- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02346851
The Effects of Accelerometer Triggered Functional Electrical Stimulation on Post-Stroke Hemiplegic Shoulder Subluxation
February 25, 2019 updated by: Yonsei University
Post stroke hemiplegia patient have shoulder subluxation in affected side.
The investigators use functional electrical stimulation in posterior deltoid and supraspinatus for prevention and treatment.
But the investigators hypothesis self triggered myoelectric stimulation system has more effective for shoulder subluxation.
The purpose of this study is to compare post-stroke shoulder subluxation treatment FES and triggered FES.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
76
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Seoul, Korea, Republic of, 120-752
- Severance Hospital
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-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
20 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Within 3months after stroke
- 1st stroke patients with hemiplegic shoulder subluxation which is measured above one finger breadth by physical examination
- Shoulder abduction strength is above P- grade (MMT)
- Male or female, ≥ 20 years of age
- Written informed consent has beed obtained
- Patients who understand purpose of this study and conform with intervention process
Exclusion Criteria:
- Quadriplegia or double hemiplegia
- History of injury, surgery, etc. of U/E and upper chest area
- person who implanted metalic device(ex. pacemaker, vagus nerve stimulator)
- patients who have lower motor neuron lesion
- person who have difficulty using electrode due to skin problem such as skin ulcer or open wound
- who have seizure or epilepsy history
- Female who are pregnant
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
No Intervention: control group
|
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Experimental: triggered FES
|
This study is randomized controlled trial performed by Random permuted blocks.
This study has 2 experimental groups and 1 control group.
Both experimental group receive FES treatment of their posterior deltoid and supraspinatus.
Experimental group 1(Acceleration group) uses Novastim CU FS1 once a day for 30 minutes during 3 weeks.
During treatment patient give a maximal effort for shoulder abduction.
Experimental group 2 (Convention group) receive cyclic FES treatment for reducing shoulder subluxation.
All patients have evaluation pre-intervention, post-intervention, 3 weeks after intervention and 9 weeks after intervention including physical examination and x-ray.
|
|
Active Comparator: conventional FES
|
This study is randomized controlled trial performed by Random permuted blocks.
This study has 2 experimental groups and 1 control group.
Both experimental group receive FES treatment of their posterior deltoid and supraspinatus.
Experimental group 1(Acceleration group) uses Novastim CU FS1 once a day for 30 minutes during 3 weeks.
During treatment patient give a maximal effort for shoulder abduction.
Experimental group 2 (Convention group) receive cyclic FES treatment for reducing shoulder subluxation.
All patients have evaluation pre-intervention, post-intervention, 3 weeks after intervention and 9 weeks after intervention including physical examination and x-ray.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Difference of vertical distance
Time Frame: 12 weeks
|
12 weeks
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Physical examination of affected side
Time Frame: 12 weeks
|
12 weeks
|
|
Difference of joint distance of shoulder A-P radiograph
Time Frame: 12 weeks
|
12 weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Embrey DG, Holtz SL, Alon G, Brandsma BA, McCoy SW. Functional electrical stimulation to dorsiflexors and plantar flexors during gait to improve walking in adults with chronic hemiplegia. Arch Phys Med Rehabil. 2010 May;91(5):687-96. doi: 10.1016/j.apmr.2009.12.024.
- Ikai T, Tei K, Yoshida K, Miyano S, Yonemoto K. Evaluation and treatment of shoulder subluxation in hemiplegia: relationship between subluxation and pain. Am J Phys Med Rehabil. 1998 Sep-Oct;77(5):421-6. doi: 10.1097/00002060-199809000-00012.
- Chaco J, Wolf E. Subluxation of the glenohumeral joint in hemiplegia. Am J Phys Med. 1971 Jun;50(3):139-43. No abstract available.
- Chan MK, Tong RK, Chung KY. Bilateral upper limb training with functional electric stimulation in patients with chronic stroke. Neurorehabil Neural Repair. 2009 May;23(4):357-65. doi: 10.1177/1545968308326428. Epub 2008 Dec 12.
- Tong KY, Mak AF, Ip WY. Command control for functional electrical stimulation hand grasp systems using miniature accelerometers and gyroscopes. Med Biol Eng Comput. 2003 Nov;41(6):710-7. doi: 10.1007/BF02349979.
- Lau H, Tong K. The reliability of using accelerometer and gyroscope for gait event identification on persons with dropped foot. Gait Posture. 2008 Feb;27(2):248-57. doi: 10.1016/j.gaitpost.2007.03.018. Epub 2007 May 21.
- Koyuncu E, Nakipoglu-Yuzer GF, Dogan A, Ozgirgin N. The effectiveness of functional electrical stimulation for the treatment of shoulder subluxation and shoulder pain in hemiplegic patients: A randomized controlled trial. Disabil Rehabil. 2010;32(7):560-6. doi: 10.3109/09638280903183811.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
November 12, 2013
Primary Completion (Actual)
September 16, 2015
Study Completion (Actual)
September 16, 2015
Study Registration Dates
First Submitted
January 15, 2015
First Submitted That Met QC Criteria
January 20, 2015
First Posted (Estimate)
January 27, 2015
Study Record Updates
Last Update Posted (Actual)
February 27, 2019
Last Update Submitted That Met QC Criteria
February 25, 2019
Last Verified
February 1, 2019
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 4-2012-0602
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.