Exoskeleton Training at Home to Assist Participants With Spinal Cord Injuries to Perform Ambulatory Functions.
Clinical Investigation on the Safety and Performance of the ABLE Daily to Assist People With Spinal Cord Injury in Performing Ambulatory Functions in Home and Community Settings
ABLE Human Motion S.L.
10 participants
Jun 19, 2025
INTERVENTIONAL
Conditions
Summary
The goal of this clinical trial is to to confirm the safety and performance of the ABLE Daily to perform ambulatory functions in home and community settings for people with spinal cord injury. The experimental period will cover the training period with the ABLE Daily exoskeleton (3 weeks of use at the investigational site with a total of 9 sessions) and the home period (12 weeks of personal use at home and community environments).
Eligibility
Inclusion Criteria11
- At least 18 years old
- Chronic SCI (>6 months)
- Injury at levels T1 to L5 (AIS A to D)
- Walking Index for Spinal Cord Injury (WISCI) score 0 until 9
- Height between 150-200 cm
- Weight less than 100 kg
- Capable of giving informed consent on their own
- Able to train (at least) 3 days/week
- Able to have at least 1 companion / buddy who can attend a minimum of two of the training sessions, besides the final assessment, and who will learn how to assist them at home and in the community (ideally two companions)
- Proficiency in walking with the ABLE Exoskeleton
- At least 8 weeks with minimal use (less than 5 sessions) of wearable robotic exoskeletons for gait assistance at the start of the study.
Exclusion Criteria14
- High risk of fractures due to osteoporosis, a dual energy X-ray absorptiometry (DEXA)-scan at the hip, distal femur, and proximal tibia BMD score
- Fragility fractures of the lower limbs in the last 2 years
- Deterioration >3 in the International Standards for Neurological Classification of SCI (ISNCSCI) score in the last 4 weeks
- Spinal instability, like spondylolisthesis
- Disorders of the arms and hands that make walking with crutches impossible
- Modified Ashworth Scale (MAS) >3 in lower limbs
- Cardiovascular health issues which prevent the participant from training
- Instability to tolerate 10 minutes of standing without clinical symptoms of orthostatic hypotension
- Psychological, cognitive issues, or any other condition that does not allow a participant to follow study procedures
- Medically unstable due to severe comorbidities, including any condition that a physician deems inappropriate for completing study participation
- Skin problems in areas that would be in contact with the device
- Height, width, weight, or other anatomical limitations (such as differences in leg length) incompatible with the device
- Insufficient joint range of motion (ROM) for the device
- Known pregnancy
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Interventions
The participants will receive training sessions with the ABLE Daily at Sint Maartenskliniek. After they pass the skills and knowledge exam, they will receive the ABLE Daily at their disposal at home for twelve weeks
Locations(1)
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NCT07062575