MedPath

Botulinum toxin type A injections in stiff knee gait.

Conditions
In the Netherlands live about 18.000 Cerebro Vascular Accident (CVA)-patients which discover problems with walking caused by insufficient footclearance. Causes of problems with the footclearance during the swing phase of gait are a combination of diminished dorsal flexion of the ankle, knee flexion and hip flexion. A diminished knee flexion during swing is defined a stiff knee gait. A stiff knee gait is often caused by an overactivity of the m. rectus femoris. Keywords: stroke, stiff knee gait
Registration Number
NL-OMON29171
Lead Sponsor
Roessingh Research and DevelopmentRoessinghsbleekweg 337577 AH Enschede
Brief Summary

/A

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
Not specified
Target Recruitment
26
Inclusion Criteria

1. Age over 18 years;

2. 6 months post stroke;

Exclusion Criteria

1. Presence of other constraints in joints who impede walking;

2. Neurological problems not causes by a Cerebro Vascular Accident;

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1. VICON 3D analysis to determine knee flexion during swing phase;<br /><br>2. Electromyogram (EMG) measurements;<br /><br>3. BORG and VAS questionnaire for tonus;<br /><br>4. Duncan-Ely test;<br /><br>5. Kinematics (measured with VICON 3D gait analysis);<br /><br>6. Kinetics (measured with force plates);<br /><br>7. Muscle Activation in Pendulum, Passive and Active Movements Test (MAPPAM);<br /><br>8. Motricity Index;<br /><br>9. Rivermead Mobility Index;<br /><br>10. 6 minutes walk test;<br /><br>11. Timed Up and Go test.
Secondary Outcome Measures
NameTimeMethod
Stroke Impact Scale.
© Copyright 2025. All Rights Reserved by MedPath