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…
ID
Bron
Aandoening
Stroke patients with a stiff knee gait.
Ondersteuning
Roessinghsbleekweg 3b
7522 AH Enschede
053 4875777
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
Primary study outcome is knee flexion in swing phase
Doel van het onderzoek
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.
Onderzoeksopzet
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
Onderzoeksproduct en/of interventie
Inapplicable.
Algemeen / deelnemers
Wetenschappers
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
- 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.
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
- Neurological impairments that are not due to stroke
- Progressive disease that influence gait
Opzet
Deelname
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Andere (mogelijk minder actuele) registraties in dit register
Geen registraties gevonden.
In overige registers
| Register | ID |
|---|---|
| NTR-new | NL4982 |
| NTR-old | NTR5129 |
| CCMO | NL51373.044.14 |
| OMON | NL-OMON41870 |