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Comparative Effects of Functional Electrical Stimulation and Mirror Therapy for Foot Clearance Among Patients With Sub-acute Stroke

RecruitingNAAges 18 Years - 85 YearsAllLahore University of Biological and Applied Scienโ€ฆ
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In plain words

What the trial is, and whether it could suit you

This study aims to evaluate the effectiveness of two rehabilitation techniques- Functional Electrical Stimulation (FES) and Mirror Therapy (MT)-in improving motor recovery among stroke survivors. Stroke often results in long-term impairments, particularly in foot clearance, which is critical for daily activities. Although current rehabilitation strategies help, more effective solutions are needed to enhance recovery. Participants, aged 18- 85 years old with subacute stroke and foot clearance impairments, will be randomized into two groups: Group A will receive functional electrical stimulation (FES) with routine physical therapy; and Group B will receive mirror therapy (MT) with routine physical therapy. The interventions will take place three times a week for 4 weeks, and participants will undergo motor function assessments, including the Fugl-Meyer Assessment and Functional Independenc

Sign in to get the eligibility rules as simple questions to take to your doctor.

๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: * Patient aged 18-85 years of age, who experienced stroke within โ‰ค6 months. * The Fugl-Meyer motor assessment of lower extremity (FMA-LE) was conducted by physiotherapist in the hospital, and score required to be โ‰ฅ 20 points. * Participants possessed healthy nerves, neuromuscular junctions, muscles tissues, and a sufficient range of motion in dorsiflexor and plantarflexion. * The subjects could walk independently on a treadmill for at least 2 min without without experiencing adverse reaction to FES. * Patients who received more 24 scores on Mini Mental State Exam and could comprehend and follow the information researcher provides. * No orthopedic diseases in upper and lower extremities. * Patients with functional ambulation classification (FAC) score of 3 or 4 were included (FAC is a scale of 0-5, where 3 indicates supervision or standby guarding and 4 indicates independent on level surfaces. * Patients with inadequate ankle dorsiflexion during the swing phase of gait. * Patients with adequate minimal stability at the ankle during stance with stimulation. Exclusion Criteria: * Patients with cardiac pacemaker, those with skin lesions, who could not be treated due to spasticity within the last three months, and vestibular and cerebellar lesions or deaf- blindness were excluded. * Patients with past or current epilepsy, uncontrolled seizure disorder, mental disorders and all neurological disorders except stroke. * Patients with severe edema of lower extremities or patients of vascular disorders like deep vein thrombosis or thromboembolisms and severe atheroscelerosis of lower extremities. * Subjects with any musculoskeletal dysfunction that would potentially affect gait and causes risk of falls. * We excluded patients with pregnancy, plantar flexion contracture, and severe hemi-neglect. * Subjects with hip or knee prostheses made of metal on the lower limb were excluded.
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What it tests

  • Neuromodulators
  • Sensory Agumentation
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Where

2 sites
Lahore University of Biological and Applied Sciences
Lahore, Pakistan
Lahore University of Biological and Applied Sciences
Lahore, Pakistan
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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