Effect of Russian Current Stimulation for Anterior Tibial Group on Postural Stability and Risk of Falling in Patients With Stroke
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An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Russian Current Stimulation for Anterior Tibial Group, Placebo Russian Current Stimulation for Anterior Tibial Group, Selected physical therapy exercise for both limbs.
- Who it may be relevant to
- Registry conditions: Stroke. Basic parameters: 40 years — 55 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Egypt
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
This study aimed to examine the effect of Russian current stimulation on Anterior tibial group on postural stability and risk of falling in patients with stroke.
Detailed description
Stroke is the second leading cause of death globally and the main cause of disability, with ischemic strokes accounting for about 87% of cases. In 2010, over 11 million ischemic strokes occurred, predominantly in low and middle-income countries, leading to approximately three million deaths. Hemorrhagic strokes account for 13% of cases.
Egypt, with an estimated population of 85.5 million, has a high stroke prevalence of 963 per 100,000 inhabitants. Postural imbalance is a common limitation, affecting 83% of acute stroke patients, and falls are frequent across all stages of recovery, with rates as high as 73% within six months post-discharge. Even in chronic stroke patients, the fall risk remains elevated compared to age-matched controls. Postural imbalance impacts quality of life, and rehabilitation is vital for regaining independence in daily activities.
Up to 30% of stroke survivors experience significant permanent disabilities, and 20% require rehabilitation. Motor impairments, particularly in the lower limbs, limit daily activities, community participation, and quality of life. Poor lower-limb muscle performance affects balance, gait, and functionality, but interventions like Russian current have shown effectiveness in improving walking performance and motor recovery in chronic stroke survivors.
Interventions
- Other Russian Current Stimulation for Anterior Tibial Group
Parameters were adjusted as the following frequency of 2.5 kHz and 50 bursts per second with 50 pulses per burst. The stimulus was applied for a 10 seconds "on" period followed by a 10 seconds "off" period for total treatment time 20 minutes. - Other Placebo Russian Current Stimulation for Anterior Tibial Group
Placebo Russian current stimulation was applied to the anterior tibial group without active current for 20 minutes. - Other Selected physical therapy exercise for both limbs
The selected physical therapy exercise for both limbs was applied for 40 minutes, including passive, active assisted and active range of motion exercises, stretching of spastic muscles, strengthening of weak muscles (anterior tibial group), and finally functional mobility exercises.
Primary outcome measures
- Static postural stability overall stability index (OST) [Time frame: 6 weeks]
Secondary outcome measures (2)
- Berg balance scale [Time frame: 6 weeks]
- Risk of falls index [Time frame: 6 weeks]
Eligibility criteria
Inclusion criteria
- Forty patient with stroke manifest with weakness of anterior tibial group.
- Patients with moderate spasticity,
- Patient's ages ranged from 40-55 years.
- Patients BMI not exceed 30 kg/m².
- Medically and clinically stable patients.
Exclusion criteria
- Patients suffering from psychological, cognitive, or emotional disturbance.
- Patients with severe spasticity (3 or more by the modified Ashworth scale).
- Patients with atrial fibrillation.
- Patients with infectious processes.
- Patients with impaired pain sensitivity.
- Patients with epilepsy.
- Patients with lower limb joint endoprosthetics.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Egypt · 1 center
- Deraya University — Minya
Identifiers
NCT: NCT06793865 · P.T.REC/012/005504