The INSPIRE study is interventional, European, prospective, open, multicentric, each patient being his/her own control. It is conducted to assess the safety and performance of the Atalante exoskeleton system in patients presenting an hemiplegia due to cerebrovascular accident. The primary endpoint is defined by the reported adverse events. The study will include 40 patients and takes place in six rehabilitation centers (4 in France, 1 in Luxembourg, 1 in Belgium).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
40
A session includes stand-up, walks, exercises with or without the assistance of the exoskeleton, rotation, side and back step, squat and sitting.
Cliniques universitaires Saint-Luc
Brussels, Belgium
Centre Jacques Calvé - Fondation Hopale
Berck, France
Centre de Médecine Physique et de Réadaptation
Pionsat, France
Centre mutualiste de Rééducation et de Réadaptation de Kerpape
Ploemeur, France
Hôpital La Musse, La Renaissance Sanitaire
Saint-Sébastien-de-Morsent, France
Rehazenter
Luxembourg, Luxembourg
The primary objective is to evaluate the incidence of treatment-emergent adverse events.
The primary endpoint is measured through reported Adverse Events (AEs) including adverse events (AEs), adverse device effects (ADEs), serious adverse events (SAEs), serious adverse device effects (SADEs), adverse procedure effects (APE), and new findings (NFs).
Time frame: Throughout study completion, an average of 6 days
Evaluate the patient's ability to walk without the Atalante exoskeleton
Evaluation of the walk performance with the Functional Ambulation Category (FAC) at baseline and session 6 (from 0 to 5, 0 being "patient cannot walk" and 5 "patient can walk independently anywhere")
Time frame: At study start, day 1 and at study completion, up to 6 days
Evaluate the patient's gait speed without the Atalante exoskeleton
Evaluation of the gait speed measured without the Atalante exoskeleton in 10-Meter Walk Test (10MWT) at baseline and session 6
Time frame: At study start, day 1 and at study completion, up to 6 days
Evaluate the patient's endurance without the Atalante exoskeleton
Evaluation of the covered distance without the Atalante exoskeleton measured in 6-Minute Walk Test (6MWT) at baseline and session 6
Time frame: At study start, day 1 and at study completion, up to 6 days
Evaluate the patient's static and dynamic balance without the Atalante exoskeleton
Evaluation of static and dynamic balance without the Atalante exoskeleton measured with the Berg Balance Scale (BBS) at baseline and session 6 (0-20 on the BBS represents balance impairment; 21-40 on the BBS represents acceptable balance; 41-56 on the BBS represents good balance)
Time frame: At study start, day 1 and at study completion, up to 6 days
Evaluate the patient's spasticity
Evaluation of the spasticity of the adductor muscles, hamstrings, quadriceps, and triceps surae measured with Modified Ashworth Scale at baseline and session 6 0 No increase in muscle tone 1. Slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion (ROM) when the affected part(s) is moved in flexion or extension 1+ Slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM 2. More marked increase in muscle tone through most of the ROM, but affected part(s) easily moved 3. Considerable increase in muscle tone, passive movement difficult 4. Affected part(s) rigid in flexion or extension
Time frame: At study start, day 1 and at study completion, up to 6 days
Evaluate the patient's pain
Evaluation of the pain measured before and after sessions 1 to 5 using the Visual Analogical Scale-Pain. The patient is asked to make pain ratings between "No Pain" and "Maximum pain imaginable", , with "No pain" corresponding on 0 on the caregiver side and and "Maximum pain imaginable" to 10 on caregiver side.
Time frame: At study start, day 2 and at study completion, up to 6 days
Evaluate the patient's capability to stop the exoskeleton on time using the remote
Evaluation of the patient's capability to stop the exoskeleton, on time using the remote at session 5
Time frame: At study mid term, up to 5 days
Evaluate the patient's satisfaction and perceptions upon completion of a locomotor training program with the Atalante exoskeleton
Evaluation of the satisfaction et perceptions via a questionnaire specific to the use of robotics exoskeleton at session 6. Questions are answered on a 7-level Likert scale.
Time frame: At study completion, up to 6 days
Evaluate the use of the Atalante exoskeleton
Collection of data relating to the patient's walking parameters and level of assistance with the Atalante exoskeleton during sessions 1 to 5
Time frame: At study start, day 2 and at study completion, up to 6 days
Evaluate the patient's skin condition to monitore the pressure points the patient may have with the contact of the exoskeleton.
The operator will perform a visual monitoring of the patient's skin to identify potential cutaneous morbidity at pressure points the patient may have with the exoskeleton before and after sessions 1 to 5.
Time frame: At study start, day 2 and at study completion, up to 6 days
Evaluate the patient's level of anxiety and depression
Assessment of patient anxiety and depression by means of the Hospital Anxiety and Depression (HAD) scale at baseline and one week after the 5th session
Time frame: At study start, day 1 and at one week afetr the study completion, up to 12 days
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