About this trial
The goal of this clinical trial is to evaluate the safety and effectiveness of the Bambini Teens exoskeleton as a gait training tool in children aged 5 to 14 years diagnosed with cerebral palsy (CP). The main questions it aims to answer are:
* Is the Bambini Teens exoskeleton device safe and feasible as a gait training intervention for children with cerebral palsy, without resulting in a significant incidence of device-related serious adverse events? * Is it feasible for physical therapists to use the Bambini Teens exoskeleton as a gait training intervention for children with cerebral palsy, meaning participants will successfully complete the training sessions? * Will participants' mobility, specifically their self-selected walking speed, improve after receiving gait training using the Bambini Teens exoskeleton compared to baseline measurements?
Researchers will compare participants' mobility measured at baseline to their mobility after the intervention to see if improvements occur.
Participants will:
* Complete 6 gait training sessions using the Bambini Pediatric Exoskeleton, monitored by a licensed physical therapist. * Each training session will be 30 minutes long, conducted 2-3 times per week for approximately 3 weeks. * Undergo evaluations at baseline and post-intervention (after approximately 3 weeks), with each evaluation session lasting approximately 2 hours. * May also participate in optional motor evaluations.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Between the age of 5 and 14 years and diagnosed with cerebral palsy;
have joint range of motion within normal functional limits for ambulation as determined by study staff;
Be able and willing to comply with study procedures, including follow-up requirements;
Patient cognitive status and ability to communicate must be at a level consistent with that required to participate in standard motor rehabilitation;
Disqualifiers
any medical issue that precludes full weight-bearing and ambulation (e.g. orthopedic injuries, pain, severe spasticity);
skin issues that would prevent wearing the device;
pre-existing condition that caused exercise intolerance;
uncontrolled seizure disorder, spasticity or joint contracture that would interfere with walking;
Trial design
Single group
Treatments tested in this trial
Pediatric Lower Limb Exoskeleton (Bambini Teens)
DeviceThe Bambini Teens Exoskeleton is a wearable robotic device developed to assist lower limb movement and facilitate gait training for pediatric patients with mobility impairments such as cerebral palsy. The device provides powered assistance at the hip, knee, and ankle joints, supports adjustable gait parameters, and is designed for use in clinical rehabilitation settings under professional supervision.
Treatment groups
Trial outcomes
Primary outcomes
Device Safety
Incidence of device-related serious adverse events (SAEs) and other adverse events (AEs) occurring during the intervention period, recorded in an adverse event log.
Participant Usage and Treatment Compliance
Proportion of participants who complete all six planned gait training sessions under the supervision of a licensed physical therapist. Completion will be verified by session attendance and completion records.
Feasibility of Usage
Proportion of participants for whom the treating physical therapist successfully fits the device and records session-specific device settings, as documented in the session logs.
Clinician Treatment Satisfaction
Clinician satisfaction with the intervention, measured using a standardized FORM questionnaire completed by the treating physical therapist at the end of the intervention.
Secondary outcomes
Physical Impairment - Blood Pressure
Change in resting systolic and diastolic blood pressure measured using a standard sphygmomanometer.
Physical Impairment - Muscle Strength
Change in muscle strength of upper and lower limbs measured using the Manual Muscle Testing (MMT) scale (0-5 grades).
Physical Impairment - Joint Range of Motion
Change in the range of motion of upper and lower limb joints measured using a goniometer, reported as change in degrees.
Physical Impairment - Spasticity
Change in spasticity of lower extremities measured using the Modified Ashworth Scale (0-4 scores, with higher scores indicating greater spasticity).
Sponsors and contacts
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COSMO ROBOTICS CO., Ltd
Lead sponsor
Kessler Foundation
Collaborator
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