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Transformation of Paralysis to Stepping
Sponsor: University of Louisville
Summary
The main goal of the project is to develop multiple noninvasive neuromodulatory strategies to facilitate full weight bearing stepping overground in people with paralysis. We will determine the effectiveness of combining noninvasive spinal cord stimulation and the administration of buspirone (a monoaminergic agonist) in facilitating locomotor activity in a gravity-neutral apparatus, during body weight supported stepping on a treadmill, when stepping overground, or during full weight bearing stepping overground in a rolling walker. Our objective is to identify the experimental variables that define the efficacy of these novel neuromodulatory techniques over a 5 year period in 15 participants with severe spinal cord injury who are at least one year post-injury.
Official title: Transformation of Paraplegic Paralysis to Overground Stepping in Humans
Key Details
Gender
All
Age Range
18 Years - 65 Years
Study Type
INTERVENTIONAL
Enrollment
15
Start Date
2019-09-30
Completion Date
2027-12-31
Last Updated
2026-03-13
Healthy Volunteers
No
Conditions
Interventions
Buspirone
Oral Buspirone 7.5mg - 10mg daily during the treatment phase.
Non-invasive Spinal Cord Stimulation
A non-invasive transcutaneous electrical spinal cord stimulator, which can be used a multiple spinal locations.
Overground stepping
This intervention is designed to assist people with neurological injuries for balance, standing, and stepping overground.
Gravity Neutral Device
This device is used to train and assess non-weight bearing stepping movements. When using the device, participants will be lying on their side with their legs suspended off the end of a table supported by small slings that are anchored securely to the apparatus.
Body Weight Supported Treadmill Training
Participants will be supported by a special harness while they are stepping on a treadmill. Trained technicians or therapists will be assist the trunk and legs during stepping as needed.
Rolling Walker
A standard rolling walker will be used for balance support and stability during stepping overground.
Locations (1)
Frazier Rehabilitation and Neuroscience Institute
Louisville, Kentucky, United States