Table 2. Results of the Primary and Major Secondary Outcome Measures by Time Point and Group (Primary Analysis, All Participants)a.
Outcome | EAW group (n = 78) | SOC group (n = 83) | RR (95% CI) | P value |
---|---|---|---|---|
Mental component summary of the Veterans RAND 36-Item Health Surveyb | ||||
Baseline score, median (IQR) | 65.4 (58.4 to 67.3) (n = 78) | 63.4 (53.9 to 67.2) (n = 82) | .34 | |
Training and orientation | 66.5 (59.8 to 68.6) (n = 54) | 62.4 (55.8 to 66.1) (n = 68) | .01 | |
2 Months (intervention) | 65.3 (58.0 to 68.3) (n = 48) | 63.7 (49.6 to 67.6) (n = 60) | .17 | |
4 Months (intervention) | 65.4 (60.2 to 69.1) (n = 45) | 62.1 (48.1 to 67.8) (n = 57) | .15 | |
Change from baseline by time point | ||||
Training and orientation | 1.3 (−2.2 to 6.1) (n = 54) | −1.2 (−4.7 to 3.4) (n = 67) | .08 | |
2 Months (intervention) | 1.1 (−2.4 to 4.3) (n = 48) | 0.3 (−4.3 to 3.8) (n = 59) | .36 | |
4 Months (intervention) | 0.0 (−4.8 to 4.3) (n = 45) | 0.8 (−6.7 to 3.9) (n = 56) | .88 | |
Primary outcome (≥4-point improvement), No. (%) | ||||
Success | 12 (15.4) | 14 (16.9) | 0.91 (0.45 to 1.85) | .80 |
Failure | 66 (84.6) | 69 (83.1) | ||
SCI-QOL physical medical health domainc | ||||
Baseline score, median (IQR) | 152 (137 to 167) (n = 78) | 149 (135 to 170) (n = 83) | .86 | |
Training and orientation | 146 (137 to 162) (n = 54) | 153 (134 to 173) (n = 67) | .61 | |
2 Months (intervention) | 147 (130 to 161) (n = 47) | 145 (134 to 169) (n = 58) | .41 | |
4 Months (intervention) | 146 (133 to 163) (n = 43) | 147 (129 to 170) (N = 57) | .58 | |
Change from baseline by time point | ||||
Training and orientation | −3.2 (−13.4 to 5.9) (n = 54) | 0.0 (−11.6 to 1.9) (n = 67) | .19 | |
2 Months (intervention) | −1.3 (−12.4 to 3.0) [47] | −1.4 (−12.9 to 9.4) (n = 58) | .26 | |
4 Months (intervention) | −4.1 (−17.2 to 3.3) (n = 43) | −1.0 (−1.5 to 12.0) (n = 57) | .16 | |
Primary outcome (10% improvement in summary T score), No. (%) | ||||
Success | 10 (12.8) | 11 (13.3) | 0.97 (0.44 to 2.15) | .94 |
Failure | 68 (87.2) | 72 (86.7) | ||
Total body fat massd | ||||
Baseline, mean (SD), kg | 27.3 (9.1) (n = 78) | 27.0 (8.6) (n = 83) | .86 | |
Training and orientation | 28.4 (9.5) (n = 54) | 27.4 (8.7) (n = 65) | .57 | |
2 Months (intervention) | 28.5 (9.6) (n = 47) | 27.0 (8.5) (n = 57) | .41 | |
4 Months (intervention) | 28.5 (9.7) (n = 45) | 26.5 (7.7) (n = 55) | .26 | |
Change from baseline by time point, median (IQR) | ||||
Training and orientation | 0.4 (−0.9 to 1.2) (n = 54) | 0.2 (−0.8 to 1.3) (n = 65) | .84 | |
2 Months (intervention) | 0.6 (−1.1 to 2.2) (n = 47) | 0.0 (−1.3 to 1.2) (n = 57) | .45 | |
4 Months (intervention) | 0.4 (−1.7 to 1.9) (n = 45) | −0.2 (−1.2 to 1.9) (n = 55) | .79 | |
Major secondary outcome (≥1.0 kg loss), No. (%) | ||||
Success | 14 (17.9) | 16 (19.3) | 0.93 (0.49 to 1.78) | .83 |
Failure | 64 (82.1) | 67 (80.7) |
Abbreviations: EAW, exoskeletal-assisted walking; RR, relative risk; SCI-QOL, Spinal Cord Injury–Quality of Life; SOC, standard of care.
The 2 primary and the major secondary outcome measurements were based on the percentage of individuals in each group who achieved the described specific criteria (success) for each variable at 4 months after randomization. Continuous data with normal distribution are presented as mean (SD) using unpaired, 2-tailed t tests, and nonnormally distributed data are presented as median (IQR) using Wilcoxon tests.
Mental component summary of the Veterans RAND 36-Item Health Survey for vitality, social functioning, role-emotional, and mental health.22,23
Summary T score for the SCI-QOL physical, medical, and health domain for 4 of the item banks: bladder management difficulties, bladder complications, bowel management difficulties, and pain interference.24