What does participation involve?
If you join this study, you will take part in a 12-week rehabilitation program. During this time, you will have three to four therapy sessions each week, in addition to your usual care. Each session will last about 45 minutes and will involve using the special robotic arm device on your dominant arm (the arm you use most often).
Before you start, halfway through the 12 weeks, and at the very end, the research team will do some checks. They'll measure how well your arm and hand move, your arm's range of motion, and how much muscle stiffness you have. This helps them see if the device is making a difference. They'll also ask you and your therapists about your experience and satisfaction with using the robotic device.
Potential risks and benefits
Locations (2)
- Royal National Orthopaedic Hospital (Stanmore)Verified postcodeLondon, United Kingdom· Recruiting
- The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation TrustVerified postcodeOswestry, United Kingdom· Recruiting
Common questions
What is a 'robotic exoskeleton'?
It's a special device that fits around your arm and hand, designed to help improve movement and strength after an injury.
Where will the study take place?
The study will happen at two special hospitals: the National Spinal Injuries Unit in Glasgow, Scotland, and The Robert Jones and Agnes Hunt Orthopaedic Hospital in Oswestry, England.
How long will I need to be in the study?
The main part of the rehabilitation program lasts for 12 weeks.
Will I still get my normal therapy if I join?
Yes, you will continue to receive your usual care and rehabilitation alongside the study activities.
What parts of my arm will the device help?
The device and training will focus on improving movement in your dominant arm, specifically your elbow and hand.
How to find out more
Heba Lakany, PhD
Always speak to your GP or specialist before deciding to take part in a study.
Interested in taking part?
Discussion
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