I63.3 G81.1
Conditions
Interventions
Group 1: The therapy goals oft he experimental group ( Extensor training = ET) are:
1.to enhance elasticity and eccentric control of the Plantarflexors to gain better stability in Mid-stance (MST) an
Sponsors
NRZ Leipzig-Bennewitz,Universität Leipzig
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. patients having experienced a supra-tentoriel stroke for the first time which occurred at least 4weeks prior, 2.who measure gait speed slower than 0,4 sec./min. and 3. show a higher risk of falling, measured according to the Dynamic Gait Index (DGI) and Functional ambulation Categories . 4. They must demonstrate weakness of the foot muscles, measured by Muscle Function Tests according to Janda of 3-4. 5.During gait they should not be able to reach initial contact (IC) with the heel and initiate swing (ISW) by compensatory hiking of the pelvis.
Exclusion criteria
Exclusion criteria: Patients who hare not able to walk - with or without aids - are to be excluded. Patient ,who are not able to communicate Patients, who have a neglect Patients with additional neurologic diseases (i.e. SAE, Parkinson Sndrome, MS) Patient with musculosceletal diseases Patients with cancer Patients, who participate in other trials
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome parameter: Dymnamic Gait Index is assesd before, at the end of 4 weeks of intervention and 3 months after inclusion into the study | — |
Secondary
| Measure | Time frame |
|---|---|
| secondary outcome parameters : 1.Gait analysis: using video documentation to assess the following parameters: -hip extension, knee control, dorsiflexion, vertical trunk alignment during stance, observed from the sagital plane. -Knee flexion during pre-swing, observed from the sagital plane. -Stride length and heel lift during Terminal stance, observed from the sagital plane. -Heel contact during initial contact, observed from the sagital plane. -Forefoot pronation during Mid-stance and Terminal stance, observed from ventral in the frontal plane. -Hiking of the hip during Initial swing, observed from dorsal in the frontal plane. 2.Gait speed: 10 Meters. 3.Functional Ambulation Categories (FAS) 4.Muskel function tests (Janda): Dorsi- and Plantarflexors (ankle and toes), knee flexors, -extensors, hip extensors, -flexors, -abductors, -adductors | — |
Countries
Germany
Contacts
Public ContactCaroline Renner
NRZ Leipzig-Bennewitz,Universität Leipzig
Outcome results
None listed