I60 I61 I62 I63 I64
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Stroke < 3 months - Severe paresis of the lower limb - Patients who are unable to walk or who can only walk with the permanent support of at least two assistants (Functional Ambulation Categories: 0) - Patients with whom it is not yet possible to carry out treadmill-supported gait training with weight support (e.g. due to the severity of the illness, vegetative instability, etc.). - Patients tolerated the electrostimulation well - A visible flexor reflex can be triggered in the affected leg in supine position - Ability to understand the instructions and to give informed consent for the participation in the study - Ability to communicate - Electrostimulation is only used with the consent of the doctor treating the patient
Exclusion criteria
Exclusion criteria: - More than one stroke in the history, unless the patient has no neurological deficits from the previous strokes. - Other neurological diseases - Lack of compliance - Epilepsy - Patients with heart pacemakers - Patients with severe heart or lung diseases - Patients with cancer - Skin lesions in the area where the electrode is positioned - Pregnancy - Patients who adjust to the electrical stimulus in a short time or patients in whom a higher stimulation intensity triggers spasticity or clonus in the affected leg
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The aim of the study is to determine whether electrical stimulation of the foot sole in a supine position leads to an improvement in the muscle strength of the affected leg and to an improvement in the ability to walk in patients who were unable to walk. There is a pre-test before the start of the training, an intermediate-test after 10 training sessions and a post-test after 20 training sessions. The following parameters are recorded at each test time: - Modified muscle function test - Somatosensory test - Measurement of spasticity (Tardieu-Scale) - Assessment of walking ability (Functional Ambulation Categories) - Video recording, showing the active mobility of the affected leg and the patient's gait pattern - Sensory evoked potentials (SEP) of N. tibialis | — |
Countries
Germany
Contacts
Lurija Institut