Robotic Balance Training to Improve Postural Control and... | NCT06184295

NCT06184295

Protocol Section

Identification Module

Results Section

No data available

No data is available for this block.

Annotation Section

No data available

No data is available for this block.

Document Section

No data available

No data is available for this block.

Derived Section

Miscellaneous Info Module

Status Module

Description Module

Arms/Interventions Module

Arm Groups

Label	Type	Description	Intervention Names
TBI - Intervention Group	Experimental	The participants will receive 10 customized robotic balance training sessions to improve balance using the Hunova robotic device. Each session will last for up to 1.5 hours. The training may include standing or sitting on the robotic balance platform and performing the following tasks: maintaining balance when the platform becomes unstable or moving in various directions, or in an inclination; these tasks may be performed as instructed with eyes open or eyes closed condition; move in different directions to reach targets with my hands; stand on one leg or heel to toe and maintain balance; perform head or torso rotation while standing or sitting. All training will be performed with an overhead harness and a spotter will be present at all times.	Device: TBI - Intervention Group
TBI - Non Intervention Group	No Intervention	Participants will receive no intervention
Participants without disability group	No Intervention	Participants will receive no intervention

Interventions

Name	Type	Description	Arm Group Labels	Other Names
TBI - Intervention Group	Device	The participants will receive 10 customized robotic balance training sessions to improve balance using the Hunova robotic device. Each session will last for up to 1.5 hours. The training may include standing or sitting on the robotic balance platform and performing the following tasks: maintaining balance when the platform becomes unstable or moving in various directions, or in an inclination; these tasks may be performed as instructed with eyes open or eyes closed condition; move in different directions to reach targets with my hands; stand on one leg or heel to toe and maintain balance; perform head or torso rotation while standing or sitting. All training will be performed with an overhead harness and a spotter will be present at all times.

Outcomes Module

Primary Outcomes

Measure	Description	Time Frame
Berg Balance Assessment	A task performance test consisting of 14 items of increasing difficulty graded on a five-point ordinal scale of 0 to 4 (0 = subject is unable to perform task; 4 = subject is independent in performance of task) giving the best possible score of 56 for healthy balance.	5 weeks
Dynamic Gait Index	Dynamic Gait Index (DGI) is a measurement tool commonly used to assess dynamic balance, gait and risk for falls. It consists of a total of eight gait assessments which can be scored on a four-point ordinal scale, ranging from 0-3, where '0' indicates the lowest level of function and '3' the highest level of function, allowing for a total possible score of 24.	5 weeks
Timed Up and Go	It is a clinical test of functional gait abilities and dynamic balance. The participants will be asked to walk a distance of 3 meters from a seated position, turn around, walk back to the chair and sit back in the chair. The time taken to perform the task will be recorded using a stopwatch.	5 weeks
10 Meter walk test	Participants will be asked to walk about 12 meters. The time taken to walk 10 meters will be recorded.	5 weeks
Fall Efficacy Scale -International	This questionnaire is a widely accepted tool for the assessment of fear of falling and has excellent reliability and validity. It is a self-reported questionnaire that provides information on the level of concern about falls for a range of daily living activities. The original questionnaire contains 16 items and is scored on a four-point scale (1 = not very concerned to 4 = very concerned). Therefore the best possible value is 16 and the worst is 64.	5 weeks

Secondary Outcomes

Measure	Description	Time Frame
community ambulation	Sensors will be provided to be worn in wrist, leg and waist to collect gait cycle times and step length during community ambulation of the participants between baseline and follow-up. The participants will also wear the sensor during testing walking and balancing tasks at baseline and follow-up.	5 weeks

Eligibility Module

Eligibility Criteria

Participants with TBI:

Inclusion Criteria:

Be between the ages of 18 and 65.
Have been diagnosed with a TBI by a physician and be at least 6 months post injury and not more than 5 years post injury.
Have been medically stable for 3 months prior to the most recent TBI.
Not plan to make any drastic changes to medications (as determined by study staff) for at least 4 weeks.
Be able to stand unsupported for 5 minutes.
Be willing and able to give informed consent.
Be able and willing to comply with study procedures, verbal instructions, and follow-up requirements.

Exclusion Criteria:

Weight above 300 lbs.
Have severe cardiac disease such as heart attack or moderate or severe congestive heart failure.
Have a pre-existing condition resulting in significant disruption in alignment or function of the lower limb during standing.
Have additional medical conditions that affect the bones, muscles or nerves that would interfere with the balance.
Have any previously diagnosed history of balance problems prior to TBI.
Have fluctuating blood pressure.
Be on any medication that may affect balance, strength, or muscle coordination (e.g. Botox).
Be currently enrolled in another research study that is likely to affect participation in this research study.
Have seizure disorder.

Participants without a disability:

Inclusion Criteria:

Be between the ages of 18 and 65.
Not plan to make any drastic changes to medications for at least 4 weeks.
Not have an orthopedic, cognitive or neuromuscular disease.
Be able to stand unsupported for 5 minutes.
Be willing and able to give informed consent.
Be able and willing to comply with study procedures, including follow-up requirements.

Exclusion Criteria:

Weight above 300 lbs.
Have a history of injury to my lower limbs in the past 90 days.
Have severe cardiac disease such as heart attack or moderate or severe congestive heart failure.
Have a pre-existing condition resulting in significant disruption in alignment or function of the lower limb during standing.
Have any additional medical conditions that affect my bones, muscles, or nerves that would interfere with the movement or the ability to feel touch or pain.
Have difficulty following or responding to commands that would limit the study participation.
Be currently enrolled in another research study that is likely to affect participation in this research study.

ID	Term
D001930	Brain Injuries
D001927	Brain Diseases
D002493	Central Nervous System Diseases
D009422	Nervous System Diseases