Effect of Russian Current Stimulation for Anterior Tibial Group on Postural Stability and Risk of Falling in Patients With Stroke
NCT ID: NCT06793865
Last Updated: 2025-01-27
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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RECRUITING
NA
40 participants
INTERVENTIONAL
2024-10-10
2025-02-10
Brief Summary
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Detailed Description
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Egypt, with an estimated population of 85.5 million, has a high stroke prevalence of 963 per 100,000 inhabitants. Postural imbalance is a common limitation, affecting 83% of acute stroke patients, and falls are frequent across all stages of recovery, with rates as high as 73% within six months post-discharge. Even in chronic stroke patients, the fall risk remains elevated compared to age-matched controls. Postural imbalance impacts quality of life, and rehabilitation is vital for regaining independence in daily activities.
Up to 30% of stroke survivors experience significant permanent disabilities, and 20% require rehabilitation. Motor impairments, particularly in the lower limbs, limit daily activities, community participation, and quality of life. Poor lower-limb muscle performance affects balance, gait, and functionality, but interventions like Russian current have shown effectiveness in improving walking performance and motor recovery in chronic stroke survivors.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Russian Current Stimulation + selected physical therapy exercise
Patients received Russian current stimulation for 20 minutes and physical therapy for 40 minutes, 3 times/week for 6 weeks.
Russian Current Stimulation for Anterior Tibial Group
Parameters were adjusted as the following frequency of 2.5 kHz and 50 bursts per second with 50 pulses per burst. The stimulus was applied for a 10 seconds "on" period followed by a 10 seconds "off" period for total treatment time 20 minutes.
Selected physical therapy exercise for both limbs
The selected physical therapy exercise for both limbs was applied for 40 minutes, including passive, active assisted and active range of motion exercises, stretching of spastic muscles, strengthening of weak muscles (anterior tibial group), and finally functional mobility exercises.
Placebo Russian Current Stimulation + selected physical therapy exercise
All patients in this group received Russian current for 20 minutes as placebo in addition to the same selected physical therapy exercise for both limbs for 40 minutes.
Placebo Russian Current Stimulation for Anterior Tibial Group
Placebo Russian current stimulation was applied to the anterior tibial group without active current for 20 minutes.
Selected physical therapy exercise for both limbs
The selected physical therapy exercise for both limbs was applied for 40 minutes, including passive, active assisted and active range of motion exercises, stretching of spastic muscles, strengthening of weak muscles (anterior tibial group), and finally functional mobility exercises.
Interventions
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Russian Current Stimulation for Anterior Tibial Group
Parameters were adjusted as the following frequency of 2.5 kHz and 50 bursts per second with 50 pulses per burst. The stimulus was applied for a 10 seconds "on" period followed by a 10 seconds "off" period for total treatment time 20 minutes.
Placebo Russian Current Stimulation for Anterior Tibial Group
Placebo Russian current stimulation was applied to the anterior tibial group without active current for 20 minutes.
Selected physical therapy exercise for both limbs
The selected physical therapy exercise for both limbs was applied for 40 minutes, including passive, active assisted and active range of motion exercises, stretching of spastic muscles, strengthening of weak muscles (anterior tibial group), and finally functional mobility exercises.
Eligibility Criteria
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Inclusion Criteria
* Patients with moderate spasticity,
* Patient's ages ranged from 40-55 years.
* Patients BMI not exceed 30 kg/m².
* Medically and clinically stable patients.
Exclusion Criteria
* Patients with severe spasticity (3 or more by the modified Ashworth scale).
* Patients with atrial fibrillation.
* Patients with infectious processes.
* Patients with impaired pain sensitivity.
* Patients with epilepsy.
* Patients with lower limb joint endoprosthetics.
40 Years
55 Years
ALL
No
Sponsors
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Cairo University
OTHER
Responsible Party
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Abdelrahman Refaat Mohamed
Principal Investigator
Principal Investigators
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Hoda Mohamed Zakaria, PhD
Role: STUDY_CHAIR
Professor, Cairo University
Locations
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Deraya University
Minya, , Egypt
Countries
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Central Contacts
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Hoda Mohamed Zakaria, PhD
Role: CONTACT
Facility Contacts
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Other Identifiers
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P.T.REC/012/005504
Identifier Type: -
Identifier Source: org_study_id
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