Determine the effect of rectus femoris transfer on stroke survivors walking with a stiff knee gait on functional-, activity- and participation level.
ID
Source
Brief title
Condition
- Central nervous system vascular disorders
- Soft tissue therapeutic procedures
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Primary study outcome is knee flexion in swing phase
Secondary outcome
Secundary study outcomes are hip , knee ankle kinematics. EMG actvity of
muscles of the under extremity, BORG- and VAS questionnaires on tonus,
Duncan-Ely test for m. rectus femoris, six minutes walking test,
pulmonary-function test, Timed Up and Go (TUG), L-test, Timed Up Stairs test,
Motricity Index, Rivermead Mobility Index en the Stroke Impact scale (SIS).
Background summary
Falling and tripping are due to foot clearence problems in stroke patients who
have a Stiff Knee Gait (SKG). SKG is defined as diminished and delayed peak
knee flexion in swing. One main cause of stiff-knee gait in stroke patients is
spasticity in the rectus femoris muscle. A treatment to increase diminished
knee flexion in SKG is a rectus femoris transfer (RFT). This surgery (RFT) is
often applied in cerebral palsy children and stroke patients, the m. rectus
femoris will be fixed from ventral side of the knee (extensor) to dorsal side
of the knee (flexor). Therefore, the m. rectus femoris function will switch
from a knee flexor to a knee extensor. RFT intervention is limited review with
subjective measurements in stroke patients.
Study objective
Determine the effect of rectus femoris transfer on stroke survivors walking
with a stiff knee gait on functional-, activity- and participation level.
Study design
One group pretest-posttest.
Study burden and risks
Nature and extent of the burden with participation are two half days for
measurements. The measurements take place at Roessingh Research and
Development. The patients have to walk eight times a distance of 7.5 meters in
three different velocities. After that, patients have to fill in three
questionnaires and they have to do some little tests. The risks associated with
participation are limited during measurements.
Roessinghsbleekweg 33
Enschede 7522 AH
NL
Roessinghsbleekweg 33
Enschede 7522 AH
NL
Listed location countries
Age
Inclusion criteria
- Patient has eligible for a rectus femoris transfer surgery by treating physiatrist/orthopedist and has been informed about the surgery.
- Age > 18 years
- More than 6 months after stroke
- Patient walks independently (FAC >=3)
- Patient knows time, place and person. Patient could understand motor-,cognitive and communicative instructions.
Exclusion criteria
- Neurological impairments that are not due to stroke
- Progressive disease that influence gait
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
In other registers
| Register | ID |
|---|---|
| Other | 21900 |
| CCMO | NL51373.044.14 |