Cerebrovascular Accident, Hemiparesis, Hemiplegia, Stroke, Stroke, Acute, Stroke Hemorrhagic
Conditions
Keywords
Stroke, Exoskeleton, Hemiparesis, Hemiplegia
Brief summary
A multi-site, interventional, non-comparative, single-arm trial to evaluate the safety of the ReWalk ReStore device in subjects with hemiplegia/hemiparesis due to ischemic or hemorrhagic stroke.
Interventions
The ReWalk ReStore device is intended to be used to perform ambulatory functions in rehabilitation institutions under the supervision of a trained therapist for people with hemiplegia/hemiparesis due to stroke.
Sponsors
Study design
Eligibility
Inclusion criteria
* History of one-sided ischemic or hemorrhagic stroke (\>2 weeks post stroke) * Presentation of hemiparesis/hemiplegia resulting from stroke * At least 18 years of age * Height of 4'8 - 6'7 * Weight of less than 264 lbs * Medical clearance by a clinician treating the subject * Able to ambulate at least 5 feet without an ankle foot orthosis (AFO), with no more than minimal contact assistance from a PT * Able to follow a 3-step command * Able to fit suit components (waistbelt, calf wrap) * No greater than 5 degrees of plantar flexion contracture during passive ankle ROM * Modified Ashworth Scale for spasticity at 3 or less for ankle dorsi-flexors and plantar-flexors
Exclusion criteria
* Severe aphasia limiting ability to express needs or discomfort verbally or non-verbally * Serious co-morbidities that, in the opinion of the investigator, may interfere with ability to participate * History of significant Peripheral Artery Disease * Colostomy bag * Current pregnancy * Uncontrolled or untreated hypertension * Currently participating in any other ongoing clinical trial * Presence of open wounds or broken skin at device locations requiring medical management * Known urethane allergies * Current medical diagnosis of DVT
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of device-related adverse events [Safety] | duration of study participation for each subject, estimated 4 weeks | Safety will be evaluated on the basis of the number of device-related adverse events reported for subjects during their participation in the study. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of device malfunctions during study procedures [Device Reliability] | duration of study completion for each site, estimated 4 months | Device reliability will be evaluated on the basis of the number of device malfunctions reported by research study staff for the duration of study procedures at each study site. |
| Incidence of injury to physical therapist caused by device [PT safety] | duration of study completion for each site, estimated 4 months | PT safety will be evaluated on the basis of the number of device-related injuries reported by study physical therapists for the duration of study procedures at each study site. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Modified QUEST questionnaire [subject satisfaction] | duration of study participation for each subject, estimated 4 weeks | Subjects will complete a modified QUEST questionnaire (Quebec User Evaluation of Assistive Technology) to indicate their level of satisfaction with the ReStore device (on a scale from 1 to 5) in 8 different categories. |
| Gait speed measured with 10 Meter Walk Test | duration of study participation for each subject, estimated 4 weeks | Subjects will perform a 10 Meter Walk Test to evaluate walking speed with and without the ReStore device. |
| Physical Therapist satisfaction questionnaire [PT satisfaction] | duration of study completion for each site, estimated 4 months | Physical Therapists involved in the study will complete a PT satisfaction questionnaire at the end of the study to indicate their level of satisfaction (on a scale from 1 to 5) with the ReStore device in 9 different categories. |
| Gait analysis using a gait mat | duration of study participation for each subject, estimated 4 weeks | Subjects will walk across a gait mat device (such as GAITRite) which records step timing and step placement in order to evaluate their walking with and without the ReStore device. |
| Walking distance measured with 2 Minute Walk Test | duration of study participation for each subject, estimated 4 weeks | Subjects will perform a 2 Minute Walk Test (2MWT) to evaluate the 2 minute walking distance with the ReStore device in Slack, Assist, and Brace modes |
Countries
United States