Clinical trial Recruiting at 2 sites Interventional Ages 18 and up

Using a robotic exoskeleton for upper limb rehabilitation in spinal cord injury patients

Official title: EXO4UL- Assessment of a Robotic Exoskeleton for Upper Limb Rehabilitation of Spinal Cord Injured Patients

Run by University of Liverpool · NCT05615766 · Data updated 2026-11-12

This study is testing a robotic device to help people with spinal cord injuries improve their arm movement and independence during rehabilitation.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment9 (estimated)
SponsorUniversity of Liverpool
Academic / other
Locations2 sites (London and 1 other locations)
StatusRecruiting
StartedSeptember 1, 2022
Main results expectedSeptember 30, 2025
Study endsMarch 2026
Registry record updatedSeptember 4, 2025
Trial IDNCT05615766 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older with specific spinal cord injury levels (C5-C8) and some gross shoulder movement.

Probably not a fit

Patients with severe upper limb impairment or those who do not meet the inclusion criteria may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study evaluates the effectiveness of a commercial robotic orthosis designed for upper limb rehabilitation in patients with spinal cord injuries. Conducted in two neuro-rehabilitation centers in the UK, the trial will involve nine tetraplegic inpatients who will participate in a twelve-week rehabilitation program. Each patient will attend three to four sessions per week, focusing on improving their upper limb function through the use of the robotic device alongside their usual care. The goal is to empower patients to self-manage their rehabilitation and enhance their independence.

Why it matters

Potential benefit: If successful, this intervention could significantly improve the independence and quality of life for patients with spinal cord injuries.

How similar studies have gone: While this approach is relatively novel in the NHS, similar studies in other settings have shown promise in using robotic exoskeletons for rehabilitation.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age 18+ years.
* The levels of C5 C6 Asia C/D would provide individuals with elbow and hand impairment and potentially functional shoulder movements. C7, C8 individuals could also benefit from the hand component of the device.
* Some gross shoulder movement at start of the trial to enable changes at the elbow/hand, to have the greatest potential for functional change.
* Preservation of hand sensation as base for motor restoration.
* Some sitting balance would give the best opportunity for the arm to be released for functional upper limb activity.
* EMG (muscle activity) evidence of active finger flexion, extension and elbow flexion extension Grade 1-2.
* Minimal or No community functional use of upper limb at start of trial.
* Spasticity MAS 1-3/5.

Where it's running

  • Royal National Orthopaedic Hospital (Stanmore)
    London, United Kingdom
    Recruiting
  • The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust
    Oswestry, United Kingdom
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.