Effectiveness of EMS Versus TENS During Gait Training in Post Stroke Patients to Improve Gait and Quality of Life
NCT ID: NCT05738811
Last Updated: 2023-08-29
Study Results
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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COMPLETED
NA
38 participants
INTERVENTIONAL
2023-02-11
2023-08-24
Brief Summary
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• To compare effectiveness of EMS versus TENS during gait training in post stroke survivors to improve gait and quality of life Participants were given consent form and after subjects read and sign the informed consent, they were included in study according to eligibility criteria. 2 groups were included in study, one group received stimulation through TENS and other through EMS. Both groups received exercise protocol and stimulation would be provided only during gait training. Outcome was measured through different outcome measure tools.
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Detailed Description
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2 groups were included in study, one group received stimulation through TENS and other through EMS. Both groups received exercise protocol and stimulation was provided only during gait training. The outcome was measured through different outcome measure tools.
Functional electrical stimulation device was used to improve dorsiflexion during walking, but it was somehow expensive treatment. To achieve same outcome during walking, it is aimed to see effect of EMS vs TENS. This would be an inexpensive alternate of FES device and could improve gait and quality of life if used during treatment protocol. So it was aimed to generate evidence about effectiveness of TENS vs EMS on lower limb during gait training to improve gait and quality of life.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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TENS treatment group
Group A was given exercise protocol along with TENS treatment protocol.
TENS treatment protocol
The 2 sets of electrodes of TENS were placed over the common peroneal nerve as it passes over the head of fibula and the motor point of tibialis anterior to elicit dorsiflexion and eversion of foot.
Exercises
Patient were given 30 minutes treatment session, 10 minutes of supported walking 10 minutes of BWS treadmill training 10 minutes of Task-specific over ground locomotor training (LT) There was rest of 2 minutes The frequency of the sessions was five times a week for 12 weeks.
EMS treatment group
Group B received exercise protocol along with EMS treatment protocol.
EMS treatment protocol
The electrodes were placed over the common peroneal nerve as it passes over the head of fibula and the motor point of tibialis anterior to elicit dorsiflexion and eversion of foot. A portable comfy EMS channel was used to apply EMS protocol to set at threshold of muscle contraction level.
Exercises
Patient were given 30 minutes treatment session, 10 minutes of supported walking 10 minutes of BWS treadmill training 10 minutes of Task-specific over ground locomotor training (LT) There was rest of 2 minutes The frequency of the sessions was five times a week for 12 weeks.
Interventions
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TENS treatment protocol
The 2 sets of electrodes of TENS were placed over the common peroneal nerve as it passes over the head of fibula and the motor point of tibialis anterior to elicit dorsiflexion and eversion of foot.
EMS treatment protocol
The electrodes were placed over the common peroneal nerve as it passes over the head of fibula and the motor point of tibialis anterior to elicit dorsiflexion and eversion of foot. A portable comfy EMS channel was used to apply EMS protocol to set at threshold of muscle contraction level.
Exercises
Patient were given 30 minutes treatment session, 10 minutes of supported walking 10 minutes of BWS treadmill training 10 minutes of Task-specific over ground locomotor training (LT) There was rest of 2 minutes The frequency of the sessions was five times a week for 12 weeks.
Eligibility Criteria
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Inclusion Criteria
* Anterior cerebral artery lesion
* Age between 40-70 years
* Well-oriented patients (ability to understand and follow simple verbal instructions)
* Ambulatory before stroke
* Ability to stand with or without assistance and to walk at least 10 meter with or without assistance
Exclusion Criteria
* History of peroneal nerve lesions
* Cognitive impairment
* Fixed plantar-flexor contractures
* Knee deformity
40 Years
70 Years
ALL
No
Sponsors
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Sehat Medical Complex
OTHER
Responsible Party
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Waseem Javaid
Project Director
Principal Investigators
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Zunaira Ahmad
Role: PRINCIPAL_INVESTIGATOR
University of Lahore
Locations
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Sehat Medical Complex, Lahore
Lahore, Punjab Province, Pakistan
Countries
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Other Identifiers
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zunairaahmad23
Identifier Type: -
Identifier Source: org_study_id
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