Spinal Cord InjuriesFES-ROWNCT04821635
Effects of FES-Rowing in Neurological Disorders (FES-ROW)
A study testing Rower assisted by electrostimulation (FES-ROW) in people with Spinal Cord Injuries, run by UGECAM Rhône-Alpes at 2 sites in France.
Trial summary
The main objective of this project is to measure the increase in aerobic physical and metabolic capacities with a 6-month training on a rower assisted by electrostimulation of lower limbs in a population of adults with traumatic paraplegia. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Spinal Cord Injuries
- What is being tested?
- Rower assisted by electrostimulation (FES-ROW)
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 0 participants
- Where
- 2 sitesFrance
- Study dates
- Apr 2024to Dec 2026
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Paraplegia with traumatic origin
- Spinal cord injury AIS (ASIA Impairment Scale) score A and B at least 12 months old
- Patient having given written consent
- Patient with social security scheme
- Ability to obtain a leg extension with a 30-minute electrostimulation program
Who cannot join
- Protected adults (person in guardianship, curators or legal protection)
- Presence of contraindication criteria to carrying out a stress test or sustained physical activity decided by the doctor following the person with spinal cord injury.
- Drug treatment with cardiovascular or antidepressant effect
- Pressure sore
- Other associated neurological pathologies (stroke, peripheral neuropathy, myopathy, head trauma, ...)
- Affection of the shoulders of any etiology that could compromise the ability to use the rower.
- Spasticity of the lower limbs: Modified Ashworth Scale (MAS) greater than or equal to 2/4 (specifically quadriceps / Hamstrings)
- Participation in another study
Trial locations and contacts
2 sites in 1 country.
France2 sites
HIA Desgenettes
Lyon, Rhône, 69003
SSR Val Rosay UGECAM
Saint-Didier-au-Mont-d'Or, Rhône, 69370
About this study
Official title: Effects of Training on a Rower Assisted by Electrostimulation of Lower Limbs in Patients With Neurological Disorders (FES-ROW)
The main objective of this project is to measure the increase in aerobic physical and metabolic capacities with a 6-month training on a rower assisted by electrostimulation of lower limbs in a population of adults with traumatic paraplegia.
Read the detailed description
Beyond the inability to walk, chronic paraplegic patients show an increase in their mortality from cardiovascular pathologies, compared to the same age groups of the general population. It is the hypoactivity induced by neurological impairment that is implicated in the first place in the pathogenesis of these abnormalities. The search for training methods adapted to these patients is justified to limit cardiovascular morbidity and mortality.
The aim of this project is to measure the increase in aerobic physical and metabolic capacities with a 6-month training on a rower assisted by electrostimulation of lower limbs in a population of adults with stabilized paraplegia (non-walkers), of traumatic origin.
Study is divided in two 3-month phases. The first consists on a training on a rowing machine with solicitation of the electrostimulated lower limbs only for a period of 3 months at the rate of 3 sessions of 30 minutes per week. The second consists on a training on a rowing machine with solicitation of the electrostimulated lower limbs and upper for a period of 3 months at the rate of 3 sessions of 30 minutes per week. The evaluations are composed of the measurement of maximum oxygen consumption, muscle and neurological parameters
- Conditions
- Spinal Cord Injuries
- Being tested
- Rower assisted by electrostimulation (FES-ROW)
- Keywords
- Spinal Cord Injury, Functional Electrical Stimulation, Cardiovascular Prevention, Neuroplasticity, Rehabilitation
- Medical subject headings
- Spinal Cord Injuries
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Rower assisted by electrostimulation (FES-ROW)Device
- Pre-inclusion visit
- Inclusion visit
- Phase 1 Rower-FES with lower limbs (Month 0 to Month 3: M0-M3): Training on a rower with solicitation of the electrostimulated lower limbs only for a period of 3 months at the rate of 3 sessions of 30 minutes per week
- Interim assessment visit at Month 3 (M3)
- Phase 2 Rower-FES with lower limbs + upper limbs (Month 3 to Month 6: M0-M6): Training on with solicitation of the electrostimulated lower and upper limbs for a period of 3 months at the rate of 3 sessions of 30 minutes per week
- Final assessment visit at Month 6 (M6)
- End of clinical research visit, 3 months after the end of training (Month 9, M9)
| Study group | Role | What they receive |
|---|---|---|
| Rower | Experimental | Single group of 35 traumatic paraplegic patients meeting the inclusion criteria will benefit from the FES-ROW protocol during 9 months Receives: Device: Rower assisted by electrostimulation (FES-ROW) |
What is being measured
The primary outcome is the main question the study is designed to answer.
