Rehabilitation Clinical Trial
Official title:
Projet GonioSEF: Etude de faisabilité d'un Dispositif d'amélioration du défaut de Report d'Appui Pendant la Marche en Phase Portante Chez Des Sujets présentant Une Atteinte du système Nerveux Central
The main hypothesis of the present study is that a safer knee joint is likely to encourage post stroke patients at an early stage to rely on their hemiparetic leg and transfer their weight onto it while walking. The main purpose of the present work is to assess the feasibility of FES-induced muscular control of the hemiplegic knee joint in order to improve stance phase support symmetry recovery in individuals with post stroke hemiplegia. Functional electrical stimulation (FES) is delivered to the quadriceps and hamstrings of the paretic limb based on the real-time estimation of the knee angle and support phase.
The process of gait recovery in patients with severe post-stroke hemiplegia requires a
significant investment and effort for both the patient and the therapist and is not always
leading to a safe and autonomous gait. Increasing the chances for the patients of regaining a
functional walking gait within limited timeframes is a challenge. Several studies have
focused their attention on the neurological foot in the chronic phase because a poorly
controlled foot dorsiflexion is a factor limiting gait recovery and increasing fall risk.
Functional Electrical Stimulation (FES) can be used as an alternative to an orthosis to
restore walking by activating paralyzed muscles. FES has been extensively studied to correct
drop foot by activating foot dorsiflexors or inducing a withdrawal reflex.
Few studies have considered knee joint which has a major role, especially for the quality of
the support, and this over the entire cycle of walking. In the initial phase after stroke,
ensuring a safe knee control remains difficult because of the associated disorders including
the lack of proprioceptive feedback. Classical observed disorders in this population are knee
hyperextension during the stance phase (genu recurvatum) and flexed knees (crouch gait).
Fixed orthoses are usually used to prevent this by limiting knee flexion or extension over
the gait. FES is also an alternative to produce appropriately timed knee flexion or
extension. Bioness L300 Plus© device proposes a thigh cuff embedding electrodes stimulating
the quadriceps muscles to extend knee at the appropriate time during gait based on shank
angle observation. Previous studies have investigated the contribution of quadriceps and
gluteus maximus stimulation in improving standing balance and weight transfer or hamstrings
stimulation associated to foot dorsiflexors stimulation in improving gait performance.
One of the main objectives of an early rehabilitation is to encourage patients with
hemiplegia to rely on their paretic leg and to transfer their weight onto it while walking.
Depending on the gait phase, the knee extension and flexion are restricted to a safety range
by the adaptive delivery of quadriceps and hamstring electrical stimulation. A sensor network
detects gait phases and knee angle evolution from which stimulation levels are modulated.
;
Status | Clinical Trial | Phase | |
---|---|---|---|
Recruiting |
NCT04458480 -
Effect of Fast Inpatient Rehabilitation After TKA
|
||
Recruiting |
NCT06238596 -
Rehabilitation Intervention to Prevent Adverse Events Related to Androgen-deprivation Therapy (ADT) in Patients With Metastatic Prostate Cancer (PCa): a Single Arm Feasibility Study (ReCaP Study)
|
N/A | |
Recruiting |
NCT05547152 -
Evaluation of the Effectiveness of Virtual Reality Self-rehabilitation in the Treatment of Facial Paralysis and Synkinesis
|
N/A | |
Active, not recruiting |
NCT05520528 -
Impact of Group Participation on Adults With Aphasia
|
N/A | |
Completed |
NCT03661944 -
Functional Performance Assessments in Overhead Athletes With Shoulder Injury
|
||
Completed |
NCT05875480 -
The Effectiveness of Telerehabilitation After Arthroscopic Meniscus Repair
|
N/A | |
Not yet recruiting |
NCT05854056 -
Tibial Tubercle Distalisation and Accelerated Rehabilitation
|
N/A | |
Not yet recruiting |
NCT05177380 -
Efficacy of a Personalized Rehabilitation Program of Facial Involvement in Systemic Sclerosis
|
N/A | |
Not yet recruiting |
NCT04419753 -
The Role of Attention Focus Walking Training in Older Adults.
|
N/A | |
Not yet recruiting |
NCT03628495 -
Effectiveness of a Combined Pressure and Silicone Intervention for Hypertrophic Scar Treatment
|
N/A | |
Completed |
NCT02413996 -
Effects of Virtual Reality Rehabilitation in Patients With Total Knee Arthroplasty
|
N/A | |
Completed |
NCT01205542 -
Work Place Adjusted Intelligent Physical Exercise Reducing Musculoskeletal Pain in Shoulder and Neck (VIMS) - Shoulder Function
|
N/A | |
Completed |
NCT02644096 -
Rehabilitation of Patients After THR - Based on Patients´Selfrated Health
|
Phase 1 | |
Completed |
NCT03582371 -
Aqua Stand-Up Paddle Balance Effect in Parkinson's Disease (AquaSUP PARK)
|
N/A | |
Completed |
NCT05655039 -
The Effect of Pre-rehabilitation and Rehabilitation Period on Functional Status in Inpatient Stroke Patients
|
||
Completed |
NCT04502654 -
Rehabilitation for Thoracoscopic Lobectomy
|
||
Completed |
NCT06206018 -
Patient-Reported Outcome Measures in Lower Extremity Rehabilitation Program PROM_R: Impact on Health Care
|
N/A | |
Completed |
NCT03386604 -
Physical Capacity of Patients With Chronic Obstructive Pulmonary Disease With and Without Supplementation of Whey
|
N/A | |
Recruiting |
NCT05619666 -
Acute Rehabilitation in Patients With COVID-19 Pneumonia
|
N/A | |
Completed |
NCT06251791 -
Inspiratory Muscle Training and Expiratory Muscle Thickness
|
N/A |