Stroke
Conditions
Interventions
For single cases, interventions will begin with gait practice with ankle-foot orthosis (period A1), transition to gait practice with ankle-foot orthosis plus functional electrical stimulation (period
Sponsors
Medical Corporation Juryo Kumamoto Kinoh Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Stroke hemiplegic patients admitted to the Kaifukukirehabilitation ward of Medical Corporation Juryo Kumamoto Kinoh Hospital who meet the following conditions 1)Patients with insufficient ankle dorsiflexion angle during gait (dorsiflexion angle less than 0 degree during gait) 2)Patients receiving orthosis therapy for 1) 3)First seizure cerebral infarction or cerebral hemorrhage 4)More than 1 month to 6 months after onset 5) Patients whose Functional Ambulation Categories (FAC) are 2 (light assistance) or 3 (supervised) 6)No obvious paralytic symptoms or motor deficits on the nonparalytic side 7)Patients who can obtain ankle dorsiflexion movement using functional electrical stimulation (Patients without peripheral neuropathy such as common peroneal nerve palsy)
Exclusion criteria
Exclusion criteria: 1)Patients contraindicated to functional electrical stimulation(For example patients with a cardiac pacemaker , those with a history of epileptic seizures or those who are expected to have seizures, Persons with metal implants ) 2)Patients with cardiovascular disease and at risk for exercise 3)Patients whose ankle dorsiflexion angle has not reached 0 degree with orthokinetic exercise 4)Patients who are unable to understand the study description or cannot appeal for discontinuation of the study on their own in the event of abnormality. (For example mini mental state examination score: MMSE less than 21 points) 5)Patients under 18 years of age or over 85 years of age 6)Patients with severe sensory disturbance or marked muscle tone (modified Ashworth scale: MAS 3 or higher) 7)Patients who have difficulty understanding instructions or walking independently due to the effects of attention disorders or other cognitive dysfunction
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 10m walk test(maximum walking speed) | — |
Secondary
| Measure | Time frame |
|---|---|
| ankle joint dorsiflexion angle during gait EMG using electromyography(tibialis anterior,gastrocnemius) | — |
Countries
Japan
Contacts
Public ContactYasunori Tanaka
Medical Corporation Juryo Kumamoto Kinoh Hospital Department of Comprehensive Rehabilitation medicine
Outcome results
None listed