VO2 peak at 6 months (L/min)
Comparison of the maximum oxygen consumption (VO2 peak in L/min) measured during an incremental maximum stress test on a hand ergometer between the end of training on a rower (M6) and inclusion (M0).
Measured: 6 months
Secondary outcomes (10)
VO2 peak at 3 and 9 months (L/min)
Comparison of the maximum oxygen consumption (VO2 peak in L/min) measured during an incremental maximum stress test on a hand ergometer between the end of first training phase (M3) and inclusion (M0) and between the end of the study (M9) and inclusion (M0).
Measured: 9 months
First ventilatory threshold in the VO2max test at 0, 3, 6 and 9 months (L/min)
Comparison of the first ventilatory threshold (in L/min) in the VO2max test measured during an incremental maximum stress test on a hand ergometer between the end of first training phase (M3), the end of second phase (M6), the end of the study (M9) and inclusion (M0).
Measured: 9 months
Maximum electro-induced force at 0, 3, 6 and 9 months (Nm)
Comparison of maximum electro-induced force (in Newton) assessment with a device for measuring the force of the knee extensor muscles between the end of first training phase (M3), the end of second phase (M6), the end of the study (M9) and inclusion (M0).
Measured: 9 months
Thigh perimeter at 0, 3, 6 and 9 months (cm)
Comparison of thigh perimeter (in cm) assessment between the end of first training phase (M3), the end of second phase (M6), the end of the study (M9) and inclusion (M0).
Measured: 9 months
Maximum power at 0, 3, 6 and 9 months (Watts)
Comparison of the maximum power (in Watts) developed during the stress test on a hand ergometer between the end of first training phase (M3), the end of second phase (M6), the end of the study (M9) and inclusion (M0).
Measured: 9 months
Response to stimulation at 0, 3, 6 and 9 months (mA)
Comparison of the minimum threshold (Intensity in mA) of response to stimulation of the extensor muscles of the knee between the end of first training phase (M3), the end of second phase (M6), the end of the study (M9) and inclusion (M0).
Measured: 9 months
Assessment of spasticity at 0, 3, 6 and 9 months
Assessment of spasticity with Ashworth scale (rating from 0 to 4 which is the worst score) and Pendulum test (rating from 1 to 5 which is the worst score) between the end of first training phase (M3), the end of second phase (M6), the end of the study (M9) and inclusion (M0).
Measured: 9 months
Intensity of osteotendinous reflexes at 0, 3, 6 and 9 months
Comparison of the intensity of osteotendinous reflexes (Absent, normal and lively / diffuse / polykinetic) between the end of first training phase (M3), the end of second phase (M6), the end of the study (M9) and inclusion (M0).
Measured: 9 months
Self-assessment at 0, 3, 6 and 9 months
Self-assessment with Goal Attainment Scaling (GAS) between the end of first training phase (M3), the end of second phase (M6), the end of the study (M9) and inclusion (M0).
GAS rating is divided in 5 levels:
- -2: Current level
- -1: Improvement
- 0: Expected level after action
- +1: Level better than expected
- +2: Maximum level expected
Measured: 9 months
ASIA (American Spinal Injury Association) score at 0, 6 and 9 months
Comparison between the end of the study following the remanence period (M9) and the inclusion (M0) and M6 of the parameters of ASIA (American Spinal Injury Association) score.
