Effect of Functional Electric Stimulation for Recovery of Dorsiflexion After Stroke
Stroke, Ambulation Difficulty, Hemiplegia
About this trial
This is an interventional treatment trial for Stroke focused on measuring Rehabilitation, Functional electrical stimulation, Walking, Stroke
Eligibility Criteria
Eligible will be patients who have suffered a stroke, verified by CT or MRI examination and are admitted to inpatient care at the University Department of Rehabilitation Medicine Stockholm, Danderyd Hospital in Sweden where approximately 220 patients are treated annually (Stroke (50%)).
Inclusion criteria:
- 20 participants with hemiplegia
- Dependence in ambulation (0- 4 according to the Functional Ambulation Categories)
- >= 50 points on the Trunc Control Test.
- Impaired dorsiflexion manifested as impaired voluntarily dorsiflex and to hold the ankle in a dorsiflexed position while sitting and for ambulatory participants: during swing phase and heel strike while walking as demonstrated by visual inspection during gait analysis performed by the physiotherapist.
- Recommended to be fitted with an ankle-foot orthosis (AFO) by an experienced physiotherapist.
- Able to understand study information and to give informed consent.
Exclusion Criteria:
- Contracture severely restricting gait movements at any lower limb joint
- Cardiovascular or other somatic condition incompatible with intensive gait training
- Notifiable infectious disease, contagious infections (e.g. Methicillin Resistant Staphylococcus Aureus (MRSA) or Extended Spectrum Beta Lactamase bacteria (ESBL)). - Not able to participate in the rehabilitation intervention due to behavioral disorder or psychiatric disease.
- The FES-system L300 Go ® should not be used if a the patient has a pacemaker, defibrillator or any electrical implant, a metallic implant in the affected leg, a cancerous lesion in the affected leg, a fracture or dislocation in the affected leg or if the affected leg is swollen, infected, or has inflamed areas or skin eruptions, such as phlebitis, thrombophlebitis, and varicose veins in the affected leg or if the patient is pregnant.
Sites / Locations
- Department of Rehabilitation Medicine, Danderyd HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
FES and conventional training
AFO and Conventional training only
The experimental group will wear the Functional electrical stimulation system L3100 Go for dorsiflexion of the ankle during conventional rehabilitation interventions involving the lower extremity led or instructed by a physiotherapist.
The control group will wear an ankle-foot-orthosis (AFO) to enhance dorsiflexion of the foot while taking part in conventional rehabilitation interventions involving the lower extremity led or instructed by a physiotherapist.