Cerebral Vascular Accident stroke
Conditions
Interventions
Additional to standard gait training during inpatient stroke rehabilitation,
subjects in the intervention group receive DFES-assisted gait training for one
30-minute session each workday, during max
Sponsors
Academisch Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Patients: - clinical diagnosis of stroke (diagnostic criteria according to the World Health Organisation definition); - 14-31 days since stroke onset; - age between 18 and 80 years old; - referred to inpatient rehabilitation; - medically stable and able to follow an intensive rehabilitation program; - indication for gait training; - sufficient power to stand in parallel bars with or without physical assistance; - passive range of motion (PROM) ankle dorsiflexion of at least 0 degrees at full knee extension.;Healthy subjects: - age between 18 and 80 years old; - healthy (self-reported); and - no gait deficits due to diagnosed medical conditions.
Exclusion criteria
Exclusion criteria: Patients: - subarachnoid hemorrhage; - stroke in the cerebellum or brain stem; - pre-existing lower extremity deficits or any other medical co morbidities that interfere significantly with gait; - severe cognitive problems or aphasia with severely impaired comprehension of test instructions; - medical conditions that prevents participation or will lead to inability to comply with the protocol (e.g., congestive heart failure, patient receiving chemotherapy, uncontrolled epilepsy, pregnancy, depression or a psychotic disorder, etc.); - a demand-type cardiac pacemaker, defibrillator or any electrical implant; - a metallic implant at the affected lower extremity; or - a present or suspected cancerous lesion at the affected lower extremity.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Stride length symmetry ratio (spatial parameter) assessed with the SGAS. | — |
Secondary
| Measure | Time frame |
|---|---|
| Other spatiotemporal parameters (timing stance and swing phase, double support time, swing:stance time, ratios, step length, gait speed), EMG, functional walking ability, balance and patient satisfaction. Measurement properties of the SGAS: concurrent validity and inter- and intra-rater reliability. | — |
Countries
Netherlands
Outcome results
None listed