Multitissular Effect of Vertical Mobilization Using the Exoskeleton AtalanteTM in Neurological Chair- or Bed-bound Patients

Study Overview
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Brief Summary
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Background and aim: Sustained bed rest impairs many bodily functions. Verticalization restores gravitational challenge and the use of several organs. The Atalante™ exoskeleton (Wandercraft) is the only self-balanced exoskeleton, which allows walking without canes. We assessed multi-tissular effects of mobile reverticalization using Atalante™ in neurological bed- or wheelchair-bound patients. Methods: Observational cohort study. Inclusion criteria: bed- or wheelchair-bound for >2 weeks and <1 hour per day of stance, due to a central neurological disorder. Sessions with exoskeleton were 3/week, integrated in routine care. Data collected at baseline and after eight weeks (W8) included: cardiovascular (echocardiography, EKG, blood pressure lying and standing), pulmonary (spirometry), bone (densitometry, biochemical markers), bowels (daily stool frequency, Bristol Stool Scale), urinary (urinary flow, postmictional residual volume, urinary symptom profile questionnaire, USP), cognitive (trail making test, TMT-B), anxiety and depression (HAD), and quality of life (SF12). Results will be presented at the end of the study.

Official Title
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Multitissular Effect of Vertical Mobilization Using the Exoskeleton AtalanteTM in Neurological Chair- or Bed-bound Patients

Conditions
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Neurologic Disorder

Intervention / Treatment
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* Other: Assessment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: inpatient in neurorehabilitation neuroligical lesion chair or bed bound more than 23h/24h and more than 2 weeks over 18 years old Exclusion Criteria: spasticity over 3 on MAS any porotic fracture heel pressure sore Height > 150 cms, > 190 cms Weight < 30 kgs > 90 kgs recent thoracic or abdominal surgery pregnancy range of motion aloud to use the exoskeleton

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Assessment|Clinical, biological and imagery before and after 6 weeks of using AtalanteTM exoskeleton|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from Baseline in the Mean Hospital Anxiety and Depression scale at 6 weeks | HAD | baseline and 6 weeks | 
| Change from Baseline in the Mean Sonographic Cardiac index at 6 weeks |  | baseline and 6 weeks | 
| Change from Baseline in the Mean first second of forced expiration at 6 weeks | FEV1 | baseline and 6 weeks | 
| Change from Baseline in the Mean serum sclerostin at 6 weeks |  | D0 and D45 | 
| Change from Baseline in the Mean stool frequency at 6 weeks |  | baseline and 6 weeks | 
| Change from Baseline in the Mean maximal urine flow rate at 6 weeks |  | D0 and D45 | 
| Change from Baseline in the Mean Trail Making Test B at 6 weeks | TMT-B | baseline and 6 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from Baseline in the Mean blood pressure at rest at 6 weeks |  | baseline and 6 weeks | 
| Change from Baseline in the Mean stroke volume at 6 weeks | assessed by sonography | baseline and 6 weeks | 
| Change from Baseline in the Mean filling pressure at 6 weeks | assessed by sonography | baseline and 6 weeks | 
| Change from Baseline in the Mean Forced vital capacity at 6 weeks | FVD is assessed by spirometry | baseline and 6 weeks | 
| Change from Baseline in the Mean serum calcium at 6 weeks |  | baseline and 6 weeks | 
| Change from Baseline in the Mean serum creatine phosphokinase at 6 weeks | CPK | baseline and 6 weeks | 
| Change from Baseline in the Mean serum parathormone at 6 weeks | PTH | baseline and 6 weeks | 
| Change from Baseline in the Mean serum D vitamin at 6 weeks |  | baseline and 6 weeks | 
| Change from Baseline in the Mean serum phosphatases alcalines at 6 weeks | PAL | baseline and 6 weeks | 
| Change from Baseline in the Mean serum carboxy-terminal collagen crosslinks at 6 weeks | CTX | baseline and 6 weeks | 
| Change from Baseline in the Mean serum Tartrate-resistant acid phosphatase 5b at 6 weeks | TRAP5b | baseline and 6 weeks | 
| Change from Baseline in the Mean serum osteocalcin at 6 weeks |  | baseline and 6 weeks | 
| Change from Baseline in the Mean urin calcium at 6 weeks | bone densitometry | baseline and 6 weeks | 
| Change from Baseline in the Mean bone densitometry at 6 weeks |  | baseline and 6 weeks | 
| Change from Baseline in the Mean bristol stool scale at 6 weeks |  | baseline and 6 weeks | 
| Change from Baseline in the Mean voided volume at 6 weeks |  | baseline and 6 weeks | 
| Change from Baseline in the Mean post void residue at 6 weeks |  | baseline and 6 weeks | 
| Change from Baseline in the Mean urinary symptom profile SCORE at 6 weeks | USP | baseline and 6 weeks | 
| Change from Baseline in the Mean fatigue severity SCALE at 6 weeks | FSS | baseline and 6 weeks | 
| Change from Baseline in the Mean trail making test A at 6 weeks | cognitive assessment | baseline and 6 weeks | 
| Change from Baseline in the Mean fluence at 6 weeks | cognitive assessment | baseline and 6 weeks | 
| Change from Baseline in the Mean span at 6 weeks | cognitive assessment | baseline and 6 weeks | 
| Change from Baseline in the Mean Medical Outcome Study Short Form 12 at 6 weeks | quality of life assessment | baseline and 6 weeks |