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| ID | Type | Description | Link |
|---|---|---|---|
| UMIN-CTR | Other Identifier | UMIN000020604 |
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| Name | Class |
|---|---|
| Nippon Medical School | OTHER |
| Kagoshima University | OTHER |
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Among the sequelae of stroke, gait disorder is directly linked to the degree of autonomy in the daily life of patients. It is considered significant effects on their Quality of Life(QOL).
Further methods of rehabilitation are required for convalescent patients to recover their function soon and better, due to a multitudes of recovery patient with troubles such as gait problem.
This trial is studying to investigate the effects of gait training with a functional electrical stimulation (FES) 'WalkAide[R](WA)' to improve the lower-limb function and ambulation in convalescent stroke patients.
This study is targeting convalescent patients within 6 months after the onset of initial stroke (cerebral infarction or cerebral hemorrhage) and also observing the foot drop during walking.
Some study for the patients after the onset of stroke (over several months) are reported that a case of the efficacy by the treatment using the FES, and another case of using FES indicated the equal efficacy and the higher QOL compared to using ankle-foot orthosis(AFO).
However, these are clinical research results overseas and there are not so many studies targeting only for convalescent stroke patients.
FES which recover the lost function by paralysis using electrical stimulation is recommended as convalescent rehabilitation by Japanese Guidelines for the Management of Stroke 2015 etc..
The purpose of FES treatment is the electrical stimulation to peroneal nerve of patients with foot drop and equinus foot due to central nervous system damage and the objective efficacy is following:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| WA | Experimental |
| |
| Control | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| WA group | Device | Conventional rehabilitation therapy and gait training with WAIntervention with WA is scheduled 40min/day, five times a week, for 8 weeks. |
|
| Measure | Description | Time Frame |
|---|---|---|
| maximum walking distance of 6 Minute Walk Test (bare feet) | Measuring maximum walking distance of 6 Minute Walk Test at baseline and after 8-weeks intervention. Calculating difference of those measured values. Targeting for all patients. | 8weeks |
| Measure | Description | Time Frame |
|---|---|---|
| maximum walking distance of 6 Minute Walk Test (with WA) | Measuring maximum walking distance of 6 Minute Walk Test at baseline and after 8-weeks intervention. Calculating difference of those measured values. Targeting only for WA group. | 8weeks |
| maximum walking distance of 6 Minute Walk Test (with AFO) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Shuji Matsumoto, MD, Ph.D | Nippon Medical School | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shinyachiyo Hospital | Yachiyo | Chiba | 276-0015 | Japan | ||
| Matsuyama Rehabilitation Hospital |
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| Control | Other | Conventional rehabilitation therapy and gait training without WA. |
|
Measuring maximum walking distance of 6 Minute Walk Test at baseline and after 8-weeks intervention. Calculating difference of those measured values. Targeting only for patients using AFO before starting this study. |
| 8weeks |
| walking speed of 10 Meter Walk Test (bare feet) | Measuring maximum walking speed of 10 Meter Walk Test at baseline and after 8-weeks intervention. Calculating difference of those measured values. Targeting for all patients. | 8weeks |
| walking speed of 10 Meter Walk Test (with WA) | Measuring maximum walking speed of 10 Meter Walk Test at baseline and after 8-weeks intervention. Calculating difference of those measured values. Targeting only for WA group. | 8weeks |
| walking speed of 10 Meter Walk Test (with AFO) | Measuring maximum walking speed of 10 Meter Walk Test at baseline and after 8-weeks intervention. Calculating difference of those measured values. Targeting only for patients using AFO before starting this study. | 8weeks |
| Fugl-Meyer assessment (FMA) | Calculating difference of the total score of lower extremity subscale of the Fugl-Meyer Assessment (perfect score: 34 points) at baseline and after 8-weeks intervention. | 8weeks |
| modified Ashworth scale (MAS) | Calculating difference of the muscle tone six levels ( 0 , 1 , 1+ , 2 , 3 , 4 ) at baseline and after 8-weeks intervention. | 8weeks |
