This trial is examining the effectiveness of plantar flexion training (PFT) in patients with stroke and impaired foot movement. The main outcome to be measured will be step length and muscle activity. This study is being conducted in Texas, US.
The details
A stroke consists of the death of brain cells due to lack of oxygen. This is caused by a blockage of blood flow to the brain. Gait (walking) disorder is common after stroke. One of the causes is an impaired foot movement. The standard treatment for this is physical therapy. However, this is only of limited effectiveness in some cases. Prior studies showed that plantar flexion training is associated with improved outcomes for patients with an impaired foot. Plantar flexion occurs when the toes and foot are pointed down. It is not clear how PFT can affect the treatment of patients with stroke.
This trial is examining the effectiveness of plantar flexion training (PFT) in patients with stroke and impaired foot movement. The main outcome to be measured will be step length and muscle activity.
Who are they looking for?
This trial is recruiting 50 stroke survivor with foot complications. Patients must be able to perform five times sit to stand test without the use of arms or hands. Must have some capacity to move the feet and to walk with supervision. Must understand English and must be able to follow commands.
Patients must not be receiving physical therapy, must not have ankle instability or pain on the affected foot. Patients must not have received Botox treatment within the last 3 months or walk with longer healthy footstep length.
How will it work
This study has three phases. In the first phase, participants will stand on an inclined surface with the affected foot while moving a skateboard with the healthy foot. In the second phase, participants will stand with different percentages of body weight on their affected foot while moving a skateboard with the healthy foot. In the third phase, participants will receive 4-week standard physical therapy or a 4-week treatment of PFT.
