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The investigators hypothesize that the gait pattern of following the utilization of a functional electrical stimulation device will be much improved when compared to the effect of regular gait re-education with ankle-foot-orthosis (AFO) fitting in patients in early stages following stroke.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| FES | Experimental | All subjects will receive a 15-30 minutes a day treatment for 5 days a week. When the subjects achieves the ability to walk with supervision, but with no physical assistance, safely and consistently during the physiotherapy sessions, then either the FES will be provided to the subject to allow ongoing gait practice with the nursing staff in the ward environment. After discharge, the assistive device will be provided for home usage till the end of the research. |
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| Conventional | No Intervention | Treated with regular gait re-education with or without AFO fitting. All subjects will receive a 15-30 minutes a day treatment for 5 days a week. When the subjects achieves the ability to walk with supervision, but with no physical assistance, safely and consistently during the physiotherapy sessions, then either the AFO will be provided to the subject to allow ongoing gait practice with the nursing staff in the ward environment. After discharge, the assistive device will be provided for home usage till the end of the research. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| FES | Device |
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| Measure | Description | Time Frame |
|---|---|---|
| Change in velocity of gait | Measured in m/s and the change will be in % | Baseline, 4 weeks and 12 week follwing baseline |
| Change in step length | Measured in cm and the change will be in % | Baseline, 4 and 12 weeks following baseline |
| Measure | Description | Time Frame |
|---|---|---|
| Gait symmetry | Calculated symmetry of stance duration, swing duration, double support duration, step length, base width, and foot progression | Baseline, 4 and 12 weeks following baseline |
| Muscle activity patterns |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sigal Portnoy, PhD | Contact | 0097225844492 | sigalp@hadassah.org.il | |
| Hadas Lemberg, PhD | Contact | 00 972 2 6777572 | lhadas@hadassah.org.il |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hadassah Medical Organization | Recruiting | Jerusalem | 91120 | Israel |
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| ID | Term |
|---|---|
| D020427 | Peroneal Neuropathies |
| ID | Term |
|---|---|
| D020422 | Mononeuropathies |
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
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Surface electromyography (EMG) electrodes will be attached to 6 muscles for evaluation of dynamic muscle activation pattern during gait without the intervention. Specifically, we will monitor the medial gastrocnemius, soleus and tibialis anterior, bilaterally.
| Baseline, 4 and 12 weeks following baseline |
| Functional assessment | Selective motor control during dorsiflexion will be tested with and without flexed knee according to the classification of three levels: normal, impaired, and unable. This test will be utilized for matching of the test group and control group. Physical evaluation will be conducted to assess the muscle tonus of the gastrocnemius, tibialis anterior and quadriceps according to Ashwart scale. Passive joint range of motion will also be assessed. Functional evaluation of each subject will be accomplished using the 10-meter walk. The Functional Ambulation Classification (FAC) will also be applied in order to obtain a patient prognosis level with regard to ambulation. Time up and Go (TUG) test will be performed in the in gait laboratory so that the performance of the subjects during the trials can be videotaped. | At baseline, 4 and 12 weeks following baseline |