Using a robotic device to improve standing after spinal cord injury

Tethered Pelvic Assist Device for Recovery of Standing After Severe SCI

NA · Kessler Foundation · NCT06643312

This study is testing a robotic device to see if it can help people with spinal cord injuries improve their ability to stand and balance.

Quick facts

PhaseNA
Study typeInterventional
Enrollment50 (estimated)
Ages18 Years and up
SexAll
SponsorKessler Foundation (other)
Locations1 site (West Orange, New Jersey)
Trial IDNCT06643312 on ClinicalTrials.gov

What this trial studies

This study investigates the effects of a robotic assistive device called the Tethered Pelvic Assist Device (TPAD) on standing and sitting balance control in individuals with spinal cord injury (SCI). Participants will be classified into five groups based on their ability to stand independently and will undergo training with the TPAD to enhance muscle function and posture control. The TPAD provides active support and controlled perturbations to challenge participants' balance, aiming to improve their overall standing ability. A total of 50 participants will be enrolled, with assessments conducted over a six-month period.

Who should consider this trial

Good fit: Ideal candidates are adults aged 18 and older with stable, non-progressive traumatic spinal cord injuries above T10, either able to stand independently or unable to do so.

Not a fit: Patients with untreated musculoskeletal issues, severe dysautonomia, or those unwilling to discontinue anti-spasticity medications may not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could significantly enhance the ability of individuals with spinal cord injuries to stand and maintain balance, improving their quality of life.

How similar studies have performed: While the use of robotic devices for rehabilitation is an emerging field, this specific approach with the TPAD is novel and has not been extensively tested in prior studies.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. At least 18 years of age at the time of enrollment;
2. stable medical condition
3. at least one year post-spinal cord injury (Groups 1-4)
4. non-progressive, traumatic SCI above T10 (Groups 1-4)
5. Injury Grade A, B, C or D (Groups 1-4)
6. ability to stand independently for short periods of time, not exceeding 1 hour (Groups 1 and 3)
7. inability to stand independently (Groups 2 and 4)

Exclusion Criteria:

1. unwillingness to wean from anti-spasticity medications;
2. untreated painful musculoskeletal dysfunction, unhealed fracture, contracture, pressure sore or urinary tract infection
3. history of bone disease unassociated with decreased bone mineral density due to spinal cord injury
4. ongoing drug abuse
5. untreated psychiatric disorders or clinical depression
6. received botox injections in lower extremities in the prior six months
7. Cardiopulmonary disease that may interfere with assessments
8. Untreated severe and persistent dysautonomia
9. Neurological injury or disease (Group 5)
10. Orthopedic injury or condition (Group 5)

Where this trial is running

West Orange, New Jersey

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.

View on ClinicalTrials.gov →

Conditions: SCI - Spinal Cord Injury, TPAD

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.