Gait impairment following stroke:is it a problem of dorsiflexion and trunk instability or rather a problem of plantar flexion?

Not Applicable

Recruiting

Conditions: I63.3
G81.1
Cerebral infarction due to thrombosis of cerebral arteries
Spastic hemiplegia

Registration Number: DRKS00011874

Lead Sponsor: RZ Leipzig-Bennewitz,Universität Leipzig

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Recruiting

Sex: All

Target Recruitment: 56

Inclusion Criteria

1. patients having experienced a supra-tentoriel stroke for the first time which occurred at least 4weeks prior,
2.who measure gait speed slower than 0,4 sec./min. and
3. show a higher risk of falling, measured according to the Dynamic Gait Index (DGI) and Functional ambulation Categories .
4. They must demonstrate weakness of the foot muscles, measured by Muscle Function Tests according to Janda of 3-4.
5.During gait they should not be able to reach initial contact (IC) with the heel and initiate swing (ISW) by compensatory hiking of the pelvis.

Exclusion Criteria

Patients who hare not able to walk - with or without aids - are to be excluded.
Patient ,who are not able to communicate
Patients, who have a neglect
Patients with additional neurologic diseases (i.e. SAE, Parkinson Sndrome, MS)
Patient with musculosceletal diseases
Patients with cancer
Patients, who participate in other trials

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Primary outcome parameter: Dymnamic Gait Index is assesd before, at the end of 4 weeks of intervention and 3 months after inclusion into the study

Secondary Outcome Measures

Name	Time	Method
secondary outcome parameters :<br>1.Gait analysis: using video documentation to assess the following parameters:<br>-hip extension, knee control, dorsiflexion, vertical trunk alignment during stance, observed from the sagital plane.<br>-Knee flexion during pre-swing, observed from the sagital plane.<br>-Stride length and heel lift during Terminal stance, observed from the sagital plane.<br>-Heel contact during initial contact, observed from the sagital plane.<br>-Forefoot pronation during Mid-stance and Terminal stance, observed from ventral in the frontal plane.<br>-Hiking of the hip during Initial swing, observed from dorsal in the frontal plane.<br>2.Gait speed: 10 Meters.<br>3.Functional Ambulation Categories (FAS)<br>4.Muskel function tests (Janda): Dorsi- and Plantarflexors (ankle and toes), knee flexors, -extensors, hip extensors, -flexors, -abductors, -adductors<br>