| range of motion | Calculating difference of the angle of the ankle succumbed back (5 ° increments) at baseline and after 8-weeks intervention. | 8weeks |
| Timed up and go test (bere feet) | Measuring the time that patients take to rise from a chair, walk three metres, turn around, walk back to the chair, and sit down . Calculating difference of those measured values between at baseline and after 8-weeks intervention. Targeting for all patients. | 8weeks |
| Timed up and go test (with AFO) | Measuring the time that patients take to rise from a chair, walk three metres, turn around, walk back to the chair, and sit down . Calculating difference of those measured values between at baseline and after 8-weeks intervention. Targeting only for patients using AFO before starting this study. | 8weeks |
| Timed up and go test (with WA) | Measuring the time that patients take to rise from a chair, walk three metres, turn around, walk back to the chair, and sit down . Calculating difference of those measured values between at baseline and after 8-weeks intervention. Targeting only for WA group. | 8weeks |
| Stroke Impact Scale (SIS) | An evaluation of summation score of the total score and physical domain (sixth domain) score. Calculating difference of those measured values between at baseline and after 8-weeks intervention. | 8weeks |
| Patient reported outcome measure (PRO) | Evaluation gait analysis using visual analogue scale(VAS scale) by Patient's own. Calculating the difference of these VAS scale between at baseline and after 8-weeks intervention. | 8weeks |
| gait analysis by medical staff | Evaluation using total score of gait analysis by medical staff (-48~48).Calculating difference of these score between at baseline and after 8-weeks intervention. | 8weeks |
| Adverse event assessment | A frequency counting of the adverse events. LLT code will be assigned to the reported adverse event using the MedDRA dictionary. The origin date of the term until adverse events define the start date of the treatment program(0 week). Also doing a frequency counting of adverse events observed during the the WA trial operation period, but not included in the safety evaluation of the treatment program. | 8weeks |
| Matsuyama |
| Ehime |
| 791-1111 |
| Japan |
| St.Mary's Hospital Healthcare Center | Kurume | Fukuoka | 830-0047 | Japan |
| Yame Rehabilitation Hospital | Yame | Fukuoka | 834-0006 | Japan |
| Hokusei Memorial Hospital | Kitami | Hokkaido-prefecture | 090-0837 | Japan |
| Ohkawara Neurosurgical Hospital | Muroran | Hokkaido-prefecture | 050-0082 | Japan |
| Tokachi Rehabilitation Center | Obihiro | Hokkaido-prefecture | 080-0833 | Japan |
| Sapporo Shiroishi Memorial Hospital | Sapporo | Hokkaido-prefecture | 003-0026 | Japan |
| Sapporo Keijinkai Rehabilitation Hospital | Sapporo | Hokkaido-prefecture | 060-0010 | Japan |
| Tokeidai Memorial Hospital | Sapporo | Hokkaido-prefecture | 060-0031 | Japan |
| Yoshida Hospital, Cerebrovascular Research Institute | Kobe | Hyōgo | 652-0803 | Japan |
| Kajikionsen Hospital | Aira | Kagoshima-ken | 899-5241 | Japan |
| Acras Central Hospital | Kagoshima | Kagoshima-ken | 890-0031 | Japan |
| Department of Rehabilitation and Physical Medicine, Graduate School of Medical and Dental Sciences, Kagoshima University | Kagoshima | Kagoshima-ken | 890-8520 | Japan |
| Kohshinkai Ogura Hospital | Kanoya | Kagoshima-ken | 893-0023 | Japan |
| Tarumi City Medical Center Tarumi Central Hospital | Tarumizu | Kagoshima-ken | 891-2124 | Japan |
| Sakura Jyuji Hospital | Kumamoto | Kumamoto | 861-4173 | Japan |
| Kumamoto Takumadai Rehabilitation Hospital | Kumamoto | Kumamoto | 862-0924 | Japan |
| Fujimotokanmachi Hospital | Miyakonojō | Miyazaki | 885-0072 | Japan |
| Junwakai Memorial Hospital | Miyazaki | Miyazaki | 880-2112 | Japan |
| Nichinan Municipal Chubu Hospital | Nichinan | Miyazaki | 889-3141 | Japan |
| Yohkoh Rehabilitation Hospital | Sasebo | Nagasaki | 857-0022 | Japan |
| Nagasakikita Hospital | Togitsu-cho, Nishisonogi-gun | Nagasaki | 851-2103 | Japan |
| Chuzan Hospital | Okinawa | Okinawa | 904-2151 | Japan |
| Okinawa Rehabilitation Center Hospital | Okinawa | Okinawa | 904-2173 | Japan |
| Nanbu-Tokushukai Hospital | Shimajiri-gun | Okinawa | 901-0493 | Japan |
| Kansai Rehabilitation Hospital | Toyonaka | Osaka | 560-0054 | Japan |
| Saitama Misato Sogo Rehabilitation Hospital | Misato, Saitama | Saitama | 341-0034 | Japan |
| Seirei Hamamatsu City Rehabilitaion Hospital | Hamamatsu | Shizuoka | 433-8511 | Japan |
| Hakujikai Memorial Hospital | Adachi-ku | Tokyo | 123-0864 | Japan |
| IMS Itabashi Rehabilitation Hospital | Itabashi-ku | Tokyo | 174-0051 | Japan |
| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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