Patients walking with stiff knee gait after a stroke
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Age > 18 years old - The stroke is more then six months ago - Patient is walking with stiff knee gait (reduced knee flexion during swing fase) - Patients is able to walk independently (FAC = 3) - Overactivity of the m. vastus intermedius and m. rectus femoris (EMG) - Patient is capable to understand and follow instructions Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 18 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: - Problems that influence the gait pattern that are not caused by the stroke - Allergy or hypersensitivity for lidocaine or a previous allergic reaction to lidocaine - Inflamation in the injection area
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Determining the effect of lidocaine injections in the m. vastus intermedius and the m. rectus femoris on the knee flexion in patients walking with stiff knee gait after a stroke.; Secondary Objective: - Determining the effect of lidocaine injection in the m. vastus intermedius in patients walking with stiff knee gait after a stroke on the kinetics and kinematics of the ankle, knee, hip and pelvis during gait. - Determining the effect of lidocaine injections in the m. vastus intermedius and the m. rectus femoris in patients walking with stiff knee gait after a stroke on the kinetics and kinematics of the ankle, knee, hip and pelvis during gait. - Determining the effect of lidocaine injections on the improvement as experienced by the patient measured with the BORG and VAS scales for knee stiffness. ;Primary end point(s): Knee flexion during gait measured in degrees with 3D analysis (VICON);Timepoint(s) of evaluation of this end point: all endpoints are measured within 2 hours after the first injections | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): - Kinematics of the ankle, knee, hip and pelvis measured by 3D analysis (VICON) - Kinetics of the ankle, knee, hip and pelvis - BORD and VAS questionnaires on knee stability and stiffness. ;Timepoint(s) of evaluation of this end point: All endpoints are measured within 2 hours after the first injections | — |
Countries
Netherlands
Contacts
Roessingh Research and Development