Comparison of EMG and footswtch triggered stimulation in stroke patients with foot drop.
- Conditions
- Health Condition 1: null- Chronic Stroke Patients
- Registration Number
- CTRI/2012/02/002412
- Lead Sponsor
- Department of Physiotherapy and RehabilitationMSSHwest
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 20
• >6 months from a first clinical non-hemorrhagic or hemorrhagic stroke
•Medically stable
•Unilateral lower extremity hemi paresis
•Ankle dorsiflexor strength of <=4/5 on the MRC scale, while seated
•Able to ambulate 16 feet (5 meters) continuously with minimal assistance or less, without the use of an AFO.
•AFO is clinically indicated (foot drop during ambulation or inefficient gait patterns)
•NMES of the paretic ankle dorsiflexors produces ankle dorsiflexion to neutral without pain.
•Full voluntary dorsiflexion of the contralateral ankle
•Skin intact on hemiparetic lower extremity
•Able to don the FES system.
•Able to follow 3-stage commands
•Able to recall 2 or3 items after 30 minute
.Should volunteer and consent to participate in the study
•Brainstem stroke
•Epilepsy
•Severely impaired cognition and communication
•History of peroneal nerve injury
•History of Parkinsons, SCI, TBI, or multiple sclerosis, Uncontrolled seizure disorder
•Uncompensated hemi-neglect (extinguishing to double simultaneous stimulation)
•Edema of the affected lower extremity
•Absent sensation of lower leg and foot
•Evidence of deep venous thrombosis or thromboembolism
•History of cardiac arrhythmias with hemodynamic instability
•Cardiac pacemaker or other implanted electronic system
•Botulinum toxin injections to any lower extremity muscle in the last 3 months
•Pregnancy
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Improvement in normality of linear envelopes of EMG of tibialis anterior muscle of affected limb.Timepoint: 2 WEEKS
- Secondary Outcome Measures
Name Time Method sability rating scaleTimepoint: 2 weeks