A Comparative, Randomized, Double-blind Pilot Study to Evaluate Re-learning of Ankle function after an intensive 2-week Gait Re-training with Electromyogram (EMG)-triggered or Footswitch (SW)-trigger Functional Electrical Stimulation (FES) in Chronic Stroke patients with foot drop

Department of Physiotherapy and RehabilitationMSSHwest0 个研究点目标入组 20 人开始时间: 待定最近更新: 2021年11月24日

试验速览

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•>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
•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

发起方

Department of Physiotherapy and RehabilitationMSSHwest