Measured: 9 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Mar 2021
- Study startApr 2024 (estimated)
- Primary completionDec 2026 (estimated)
- Study completionDec 2026 (estimated)
Why it stopped: no participant enrolled
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Spinal Cord InjuriesStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 0 participants (actual)
Sponsor and investigators
- Lead sponsor
- UGECAM Rhône-Alpes
- Sponsor type
- University, hospital or other
- Collaborators
- University of Franche-Comté, Hospices Civils de Lyon, University of Lyon
- Responsible party
- Sponsor
- Investigators
- Julie R Di Marco, M.D, Principal investigator, UGECAM SSR Val Rosay
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04821635
- Sponsor's protocol ID
- 2020-1 (FESROW)
- Other IDs
- 2020-A00416-33
- Acronym
- FES-ROW
- Status last verified
- Jan 2024
- First submitted
- 17 Mar 2021
- Last updated
- 19 Sep 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Wheeler GD, Andrews B, Lederer R, Davoodi R, Natho K, Weiss C, Jeon J, Bhambhani Y, Steadward RD. Functional electric stimulation-assisted rowing: Increasing cardiovascular fitness through functional electric stimulation rowing training in persons with spinal cord injury. Arch Phys Med Rehabil. 2002 Aug;83(8):1093-9. doi: 10.1053/apmr.2002.33656.
PubMed 12161830Popovic-Maneski L, Aleksic A, Metani A, Bergeron V, Cobeljic R, Popovic DB. Assessment of Spasticity by a Pendulum Test in SCI Patients Who Exercise FES Cycling or Receive Only Conventional Therapy. IEEE Trans Neural Syst Rehabil Eng. 2018 Jan;26(1):181-187. doi: 10.1109/TNSRE.2017.2771466.
PubMed 29324409Deley G, Denuziller J, Babault N. Functional electrical stimulation: cardiorespiratory adaptations and applications for training in paraplegia. Sports Med. 2015 Jan;45(1):71-82. doi: 10.1007/s40279-014-0250-2.
PubMed 25205000
Study at a glance
From the registry record, last updated by the sponsor on 19 Sep 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Training on a Rower Assisted by Electrostimulation of Lower Limbs in Patients With Neurological Disorders (FES-ROW)
- ClinicalTrials.gov ID
- NCT04821635
- Acronym / sponsor ID
- FES-ROW / 2020-1 (FESROW)
- Conditions
- Spinal Cord Injuries
- Keywords
- Spinal Cord Injury, Functional Electrical Stimulation, Cardiovascular Prevention, Neuroplasticity, Rehabilitation
- Study type
- Interventional
- Recruitment status
- WithdrawnReason stopped: no participant enrolled
- Enrolment
- 0 participants (actual)
- Lead sponsor
- UGECAM Rhône-AlpesUniversity, hospital or other
- Collaborators
- University of Franche-Comté, Hospices Civils de Lyon, University of Lyon
- Study start
- Apr 2024 (estimated)
- Primary completion
- Dec 2026 (estimated)
- Study completion
- Dec 2026 (estimated)
- First posted
- 29 Mar 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The main objective of this project is to measure the increase in aerobic physical and metabolic capacities with a 6-month training on a rower assisted by electrostimulation of lower limbs in a population of adults with traumatic paraplegia.
Detailed description
Beyond the inability to walk, chronic paraplegic patients show an increase in their mortality from cardiovascular pathologies, compared to the same age groups of the general population. It is the hypoactivity induced by neurological impairment that is implicated in the first place in the pathogenesis of these abnormalities. The search for training methods adapted to these patients is justified to limit cardiovascular morbidity and mortality.
The aim of this project is to measure the increase in aerobic physical and metabolic capacities with a 6-month training on a rower assisted by electrostimulation of lower limbs in a population of adults with stabilized paraplegia (non-walkers), of traumatic origin.
Study is divided in two 3-month phases. The first consists on a training on a rowing machine with solicitation of the electrostimulated lower limbs only for a period of 3 months at the rate of 3 sessions of 30 minutes per week. The second consists on a training on a rowing machine with solicitation of the electrostimulated lower limbs and upper for a period of 3 months at the rate of 3 sessions of 30 minutes per week. The evaluations are composed of the measurement of maximum oxygen consumption, muscle and neurological parameters
Study design
- Primary purpose
- Prevention
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Rower | Experimental | Device: Rower assisted by electrostimulation (FES-ROW)Single group of 35 traumatic paraplegic patients meeting the inclusion criteria will benefit from the FES-ROW protocol during 9 months |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Paraplegia with traumatic origin
- Spinal cord injury AIS (ASIA Impairment Scale) score A and B at least 12 months old
- Patient having given written consent
- Patient with social security scheme
- Ability to obtain a leg extension with a 30-minute electrostimulation program
Key exclusion criteria (8 listed)
- Protected adults (person in guardianship, curators or legal protection)
- Presence of contraindication criteria to carrying out a stress test or sustained physical activity decided by the doctor following the person with spinal cord injury.
