Slip Training for Spinal Cord Injury

LM
KH
Overseen ByKristen Hohl, PT, DPT, NCS
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Shirley Ryan AbilityLab
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new device designed to help individuals with incomplete spinal cord injuries improve their balance. The device creates controlled slips during walking, potentially strengthening the ability to recover balance. It targets those who have had a spinal cord injury for at least six months and can walk 30 feet without support such as a cane or walker. Participants must primarily walk rather than use a wheelchair for mobility. As an unphased trial, this study offers a unique opportunity to contribute to innovative research that could enhance mobility for many.

Do I have to stop taking my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

What prior data suggests that this slip training device is safe for individuals with spinal cord injury?

Research has shown that slip training is generally safe for participants. In one study, participants completed the training without any problems. This training includes exercises that enhance balance and walking, crucial for those with spinal cord injuries. Another study found that this type of training can improve balance and reduce the risk of falls. Overall, evidence suggests that slip training is a safe method for people with spinal cord injuries to enhance their mobility and balance.12345

Why are researchers excited about this trial?

Researchers are excited about Slip Training for spinal cord injury because it introduces a novel approach to improving balance and mobility. Unlike traditional physical therapy that primarily focuses on strengthening muscles and improving coordination, Slip Training specifically targets the body's response to sudden slips, which can help prevent falls. By determining the optimal slip distance through controlled plank movements, this technique aims to retrain the nervous system to react more effectively, potentially offering a new layer of rehabilitative care that current methods don't address.

What evidence suggests that this slip training device is effective for spinal cord injury?

Research has shown that slip training, which involves practicing balance and walking on a moving surface, can help people with spinal cord injuries improve their balance. In this trial, participants will engage in balance slip training, including standard clinical balance assessments and determining the optimal slip distance. One study found that learning to adjust balance in advance can make slips less severe, especially for those with partial spinal cord injuries. Practicing walking on a moving surface can teach people how to better prevent falls. Another study found that activities like slip training can help the brain and nerves recover after spinal cord injuries. Overall, these findings suggest that slip training could effectively improve balance and walking for people with spinal cord injuries.12356

Who Is on the Research Team?

AJ

Arun Jayaraman, PT, PhD

Principal Investigator

Shirley Ryan AbilityLab

Are You a Good Fit for This Trial?

This trial is for people with an incomplete spinal cord injury (from at least 6 months ago) who mainly walk on their own without a cane, crutch, or walker for at least 30 feet and weigh less than 275 lbs. People can't join if they use a wheelchair most of the time, are pregnant, have had recent leg fractures, amputations, or other major balance-affecting conditions.

Inclusion Criteria

Medical clearance from physician
You have had a spinal cord injury that is not fully healed for at least 6 months.
You primarily get around by walking.
See 4 more

Exclusion Criteria

Currently pregnant
You rely on a wheelchair to get around most of the time.
You have had a leg amputated.
See 3 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Baseline Assessment

Participants undergo baseline static and dynamic balance assessments

1 day
1 visit (in-person)

Training

Participants perform balance training using the slip inducing device

1 day
1 visit (in-person)

Follow-up

Participants are monitored for changes in balance post-training

1 day
1 visit (in-person)

What Are the Treatments Tested in This Trial?

Interventions

  • Slip Training

Trial Overview

The study tests a new device that safely creates controlled slips while walking to help improve balance in people with incomplete spinal cord injuries. Participants wear a safety harness during training sessions using this slip-inducing walkway.

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: Balance SlipExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Shirley Ryan AbilityLab

Lead Sponsor

Trials
212
Recruited
17,900+

Citations

Efficacy of suspension exercise training in spinal cord injury

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Safety and efficacy of intensive task-specific training in ...

The trial showed that the addition of 10 weeks of intensive task-specific training supplemented with strength training does not improve neurological recovery in ...

How much and what type of exercises and training were ...

A descriptive quantitative study. To determine how much and what type of exercises and training were provided as part of usual physiotherapy ...

Systematic Review of Activity-Based Interventions to ...

This systematic review examined the literature to see if there is evidence to suggest that activity-based interventions can lead to neural recovery after SCI.

Effects of a Gait Training Program on Spinal Cord Injury ...

The results achieved in the study show a functional improvement in all patients when they are able to walk, but there are some limitations ...

Exercise Training and Manual Wheelchair Users With SCI

We will then use the findings to define how exercise training at a higher intensity can support health outcomes and improve therapeutic and community-based ...