The Effect of Functional Electrical Stimulation
The Effect of Functional Electrical Stimulation on Gait Quality After Anterior Cruciate Ligament Reconstruction
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Background: Quadriceps weakness is common following anterior cruciate ligament (ACL) reconstruction. The inadequate quadriceps strength contributes to altered gait patterns following ACL reconstruction. Neuromuscular electrical stimulation (NMES) has been shown to reduce quadriceps atrophy post-ACL reconstruction. However, the effect of functional electrical stimulation (FES), a modulation of NMES which enables quadriceps stimulation synchronized with gait, has not been tested.
Objective: The aim of this study is to evaluate the effectiveness of FES to improve the gait pattern of patients post ACL reconstruction.
Methods: Fifty six Individuals post-ACL reconstruction will be randomly placed into FES or NMES treatment group. All patients will receive a standard exercise program three sessions weekly. In addition, each group will receive a different electrical stimulation treatment: Neuromuscular Electrical Stimulation (NMES) or Functional Electrical Stimulation (FES). Outcome measures will include spatiotemporal gait measures (e.g., gait speed, single limb support, and asymmetry index), as well as isometric quadriceps strength. Measures will be taken a week before the surgery, a week after it, and one month from the beginning of rehabilitation. Strength and gait pattern will be measured. Isometric Quadriceps strength will measured using the Biodex isokinetic system, and gait analysis will be carried out through the spatio-temporal Optogait system.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Doar Tsvai
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Rishon LeZion, Doar Tsvai, Israel, 03529
- Zrifin
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Intended patients for ACL reconstruction procedure
- Age 18-30
- Committed for three sessions per week for 4 weeks
Exclusion Criteria:
- Previous surgery at the same knee
- Chronic knee swelling
- Knee injury
- History of recurrent ankle sprains, Achilles tendinopathy, or lower limb
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Neuro-muscular electrical stimulation
Active exercises & Neuro-muscular electrical stimulation in a stationary position (lying and/or sitting).
|
Electrical stimulation that cause muscle contraction in a stationary position
Subjects will receive training exercise according to ACL reconstruction protocol
|
|
Experimental: Functional electrical stimulation
Active exercises & Functional electrical stimulation while walking.
|
Subjects will receive training exercise according to ACL reconstruction protocol
Electrical stimulation that cause muscle contraction while walking
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentages of single support at each leg
Time Frame: One year
|
The test will perform with the Optogait system (a device for the Gait Analysis).
Single support phase within the gait cycle during which the body mass is carried by a single limb.
This parameter calculated by percentage of stride (normally about 40%).
|
One year
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
strength symmetry
Time Frame: One year
|
The method of assessment for this Outcome Measure is by calculated the differences between the right Quadriceps strength and the left Quadriceps strength
|
One year
|
|
Gait speed
Time Frame: One year
|
Measured by kilometer per hour
|
One year
|
|
Step length
Time Frame: One year
|
Measured by length of the average step for each leg
|
One year
|
|
Quadriceps strength
Time Frame: One year
|
Measured by maximal peak torque in each leg (through Biodex Isokinetic dynamometer)
|
One year
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Shmuel Springer, Ph.d, Physiotherapy department, school of Health Sciences, Ariel University, ISRAEL
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 16022015
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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