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Comparison of EMG and footswtch triggered stimulation in stroke patients with foot drop.

Not Applicable
Completed
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
Inclusion Criteria

• >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

Exclusion Criteria

•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
NameTimeMethod
Improvement in normality of linear envelopes of EMG of tibialis anterior muscle of affected limb.Timepoint: 2 WEEKS
Secondary Outcome Measures
NameTimeMethod
sability rating scaleTimepoint: 2 weeks
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