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NCT Number: NCT06894160

Safety and Usability of the EXPLORER Exoskeleton in Adults With Neuromuscular Diseases

Neurodevelopmental disorders frequently result in abnormal development of the Central Nervous System (CNS), often leading to motor impairments such as difficulty in standing and walking. EXPLORER is a robotic exoskeleton for gait rehabilitation, specifically designed for adults aged 18 to 85 with motor disabilities.The aim of this study is to evaluate the safety and usability of the EXPLORER for adults with motor disability.

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Key information

Age range

18 year–85 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

About this study

Neurodevelopmental disorders frequently result in abnormal development of the Central Nervous System (CNS), often leading to motor impairments such as difficulty in standing and walking. EXPLORER is a robotic exoskeleton for gait rehabilitation, specifically designed for adults aged 18 to 85 with motor disabilities. The aim of this study is to evaluate the safety and usability of the EXPLORER for adults with motor disability.

This study will involve testing the gait-assistance exoskeleton in healthy patients during the first phase, and in patients with stroke (ACV), acquired brain injury (DCA), multiple sclerosis (EM), and muscular dystrophy (LM) during the second phase. The study will consist of two phases:

Phase 1: One visit with the device in healthy patients to assess the initial safety and comfort of the device.

Phase 2: A screening visit (S0) followed by two treatment visits with the device (V1-V2) in patients with ACV, DCA, EM, and LM to determine the effectiveness of the device in treating motor impairments caused by these conditions.

The goal of the study is to evaluate the safety and usability of the device in patients with ACV, DCA, EM, and LM, in order to identify potential benefits in improving gait, muscle strength, and overall functionality in this patient group.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

related to the device characteristics:

  • Weight < 100 kg.
  • Hip width between 30 - 45 cm.
  • Distance from the hip joint center to the knee joint center: 36 cm - 50 cm.
  • Distance from the knee joint center to the floor: 43.5 cm - 59.5 cm.
  • Patients must be able to follow simple instructions.
  • MAS < 3 in lower limbs.
  • EU shoe size between 36 and 45.
  • Absence of pathology affecting movement (only valid for phase 1 of the current study).

Inclusion criteria

related to the study:

  • Age 18-85 years.
  • Diagnosis of stroke (ACV), acquired brain injury (DCA), multiple sclerosis (EM), muscular dystrophy (LM), or cerebral palsy (PC).
  • Gait difficulty: those who require assistance to walk using technical aids, assistance, or supervision from others.
  • FAC score in participants with DCA, stroke, or MS < 4.
  • WISCI II score in participants with MD < 20.

Exclusion criteria

  • Spasticity (MAS) = 3 in lower limbs.
  • Skin alterations in the areas of contact with the device.
  • Planned surgical intervention during the study duration.
  • Two or more osteoporotic fractures in the lower limbs in the last 2 years.
  • Presence of other conditions that cause exercise intolerance (such as uncontrolled hypertension, coronary artery diseases, arrhythmia, congestive heart failure, severe lung disease).
  • Surgical operation in the 3 months prior to the start of the study on the limbs and/or spine.
  • Psychiatric disorders that interfere with proper use of the device or participation in the study, such as impulsivity or inability to understand simple instructions.

Treatment and study plan

Adults EXPLORER

Device

Two sessions with the robotic gait device in patients with neuromuscular diseases.

Primary outcomes

  1. Serious Adverse Events

    Time frame: Through study completion, an average of 1 month

    Occurrence of any serious adverse event to the participant or the caregiver

  2. Falls prevalence

    Time frame: Through study completion, an average of 1 month

    Number of falling events occurred from the participant or caregiver

  3. Heart Rate

    Time frame: Through study completion, an average of 1 month

    Beats per minute

  4. Skin integrity

    Time frame: Through study completion, an average of 1 month

    Occurrence of any injury of the skin in the areas of contact and produced by the use of the device

  5. Device usage time

    Time frame: Through study completion, an average of 1 month

    Time using the device

  6. Level of Spasticity

    Time frame: Through study completion, an average of 1 month

    Evaluation of spasticity with Modified Ahsworth Scale

  7. Level of fatigue

    Time frame: Through study completion, an average of 1 month

    Fatigue of both the participant and the therapist, Measured with the Borg scale

  8. Donning and doffing time

    Time frame: Through study completion, an average of 1 month

    Time to don and doff the device to each participant

  9. Level of assistance a participant requires for walking

    Time frame: Through study completion, an average of 1 month

    Measure with FAC scale

  10. Walking ability of individuals with spinal cord injuries

    Time frame: Through study completion, an average of 1 month

    Measure with WISCII (SCI) scale

  11. TUG

    Time frame: Through study completion, an average of 1 month

    The Time Up and Go test is used to assess a participant's mobility and balance

  12. 10MWT

    Time frame: Through study completion, an average of 1 month

    The 10-Meter Walk Test is used to assess walking speed by measuring the time taken to walk 10 meters at a comfortable pace.

  13. QUEST 2.0

    Time frame: at the end of the intervention, an average of 1 month

    Using the Quebec User Evaluation of Satisfaction with Assistive Technology questionnaire administered to the participants' caregivers at the end of the intervention. The QUEST 2.0 scale has 12 items. Each item is rated on a 5-point Likert scale

  14. Blood Pressure

    Time frame: Through study completion, an average of 1 month

    Measure in mmHg

  15. Oxygen Saturation

    Time frame: Through study completion, an average of 1 month

    It analyzes this absorption and calculates the SpO₂

Study contacts

Contact information is provided by the study sponsor or research team.

Carlos Cumplido Trasmonte

CONTACT

[email protected]

+34918711900

Sponsors and collaborators

Lead sponsor

MarsiBionics

Industry

Collaborators

  • Hospital Universitario La Paz

Registry information

Official study title

Safety and Usability of Adults EXPLORER Exoskeleton in With Neuromuscular Diseases

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Mar 25, 2025
Registry last updated
Jun 4, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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