Operant Conditioning of Spinal Reflexes Training System--Reflex Operant Down Conditioning

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorMedical University of South Carolina

About this trial

The purpose of this study is to validate the capacity of a reflex training system to change the size of the targeted reflex. For this, the researchers are recruiting 25 individuals with chronic incomplete SCI who have spasticity in the leg to participate in the reflex training procedure. The study involves approximately 45 visits with a total study duration of about 6 months.

Eligibility criteria

Qualifiers

a clinically stable spinal cord injury (above T11) that occurred at least one year previously

the ability to ambulate at least 10 m with or without an assistive device (i.e., walker, crutches, or cane, not parallel bars) within 100 sec (those with 10-meter walking time >100 sec are excluded because it is unlikely that they are able to participate in and complete our planned locomotion evaluation procedures)

clinical signs of spasticity in the plantarflexor muscles at least unilaterally (i.e., hyperreactivity to Achilles tendon tap, and increased muscle tone, score >1 on Modified Ashworth scale)

spastic hyperreflexia reflected in exaggerated H-reflex

Disqualifiers

motoneuron injury;

a cardiac condition (history of myocardial infarct, pacemaker use, etc.)

an unstable medical condition

a pre-existing or confounding neurological condition (e.g., history of Multiple Sclerosis (MS), Traumatic Brain Injury (TBI), Stroke, Parkinson's disease)

Trial design

Treatments tested in this trial

  • Spinal Reflex Operant Down Conditioning

Treatment groups

25 Participants
are divided into 1 treatment group

Sponsors and collaborators

Medical University of South Carolina

Lead sponsor

National Institute of Neurological Disorders and Stroke (NINDS)

Collaborator