stroke
Conditions
Interventions
conventional rehabilitation Period A: Conventional rehabilitation only (60 min/day). Duration: 2 weeks for each phase, with a 1-week washout period (5 weeks in total).
Repetitive sit-to-stand self-e
Sponsors
Kyushu University of Nursing and Social Welfare
Hakujyuji Rehabilitation Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients aged 18 to 85 years. 2. Patients admitted to the convalescent rehabilitation ward of our hospital (within 180 days after stroke onset). 3. Patients with their first-ever stroke, classified as either cerebral infarction or intracerebral hemorrhage. 4. Patients presenting with mild to moderate lower limb motor paralysis. 5. Patients with a Functional Ambulation Categories (FAC) score of 1 or higher. 6. Patients with stable systemic conditions, including blood pressure, pulse rate, and blood glucose levels. 7. Patients capable of providing written informed consent personally.
Exclusion criteria
Exclusion criteria: 1. Patients with significant cognitive impairment that interferes with the execution of repetitive sit-to-stand exercise with NMES (Mini-Mental State Examination [MMSE] score of 23 points or less). 2. Patients with contraindications to electrical stimulation therapy, including cardiac pacemakers, pregnancy, malignant tumors, active bleeding sites, infections, or areas of inflammation. 3. Patients deemed unable to perform self-exercises due to exertional dyspnea, heart failure, arrhythmia, myocardial infarction, or other cardiovascular conditions. 4. Patients with a history of neurological or orthopedic diseases affecting trunk or lower limb function, or those with comorbidities (e.g., degenerative diseases, scoliosis) whose symptoms might be exacerbated by functional training. 5. Patients with severe hepatic impairment, renal impairment, or cardiovascular disease. 6. Patients with severe sensory impairment, ataxia, or higher brain dysfunction such as aphasia, which makes the execution of repetitive sit-to-stand exercise with NMES difficult.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Manual muscle strength testing using a handheld dynamometer | — |
Secondary
| Measure | Time frame |
|---|---|
| Motricity Index Fugl-Meyer Assessment-Lower Extremity Hand grip Calf circumference Five-Times Sit-to-Stand Test Berg Balance Scale Functional Ambulation Categories 10m walking test 6-minute walk test Functional Independence Measure Physical activity level | — |
Countries
Japan
Contacts
Public ContactKodai Miyara
Kyushu University of Nursing and Social Welfare Department of Rehabilitation
Outcome results
None listed