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RecruitingSpinal Cord InjuriesHypotensionOrthostatic Hypotension

The Effect of Transcutaneous Stimulation on Blood Pressure in Spinal Cord Injury (SCI)

Eligible age

18–75 yrs

Accepts

All genders

Locations

1 state

Healthy volunteers

No

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About this study

This project will investigate the effect of spinal cord transcutaneous stimulation on blood pressure in individuals with a chronic spinal cord injury who experience blood pressure instability, specifically, orthostatic hypotension (a drop in blood pressure when moving from lying flat on your back to an upright position). The main questions it aims to answer are: 1. What are the various spinal sites and stimulation parameters that normalize and stabilize blood pressure during an orthostatic provocation (70 degrees tilt)? 2. Does training, i.e., exposure to repeated stimulation sessions, have an effect on blood pressure stability? Participants will undergo orthostatic tests (lying on a table that starts out flat, then tilts upward up to 70 degrees), with and without stimulation, and changes in their blood pressure will be evaluated.

Sponsor: Kessler Foundation

You may qualify if…

  • Spinal cord injury for greater than or equal to 6 months
  • Injury level ≥ T6 (thoracic level)
  • American Spinal Injury Association (ASIA) Impairment Scale (AIS) A-D
  • Exhibits at least one of the following hypotensive symptoms:
  • 1. Baseline hypotension - resting supine or seated systolic blood pressure(SBP) \< 90mmHg;
  • 2. SBP drop ≥ 20 mmHg within 5 minutes of assuming seated position;
  • 3. Symptoms of orthostasis with a drop of SBP (\<90mmHg) from supine to sitting

You may not qualify if…

  • Current illness (infection, a pressure injury that might interfere with the intervention, a recent diagnosis of DVT/PE, etc.)
  • Ventilator-dependent
  • History of implanted brain/spine/nerve stimulators
  • Cardiac pacemaker/defibrillator or intra-cardiac lines
  • Significant coronary artery or cardiac conduction disease, a recent history of myocardial infarction
  • Insufficient mental capacity to understand and independently provide consent
  • Pregnancy
  • Cancer

Where it's recruiting

New Jersey

West Orange

Source: ClinicalTrials.gov · NCT05725499 · last updated 2025-09-02

The Effect of Transcutaneous Stimulation on Blood Pressure in Spinal C · TrialPath