Informative of Surface Electromyography and Determination of Prognostic Factors in Assessing the Probability of Recovery of Balance and Gait Parameters in Patients With Ischemic Stroke on Acute Rehabilitation
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- Gait analysis with surface electromyography: Stride length (centimeters)
研究概览
简要总结
The aim of the biomedical research is to determine the informativeness and prognostic factors of surface electromyography by assessing the probability of recovery of balance and gait parameters in the second stage of rehabilitation of persons with cerebral infarction.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Diagnostic
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 89 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Cerebral infarction for the first time;
- •Age from 18 to 89 years old;
- •Muscle strength according to the Oxford scale is 3-5 points;
- •Able to walk without the help of others;
- •Is able to communicate and understand instructions properly;
- •Agrees to participate in the study (voluntary, explicit, informed written consent to participate).
排除标准
- •Muscle strength according to the Oxford scale is 0-2 points;
- •Unable to walk without the help of others;
- •Sensorimotor aphasia or other perceptual disorders;
- •Do not sign the informed consent.
结局指标
主要结局
Gait analysis with surface electromyography: Stride length (centimeters)
时间窗: Baseline, approximately 2 days before the end of acute rehabilitation
the distance change between two heel contacts on the same side of the body.
Gait analysis with surface electromyography: Load change (seconds)
时间窗: Baseline, approximately 2 days before the end of acute rehabilitation
Time change heel to forefoot.
Gait analysis with surface electromyography: Maximum force (Newton)
时间窗: Baseline, approximately 2 days before the end of acute rehabilitation
The average maximum force change reached in N/cm² for the three zones: toes, mid-foot and heel.
Gait analysis with surface electromyography: Maximum pressure (Newtons /square centimeter (N/cm²))
时间窗: Baseline, approximately 2 days before the end of acute rehabilitation
The average maximum pressure reached in N/cm² for the three zones: toes, mid-foot and heel (left and right legs separately).
Gait analysis with surface electromyography: Time maximum force (percentage of stance time)
时间窗: Baseline, approximately 2 days before the end of acute rehabilitation
The change of the average point in time within a gait cycle where the maximum values for the three zones: toes, mid-foot and heel were collected in Newton.
Gait analysis with surface electromyography: Length of the gait line (millimeters)
时间窗: Baseline, approximately 2 days before the end of acute rehabilitation
The change from baseline of the progression of the center of pressure of all the steps recorded of one side of the body (left and right side of body separately).
Gait analysis with surface electromyography: Step width (centimeters)
时间窗: Baseline, approximately 2 days before the end of acute rehabilitation
The distance change between the right and left foot.
Gait analysis with surface electromyography: Velocity (kilometers/hour)
时间窗: Baseline, approximately 2 days before the end of acute rehabilitation
Average gait speed change from baseline during the analyzed measuring interval (30 seconds).
Gait analysis with surface electromyography: Swing phase (percentage)
时间窗: Baseline, approximately 2 days before the end of acute rehabilitation
Change from baseline of the phase of a gait cycle during which the foot has no contact with the ground.
Gait analysis with surface electromyography: Double stance phase (percentage)
时间窗: Baseline, approximately 2 days before the end of acute rehabilitation
The phase change from baseline during a gait cycle that begins at contralateral initial contact (when the heel of the contralateral side touches the ground) and ends at toe off of the viewed side of the body.
Gait analysis with surface electromyography: Foot rotation (degree)
时间窗: Baseline, approximately 2 days before the end of acute rehabilitation
The change from baseline of the angle between the longitudinal axis of the foot and the walking direction.
Gait analysis with surface electromyography: surface electromyography signals (microvolts)
时间窗: Baseline, approximately 2 days before the end of acute rehabilitation
Surface electromyography measurements of key muscles (muscle rectus femoris, muscle biceps femoris, muscle gastrocnemius, lateral head, muscle tibialis anterior) with a disposable dual surface electrode. Change of surface electromyography signals during walking on treadmill for 30 seconds.
Gait analysis with surface electromyography: Anterior/Posterior Position (millimeters)
时间窗: Baseline, approximately 2 days before the end of acute rehabilitation
The shift change forwards or backwards of the Center of pressure.
Gait analysis with surface electromyography: Lateral symmetry (millimeters)
时间窗: Baseline, approximately 2 days before the end of acute rehabilitation
The change from baseline of the left /right shift of the center of pressure, taking all the steps into consideration. A negative value indicates a shift to the left, and a positive value, a shift to the right.
Gait analysis with surface electromyography: Step time (seconds)
时间窗: Baseline, approximately 2 days before the end of acute rehabilitation
Time change during the phase within a gait cycle between the heel contact of one side of the body and the heel contact of the contralateral side.
Gait analysis with surface electromyography: Step length (centimeters)
时间窗: Baseline, approximately 2 days before the end of acute rehabilitation
Change of the distance between the heel contact of one side of the body and the heel contact of the contralateral side.
Muscle strength by Oxford scale
时间窗: Baseline
Testing key muscles from the lower extremities (muscle rectus femoris, muscle biceps femoris, muscle gastrocnemius, lateral head, muscle tibialis anterior) against the examiner's resistance and grading the patient's strength on a 0 (No contraction) to 5 (Movement against gravity with full resistance) scale.
Gait analysis with surface electromyography: Contact time (percentage of stance time)
时间窗: Baseline, approximately 2 days before the end of acute rehabilitation
The average contact time change of the three zone toes, mid-foot and heel as a percentage.
Gait analysis with surface electromyography: Cadence (steps/minutes)
时间窗: Baseline, approximately 2 days before the end of acute rehabilitation
Change from baseline of step frequency.
Gait analysis with surface electromyography: Stance phase (percentage)
时间窗: Baseline, approximately 2 days before the end of acute rehabilitation
The phase of a gait cycle change in which the foot has contact with the ground.
Stance analysis: Step width (centimeters)
时间窗: Baseline, approximately 2 days before the end of acute rehabilitation
Change from baseline of the averaged load distribution of the left and right forefoot or heel, as well as the load distribution of the left and right contact surface in per cent.
次要结局
- Biodex Balance System (BBS): Postural Stability Test (Overall stability index)(Baseline, approximately 2 days before the end of acute rehabilitation)
- Biodex Balance System (BBS): Limits of Stability Test (seconds)(Baseline, approximately 2 days before the end of acute rehabilitation)
- Biodex Balance System (BBS): Limits of Stability Test (score)(Baseline, approximately 2 days before the end of acute rehabilitation)
- Biodex Balance System (BBS): A fall risk test (scores)(Baseline, approximately 2 days before the end of acute rehabilitation)
- Biodex Balance System (BBS): Clinical Test of Sensory Integration of Balance(CTSIB) (sway index)(Baseline, approximately 2 days before the end of acute rehabilitation)
- Biodex Balance System (BBS): Balance Error Scoring System (sway index)(Baseline, approximately 2 days before the end of acute rehabilitation)
研究者
Ieva Žemaitienė
Ieva Žemaitienė, PT
Lithuanian University of Health Sciences
