Activity of leg muscle during crossing obstacle in people with stroke

Completed

• Conditions: Vascular syndromes of brain in cerebrovascular diseases,

• Registration Number: CTRI/2022/11/047261
• Lead Sponsor: Manipal Academy of Higher Education

Brief Summary

Study approval will be obtained from Institutional Research Committee (IRC), MCHP Ethical clearance is obtained from Institutional Ethics Committee (IEC), Kasturba Hospital, Manipal, after obtaining approval, the study will be registered under the Clinical Trial Registry- India (CTRI), Screening of people with stroke admitted in Kasturba Hospital, Manipal and those visiting Physiotherapy and Neurology OPDs. selection of participants would be made on the basis of inclusion and exclusion criteria. Identified Potential Participants will be explained the study procedure in detail and written consent will be obtained for their participation in the study.  Detailed history and demographic data will be recorded, and Baseline assessment using Fugl Meyer LE, and Berg Balance component will be done. Anthropometric characteristics will be measured before the gait analysis (Height, Leg length, and body weight) will be noted, Before the placement of the electrodes, the area around the muscles will be cleaned with alcohol and surgical tape will be used as appropriate around the electrode and amplifier to obtain better EMG signals. Subjects will be asked to have enough rest, Then will be instructed to walk at a self-selected speed with comfortable shoes along away. Surface EMG electrodes will be placed over the muscle mass of  the Biceps Femoris, Rectus Femoris, Tibialis Anterior, and Gastrocnemius Medialis. Participants will be instructed to walk at a self-selected speed 8m walkway with height adjusted obstacle kept midway. 2ND Time participants will be asked to walk at a self-selected speed 8m walk away where the remote-control car (obstacle) will be left in the way. Each activity will be performed for 3 trials and EMG ( raw muscle activity ) will be recorded for each condition. Muscle activation in RMS, Co-activation index, and Power Spectrum Analysis,  will be calculated during all tasks. Data Analysis will be done

Detailed Description

Not available

Study Timeline

• Study Start: 2022-11-16
• Study Completion: 2023-03-24
• Last Update Posted: 2023-06-13

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 27

Inclusion Criteria

• Participant diagnosed with stroke 2.
• Self-paced walking without a walking aid or orthosis 3.Berg Balance Score – 41 to 56.

Exclusion Criteria

1.Participants with visual field defect 2.Hemineglect 3.Global Aphasia 4.Presence of local infections, wounds or ulcers in the lower limb or foot region 5.other co-morbidities that interfered with walking or motion sickness.

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
% maximum voluntary contraction of muscles	1 (after each task)

Secondary Outcome Measures

Name	Time	Method
Balance perception score

Trial Locations

Locations (1)

Neuro-Physiotherapy OPD; 🇮🇳 Udupi, KARNATAKA, India

Neuro-Physiotherapy OPD

🇮🇳Udupi, KARNATAKA, India

Kritagya Malik

Principal investigator

9711826043

kritagya.malik@learner.manipal.edu