- Drug treatment with cardiovascular or antidepressant effect
- Pressure sore
- Other associated neurological pathologies (stroke, peripheral neuropathy, myopathy, head trauma, ...)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Rower assisted by electrostimulation (FES-ROW)1. Pre-inclusion visit 2. Inclusion visit 3. Phase 1 Rower-FES with lower limbs (Month 0 to Month 3: M0-M3): Training on a rower with solicitation of the electrostimulated lower limbs only for a period of 3 months at the rate of 3 sessions of 30 minutes per week 4. Interim assessment visit at Month 3 (M3) 5. Phase 2 Rower-FES with lower limbs + upper limbs (Month 3 to Month 6: M0-M6): Training on with solicitation of the electrostimulated lower and upper limbs for a period of 3 months at the rate of 3 sessions of 30 minutes per week 6. Final assessment visit at Month 6 (M6) 7. End of clinical research visit, 3 months after the end of training (Month 9, M9) | Device | Rower |
Primary outcome
VO2 peak at 6 months (L/min)
Time frame: 6 months
Comparison of the maximum oxygen consumption (VO2 peak in L/min) measured during an incremental maximum stress test on a hand ergometer between the end of training on a rower (M6) and inclusion (M0).
10 secondary outcomes
VO2 peak at 3 and 9 months (L/min)
Time frame: 9 months
First ventilatory threshold in the VO2max test at 0, 3, 6 and 9 months (L/min)
Time frame: 9 months
Maximum electro-induced force at 0, 3, 6 and 9 months (Nm)
Time frame: 9 months
Thigh perimeter at 0, 3, 6 and 9 months (cm)
Time frame: 9 months
Maximum power at 0, 3, 6 and 9 months (Watts)
Time frame: 9 months
Response to stimulation at 0, 3, 6 and 9 months (mA)
Time frame: 9 months
Assessment of spasticity at 0, 3, 6 and 9 months
Time frame: 9 months
Intensity of osteotendinous reflexes at 0, 3, 6 and 9 months
Time frame: 9 months
Self-assessment at 0, 3, 6 and 9 months
Time frame: 9 months
ASIA (American Spinal Injury Association) score at 0, 6 and 9 months
Time frame: 9 months
Results and safety
The study was withdrawn before enrolling participants, so there are no results.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Sep 2025.
- Background: PubMed 12161830Wheeler GD, Andrews B, Lederer R, Davoodi R, Natho K, Weiss C, Jeon J, Bhambhani Y, Steadward RD. Functional electric stimulation-assisted rowing: Increasing cardiovascular fitness through functional electric stimulation rowing training in persons with spinal cord injury. Arch Phys Med Rehabil. 2002 Aug;83(8):1093-9. doi: 10.1053/apmr.2002.33656.
- Background: PubMed 29324409Popovic-Maneski L, Aleksic A, Metani A, Bergeron V, Cobeljic R, Popovic DB. Assessment of Spasticity by a Pendulum Test in SCI Patients Who Exercise FES Cycling or Receive Only Conventional Therapy. IEEE Trans Neural Syst Rehabil Eng. 2018 Jan;26(1):181-187. doi: 10.1109/TNSRE.2017.2771466.
- Background: PubMed 25205000Deley G, Denuziller J, Babault N. Functional electrical stimulation: cardiorespiratory adaptations and applications for training in paraplegia. Sports Med. 2015 Jan;45(1):71-82. doi: 10.1007/s40279-014-0250-2.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Julie R Di Marco, M.D principal investigator
UGECAM SSR Val Rosay
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Rower assisted by electrostimulation (FES-ROW) in people with Spinal Cord Injuries, run by UGECAM Rhône-Alpes at 2 sites in France.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: withdrawn, as of the sponsor's last update on 19 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study was withdrawn before enrolling participants, so there are no results.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
VO2 peak at 6 months (L/min) (time frame: 6 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04821635, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Sep 2025.