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Muscle Coordination-Based Feedback for Stroke Rehabilitation
Sponsor: Shirley Ryan AbilityLab
Summary
The purpose of this study is to compare two interventions currently used to improve gait and lower limb function in individuals with chronic stroke (i.e., high-intensity gait training and high-intensity gait training with functional electrical stimulation (FES)) with novel interventions based on the coordinated activity of multiple muscles, known as muscle synergies. To this end, the researchers will recruit chronic stroke patients to participate in training protocols according to the currently used rehabilitation programs as well as novel rehabilitation programs that provide real time feedback of muscle synergies using multichannel FES and visual feedback.
Official title: The Effects of Muscle Synergy-Based Biofeedback During Gait Rehabilitation for Individuals With Chronic Stroke
Key Details
Gender
All
Age Range
18 Years - 18 Years
Study Type
INTERVENTIONAL
Enrollment
100
Start Date
2024-03-19
Completion Date
2031-10-01
Last Updated
2025-05-25
Healthy Volunteers
Yes
Conditions
Interventions
Conventional High Intensity Gait Training
Participants during a training session will complete at least 30 minutes of treadmill walking at the target intensity. The participants will complete 18 training sessions.
Standard FES to the Tibialis Anterior (TA)
Participants during a training session will complete at least 30 minutes of treadmill walking at the target intensity while wearing a FES stimulator on the tibialis anterior muscle of their more affected leg. Stimulation will be triggered prior to swing phase to combat drop foot. The participants will complete 18 training sessions.
Synergy-Based Multichannel FES (MFES)
Participants during a training session will complete at least 30 minutes of treadmill walking at the target intensity while FES is applied to multiple muscles of the leg throughout the gait cycle based on the healthy muscle synergies. The goal will be to have the FES applied for at least 20 minutes of each gait training session. The participants will complete 18 training sessions.
Muscle Synergy Visual Biofeedback
Participants during a training session will complete at least 30 minutes of treadmill walking at the target intensity while receiving visual feedback of the similarity of their muscle synergies to healthy muscle synergies. They will be instructed to try to optimize the similarity score. The participants will complete 18 training sessions.
Locations (1)
Shirley Ryan AbilityLab
Chicago, Illinois, United States