dwarslaesie cerebrovascular accident spinal cord lesion stroke
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: CVA - first ever stroke (ischaemic, hemorarghic) - hemiparesis (at least lower limb) - min. age: 18 yrs SCI - motor incomplete lesion (ASIA C, D) - paraplegia (at least lower limb) - min age: 18 yrs. All patient must be incapable to walk unaided.
Exclusion criteria
Exclusion criteria: - medical complications such as unstable hypertension- arrhythmias and unstable cardiovascular problems - severe skeletal problems such as osteoarthritis of the lower limbs. - severe cognitive and/or communicative problems, preventing ability to follow verbal instructions - earlier neurological and/or psychiatric problems - other problems that would limit the ability to perform the requested tasks - contra-indications for electrical stimulation (unstable epilepsy, cancer, skin abnormalities, pacemaker).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The time at the 10m walk test will be used as the primary outcome variable to assess walking performance. | — |
Secondary
| Measure | Time frame |
|---|---|
| Additional outcome variables for functional performance are time to perform *get-up-and-go* test; score at Berg Balance Scale; Functional Ambulation Categories-score; Rivermead Mobility Index; distance walked at 6-min Walk test. Scores at the questionnaires SS-QOL, RAND-36/SF-36 will be used for assessment of quality of life and scores at the SIP68 will be used for assessment of social participation. Variables for cardiovascular function are maximal power output, VO2 and heart rate during a graded exercise test. Variables of lower limb muscle function include strength and rate of torque development during maximal voluntary contractions and (submaximal) electrically evoked contractions and fatigue resistance will be assessed with repeated electrically evoked contractions. | — |
Countries
Netherlands