Spinal stimulation at home may boost arm strength in paralysis
NCT ID NCT07438353
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests a home-based digital rehabilitation program combined with a non-invasive spinal cord stimulation device to improve upper limb function in people with chronic tetraplegia. Nine participants will use a mobile app-guided exercise program with daily stimulation over 22 weeks. The goal is to see if this approach is safe, feasible, and effective for improving strength, sensation, and quality of life.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- transcutaneous spinal cord stimulation (tSCS) device
- What this could lead to
- If it works, this could offer a safe, home-based way to improve arm and hand function and quality of life for people with tetraplegia.
- What could go wrong
- This is a very small early study (9 people) with no control group, so results may not apply widely. The device may not provide meaningful improvement, and home use carries risks like skin irritation or falls.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 9 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Apr 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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21 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Participant * Age 21 -75 years; * Non-progressive cervical SCI/spinal cord dysfunction (traumatic or non-traumatic); * Duration of SCI/spinal cord dysfunction more than or equal to 12 months; * ASIA Impairment scale (AIS B, C, or D) with impaired upper limb function; * At least one hand capable of grasp and pinch, with or without assistive modification; * International Standards for Neurological Classification of Spinal Cord Injury-Upper Extremity Measurement Scale (ISNCSCI-UEMS) more than or equal to 20; * Able to maintain an upright sitting position for at least 30 minutes; * No contraindication for tSCS (e.g., no pacemakers or other implantable stimulators); * Motivated and able to engage in a daily home-based rehabilitation program; * Availability of a dedicated care-giver to set up digital home-based therapy program Caregiver * Age 21 -75 years; * As identified by the patient as the caregiver; * Willing to participate in the study Exclusion Criteria: Participant * Significant or unstable medical co-morbidities including uncontrolled cardiopulmonary disease, severe cognitive impairment, severe dysautonomia, as determined by the investigator; * Pregnancy; * History of other neurologic conditions affecting upper limb function, such as stroke, multiple sclerosis, or traumatic brain injury; * Known history of peripheral neuropathy (diabetic polyneuropathy, entrapment neuropathy, etc); * Ongoing treatment for cancer; * Skin conditions or active cancerous lesion that limit the application of tSCS electrodes * Known contraindication for tSCS (pacemakers or other implantable stimulators); * Prior exposure to tSCS treatment; * Inability to provide informed consent. Caregiver: • Inability to provide informed consent.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Singapore General Hospital
Singapore, Singapore
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