Spinal Cord Injury
Conditions
Keywords
spinal cord injury
Brief summary
The STIMO-2 study aims to investigate TESS-supported rehabilitation training in sub-acute spinal cord injury (\< 6 months post-injury). The primary endpoint of this study is to assess the safety and feasibility of TESS. The preliminary effectiveness of the therapy is the secondary study endpoint. The mobility recovery status of patients, who undergo TESS-supported rehabilitation, will be assessed at 12 months post SCI, compared to their predicted recovery expectations based on standard rehabilitation program
Interventions
Implantation of SCS lead in epidural space and implantation of neurostimulator in abdominal region
Sponsors
Study design
Eligibility
Inclusion criteria
(non-exhaustive list) * Patient enrolled in the EMSCI study * Age 18 to 70 years old included * Focal spinal cord injury due to trauma * Patient with history of SCI within the past 6 months (sub-acute SCI) * Vertebral lesion T11 or above * Psychological condition compatible with study participation * Able and willing to fulfil all study procedures
Exclusion criteria
(non-exhaustive list) * Severe or chronic medical disorder pre-existing SCI affecting rehabilitation * Active implanted device such as a pacemaker, implantable cardiac defibrillator * Inability to follow study procedures, e.g. due to language problems, psychological disorders, dementia * Pregnant or breast feeding * Participation in other interventional study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Safety Measure: occurence of Serious Adverse Event | Through study completion, until 12 months after injury | Occurrence of Serious Adverse Event that are deemed related or possibly related to study procedure or to study investigational system |
| Feasibility Measure: use of TESS stimulation (in minutes) for improved mobility | Through study completion, until 12 months after injury | Measure of the absolute and relative usage of TESS (in minutes) during mobility rehabilitation sessions. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Preliminary effectiveness: assessment of function recovery of leg motor function using the 6 mnWT distance | Through study completion, until 12 months after injury | This endpoint will compare each patient's 6mnWT distance at 12 months post Date Of Injury to historical controls. |
| Preliminary effectiveness: mobility assessment using SCIM-III mobility score | Through study completion, until 12 months after injury | This endpoint will compare each patient's SCIM-III mobility score at 12 months post Date Of Injury to historical controls. |
Countries
Switzerland