Effects of Gastrocnemius Training using Neuromuscular Electrical Stimulation on Foot Morphology, Balance and Gait in Patients with Stroke
- Conditions
- Diseases of the circulatory system
- Registration Number
- KCT0009188
- Lead Sponsor
- Yongin University
- Brief Summary
First, changes in foot morphology parameters were as follows: ? In intra-group comparison of 3D foot scanning results, the experimental group showed significant changes in longitudinal arch angle (LAA) (p<.05), medial longitudinal arch angle (MLAA) (p<.01), transverse arch angle (TAA) (p<.01), rearfoot angle (p<.05), foot length (p<.05), foot width (p<.05), and arch height index (AHI) (p<.01) of the paretic side and in TAA (p<.05) and AHI (p<.05) of the non-paretic side. The control group showed significant changes in TAA (p<.05) and foot width (p<.05) of the paretic side and TAA (p<.05) and AHI (p<.05) of the non-paretic side. Inter-group comparison showed significant differences in MLAA (p<.05) and rearfoot angle (p<.05) of the paretic side. ? In intra-group comparison of knee-to-wall test, the experimental group showed significant differences in the results before and after the intervention (p<.05). Similarly, inter-group comparison also showed significant differences in the knee-to-wall test results between the control and experimental groups (p<.05). ? In intra-group comparison of concentric muscle activity, the experimental group showed significant differences in tibialis anterior muscle (p<.05), medial gastrocnemius muscle (MG) (p<.01), and lateral gastrocnemius muscle (LG) (p<.05) of the paretic side and in MG (p<.05), LG (p<.05), soleus muscle (p<.05) of the non-paretic side, and soleus muscle symmetry index (p<.05). The control group showed significant changes in MG (p<.05) of the paretic side and in MG (p<.05) and LG (p<.05) of the non-paretic side. Inter-group comparison showed a significant difference in the MG (p<.01) of the paretic side between the control and experimental groups. ? In intra-group comparison of eccentric muscle activity, the experimental group showed significant differences in MG (p<.01) and LG (p<.01) of the paretic side and in MG (p<.01), LG (p<.01) of the non-paretic side, and LG symmetry index (p<.01). The control group showed significant differences in MG of both the paretic side (p<.05) and non-paretic side (p<.05). In inter-group comparison, the two groups showed significant differences in MG (p<.05) and LG (p<.01) of the paretic side. Second, changes in balance parameters were as follows: ? In intra-group comparison of foot pressure assessment, the experimental group showed significant differences in foot weight-bearing area (p<.05) of the paretic side and foot weight-bearing area symmetry (p<.05). The control group showed a significant difference in only foot weight-bearing area symmetry (p<.05). Inter-group comparison showed no significant difference between the two groups (p>.05). ? In intra-group comparison of functional reach test, significant differences were noted in the test results in both the control and experimental groups (p<.05). However, no differences were noted between the two groups (p>.05). ? Intra-group comparison of Berg balance scale showed significant differences in both the control and experimental groups (p<.01). Similarly, inter-group comparison showed significant differences between the two groups (p<.01). Third, changes in gait parameters were as follows: In intra-group comparison, the experimental group showed significant differences in gait speed (p<.01), cadence (p<.01), stride length (p<.01), step length of the paretic side (p<.05), and step length of the non-paretic side (p<.01) and step length symmetry index (p<.05). The control group showed significant differences in gait speed (p<.05), cadence (p<.01), stride length (p<.01), and step length of the non-paretic side (p<.05). Inter-group comparison showed significant differences in stride length (p<.01) and step length of the non-paretic side (p<.05) between the two groups.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 31
First, it has been at least 6 months since the stroke was diagnosed.
Second, a score of 24 or more on the Korean version of the Mini-Mental State Examination.
Third, those who can walk independently for 10 meters or more
Fourth, those with limited passive range of motion due to ankle stiffness
Fifth, no joint contractures, pain, or fractures in the musculoskeletal system.
Sixth, understand the purpose of the study and agree to participate in the study.
First, those who are unable to stand due to limited ankle range of motion.
Second, those with metal implants from calf and ankle surgery.
Third, have a pacemaker or a history of heart disease.
Fourth, other medical conditions (venous and arterial thrombosis, thrombophlebitis).
Study & Design
- Study Type
- Interventional Study
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method foot morphology;functional reach test, FRT;Berg balance test, BBS;gait parameter
- Secondary Outcome Measures
Name Time Method knee to wall test, KTW;surface electomyography;foot pressure