About this trial
This project will examine the feasibility, safety and effect of home-based functional electrical stimulation (FES) applied to different lower limb muscles in combination with task-specific training on gait, balance and mobility in adults with chronic stroke. 30 individuals with chronic stroke will first undergo initial screening and baseline walking, mobility, balance and strength assessments in the laboratory. After determining their eligibility for the study, they will undergo 12-weeks of home-based FES and task-specific training. Following the initial screening (week 1) and pre-intervention assessment (week 2), participants will be trained in the lab for 6 sessions (week 3-4) for a FES home program and then given a FES home kit (FES device and an android tablet). Participants will then undergo home-training for 2 weeks (week 5-6) followed by mid-training assessment (week 7). Again, participants will undergo 4-weeks of home training (week 8-11) and final assessment at the end of training (week 12).
This project has the following specific aims:
Aim 1: To investigate the feasibility, safety and efficacy of 12-weeks of home-based FES and task-specific training in adults with chronic stroke.
Aim 2: To examine the effect of 12-weeks of home-based FES and task-specific training on mobility, gait and balance (anticipatory and reactive balance) in adults with chronic stroke.
Eligibility criteria
Qualifiers
Age group: 18-90 years.
Presence of unilateral hemiparesis.
Onset of stroke (> 6 months).
Ability to walk independently with or without an assistive device for at least 300 ft.
Disqualifiers
Body weight more than 250 lbs.
Heel bone density measurement using an ultrasound device. Individuals classified as osteoporotic (i.e., with a T-score < -2) will be excluded.
Cognitive impairment (Montreal Cognitive assessment score <26/30)
Verbal Aphasia (i.e <71% score on Mississippi Aphasia Screening)
Trial design
Treatments tested in this trial
- Functional Electrical Stimulation