No registrations found.
ID
Source
Health condition
Stroke patients with a stiff knee gait.
Sponsors and support
Roessinghsbleekweg 3b
7522 AH Enschede
053 4875777
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).
Study objective
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 design
A pre and posttest design will be used.
Primary outcome will be measured by:
• Vicon 3D gait analysis
Secondary outcomes will be measured by:
• Electromyography
• CosMed K4b2
• Borg en VAS questionnaires
• Duncan-Ely test
• Force platform
• Motricity Index
• Rivermead Mobility Index
• 6 minutes walking test
• Timed Up and Go-test
• Timed Up Stairs test
• L-Test
• 10 meter looptest
• Stroke Impact Scale8
Intervention
Inapplicable.
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
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL4982 |
| NTR-old | NTR5129 |
| CCMO | NL51373.044.14 |
| OMON | NL-OMON41870 |