Skip to main content
OpenTrials
Not Yet Recruiting

NCT Number: NCT07380516

Xo-Motion R Exoskeleton in SCI-Adoption Study

After spinal cord injury (SCI), many people lose their ability to walk and do not have access to equipment and assistance that could help them regain functional abilities. Furthermore, many who have the potential to regain function are further hindered by a loss of function in their upper body that limits their ability to use a walker or crutches, thus eliminating options for mobility.

This study seeks to determine the safety and feasibility of the XoMotion-R, a self-balancing exoskeleton that allows people with American Spinal Injury Association Impairment Scale (AIS) rating of B-D SCI to walk hands-free in inpatient and outpatient settings. This study will examine how use of the XoMotion-R affects functional outcomes and identify setting-specific barriers and facilitators to clinical adoption.

This single-arm feasibility study will recruit 8 SCI inpatients and 8 SCI outpatients whose goal is to improve their walking and incorporate the XoMotion-R into their rehabilitation sessions. Participants will work on a variety of gait tasks tailored to their functional level. The goal is to determine whether early robotic gait training can improve functional outcomes and decrease length of stay, secondary complications, and long-term disability burden.

Not Yet Recruiting

Trial opening soon.

Get Notified

Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Glenrose Rehabilitation Hospital

Edmonton, Alberta, T5G0B7, Canada

Location contact

Jessica M D'Amico, PhD

PRINCIPAL_INVESTIGATOR

Jessica M D'Amico, Scientific Program Lead, Assistant Professor, PhD

CONTACT

[email protected]

780-203-9478

Yoshino Okuma, Clinical Research Specialist, BScRN, MSc

CONTACT

[email protected]

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • SCI (AIS C or D in inpatient setting, AIS B-D in outpatient setting; inclusive of cervical injuries)
  • inpatients who are preambulatory with predicted probability of walking independently 1year after injury >50% (Hicks et al., 2017)
  • outpatients with a functional goal of improved locomotion where the XoMotion is clinically suited to support the achievement of their functional goals

Exclusion criteria

  • SCI AIS A

Treatment and study plan

XoMotionR- assisted locomotor training

Device

The XoMotion-R self-balancing exoskeleton will be utilized for locomotor training in both the inpatient and outpatient setting. Inpatient intervention will be focused on promoting early weight-bearing, postural control, and initiation of step cycles. Training includes progressive walking tasks that emphasize symmetrical lower limb loading, upright posture, and engagement of trunk musculature. In addition to forward ambulation, sessions incorporate functional activities such as sit-to-stand transitions, pivot turns, and standing balance tasks which are all possible with the self-balancing XoMotion-R. The intervention is individualized based on tolerance, cardiovascular response, and patient progress, with adjustments made to walking speed, step length, and assistance levels over time.

Outpatient intervention will follow a task-specific approach emphasizing increased walking distance, reduced exoskeleton assistance, and advancement toward community-based ambulation goals. In this phase,

Primary outcomes

  1. SCI Standing and Walking Assessment (SWAT)

    Time frame: Baseline and completion of 6 weeks of locomotor therapy with the XoMotionR

    The SWAT will be the primary effectiveness outcome for the inpatient group.

  2. 6min Walk Test (6MT) (Outpatient group)

    Time frame: Baseline and completion of 6 weeks of locomotor therapy with the XoMotionR

  3. 10-m Walk Test (10MWT) (Outpatient Group)

    Time frame: Baseline and completion of 6 weeks of locomotor therapy with the XoMotionR

  4. Modified Timed Up and Go (mTUG) (Outpatient Group)

    Time frame: Baseline and completion of 6 weeks of locomotor therapy with the XoMotionR

  5. Berg Balance Scale (BBS) (Outpatient Group)

    Time frame: Baseline and completion of 6 weeks of locomotor therapy with the XoMotionR

Secondary outcomes

  1. Device-generated metrics (Number of steps taken)

    Time frame: Throughout study completion, for an average of 6 weeks

  2. Device-generated metrics (Level of assistance provided)

    Time frame: Throughout study completion, for an average of 6 weeks

Other outcomes

  1. Functional Independence Measure (FIM)

    Time frame: Baseline and completion of 6 weeks of locomotor therapy with the XoMotionR

  2. SCIM III

    Time frame: Baseline and completion of 6 weeks of locomotor therapy with the XoMotionR

  3. System Usability Scale (SUS)

    Time frame: At 6 weeks

    The SUS is a standard scale used to evaluate a technology. It will be completed by all clinicians who used the device at the end of the study.

  4. Participant Structured Interview

    Time frame: At 6 weeks

    Structured interview to accurately capture the participants overall experience and impressions with the exoskeleton.

Study contacts

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

Jessica M D'Amico, Scientific Program Lead and Assistant Professor, PhD

CONTACT

[email protected]

780-203-9478

Yoshino Okuma, Clinical Research Specialist, BScRN, MSc

CONTACT

[email protected]

Sponsors and collaborators

Lead sponsor

University of Alberta

Other

Collaborators

  • Praxis Spinal Cord Institute

Registry information

Official study title

Adoption of the Xo-Motion R in the Subacute and Chronic SCI Populations at the Glenrose Rehabilitation Hospital

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
Feb 2, 2026
Registry last updated
May 7, 2026

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.

Published trials that share one or more normalized conditions with this study.