Investigation of Factors Causing Knee Hyperextension During Walking in Chronic Stroke Patients

NCT ID: NCT05513781

Last Updated: 2024-02-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

31 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-08-20

Study Completion Date

2023-11-15

Brief Summary

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In this study, it is aimed to examine the factors that cause knee hyperextension in chronic stroke patients. Although the presence of weakness or spasticity in the quadriceps muscle, weakness or spasticity in the plantar flexors, and weakness of the dorsiflexors, hamstrings and gastrocnemius muscle are shown in the literature as the cause of hyperextension of the affected knee in hemiplegic patients, there is a comprehensive study that shows the effect of both muscle strength and spasticity in the lower extremity muscles. there are no studies.

The hypotheses of the study are:

Hypothesis 1:

H0: There is no relationship between knee hyperextension in the stance phase of gait and lower extremity muscle strength in stroke patients.

H1: There is a relationship between knee hyperextension in the stance phase of gait and lower extremity muscle strength in stroke patients.

Hypothesis 2; H0: There is no relationship between knee hyperextension in the stance phase of gait and lower extremity spasticity in stroke patients.

H1: There is a relationship between knee hyperextension in the stance phase of gait and lower extremity spasticity in stroke patients.

Hypothesis 3; H0: There is no relationship between knee hyperextension and electromyographic muscle activations in chronic stroke patients.

H1: There is a relationship between knee hyperextension and electromyographic muscle activations in chronic stroke patients.

Detailed Description

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Conditions

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Stroke

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Chronic stroke patients with knee hyperextension

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Being between the ages of 40-65
* At least 6 months have passed since the stroke
* Ambulation with or without a walking aid (walker, cane, or tripod)
* Being between 0-3 points according to the Modified Rankin Score
* Getting a score of 24 or higher on the Mini Mental Test
* Presence of hyperextension in the stance phase of gait
* Volunteering to participate in the study

Exclusion Criteria

* Having a history of more than one stroke
* Known presence of dementia
* Having a known orthopedic, psychiatric or other neurological disease
* Having a situation that prevents communication
* Having a history of surgery involving lower extremities and gait
Minimum Eligible Age

40 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Atılım University

OTHER

Sponsor Role collaborator

Hacettepe University

OTHER

Sponsor Role lead

Responsible Party

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Suleyman Korkusuz

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kadriye Armutlu, Prof. Dr.

Role: STUDY_CHAIR

Hacettepe University

Süleyman Korkusuz, MSc

Role: PRINCIPAL_INVESTIGATOR

Hacettepe University

Sibel Kibar, Assoc. Prof.

Role: STUDY_CHAIR

Atılım University

Serdar Arıtan, Asst.Prof

Role: STUDY_CHAIR

Hacettepe University

Nihat Özgören, MSc

Role: STUDY_CHAIR

Hacettepe University

Ali Naim Ceren, Msc

Role: STUDY_CHAIR

Hacettepe University

Büşra Seçkinoğulları, MSc

Role: STUDY_CHAIR

Hacettepe University

Ayla Fil Balkan, Assoc.Prof

Role: STUDY_CHAIR

Hacettepe University

Locations

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Hacettepe University

Altındağ, Ankara, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Moseley A, Wales A, Herbert R, Schurr K, Moore S. Observation and analysis of hemiplegic gait: stance phase. Aust J Physiother. 1993;39(4):259-67. doi: 10.1016/S0004-9514(14)60486-4.

Reference Type BACKGROUND
PMID: 25026421 (View on PubMed)

Roth EJ, Merbitz C, Mroczek K, Dugan SA, Suh WW. Hemiplegic gait. Relationships between walking speed and other temporal parameters. Am J Phys Med Rehabil. 1997 Mar-Apr;76(2):128-33. doi: 10.1097/00002060-199703000-00008.

Reference Type BACKGROUND
PMID: 9129519 (View on PubMed)

Cooper A, Alghamdi GA, Alghamdi MA, Altowaijri A, Richardson S. The relationship of lower limb muscle strength and knee joint hyperextension during the stance phase of gait in hemiparetic stroke patients. Physiother Res Int. 2012 Sep;17(3):150-6. doi: 10.1002/pri.528. Epub 2011 Dec 7.

Reference Type BACKGROUND
PMID: 22147298 (View on PubMed)

Other Identifiers

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E-59394181-604.01.02-39134

Identifier Type: -

Identifier Source: org_study_id

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