Use of Hand-held Dynamometry to Obtain Objective Measures of Lower Extremity Force Production With Chronic Stroke

Study Overview
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Brief Summary
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This study wants to know if using handheld dynamometry (HHD) to test leg strength in persons who have had a stroke, will reduce mistakes and give therapists better information to use for therapy. This study will collect normal values of leg muscle peak force production, cumulative peak force production, and sustained peak force production in patients with chronic stroke.

Detailed Description
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The Activbody Activ5 device will be used for data collection with all information logged and stored through the device's app and transferred to secure files. Assessment of isometric muscle strength and power will be performed as follows: Hip flexors with the participant seated and hips and knees flexed at 90 degrees Knee extensors with the participant seated and hips and knees flexed at 90 degrees Knee flexors with the participant seated and hips and knees flexed at 90 degrees Ankle plantarflexors with the participant lying supine with the ankle in plantargrade and hips and knees extended Ankle dorsiflexors with the participant lying supine with the ankle relaxed and hips and knees extended Hip abductors with the participant lying supine and hips and knees extended Hip adductors with the participant lying supine and hips and knees extended Hip extensors with the participant lying prone and hips and knees extended 1 session, two trials per side

Official Title
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Use of Hand-held Dynamometry to Obtain Objective Measures of Lower Extremity Rate of Peak Force Production, Cumulative Peak Force Production, and Sustained Peak Force Production Among Patients With Chronic Stroke

Conditions
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Chronic Stroke, Weakness, Muscle

Intervention / Treatment
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* Other: Average Force Production


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age 18 years or older Stroke > 3 months Ability to follow two-step commands Ability to assume all test positions and maintain for duration of testing (i.e. upright seated, prone, side lying, supine) Exclusion Criteria: Lower extremity contractures preventing full passive range of motion (ROM) Vital signs contraindicated for exercise (i.e. resting heart rate > 100 bpm < 50 bpm, resting systolic blood pressure > 200 mmHg or < 90 mmHg, resting diastolic blood pressure > 110 mmHg, oxygen saturation < 90%) Symptoms contraindicated for testing (i.e. shortness of breath, angina, dizziness, severe headache, sudden onset of numbness or weakness, painful calf suggestive of deep vein thrombosis) Active infection and/or injury at location of testing site Other diagnosed co-morbidities that would impact physical participation

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Average Force Production<br>Average force production of bilateral lower extremities will be collected using the handheld dynamometer, Activbody Activ5. | Other: Average Force Production<br>* Average force production will be collected using the hand-held dynamometer, Activbody Activ5. Assessment of isometric muscle strength and power will be performed as follows: Hip flexors with the participant seated and hips and knees flexed at 90 degrees Knee extensors with the participant seated and hips and knees flexed at 90 degrees Knee flexors with the participant seated and hips and knees flexed at 90 degrees Ankle plantarflexors with the participant lying supine with the ankle in plantargrade and hips and knees extended Ankle dorsiflexors with the participant lying supine with the ankle relaxed and hips and knees extended Hip abductors with the participant lying supine and hips and knees extended Hip adductors with the participant lying supine and hips and knees extended Hip extensors with the participant lying prone and hips and knees extended<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Hand-held Dynamometry Measurement of Average Force Production | Average force production of lower extremity isometric strength measured in pounds (lb) | 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Hand-held Dynamometry Measurement of Peak Force Production | Peak force production of lower extremity isometric strength measured in pounds (lb) | 1 year |