Clinical trial NCT06793865: Effect of Russian Current Stimulation for Anterior Tibial Group on Postural Stability and Risk of Falling in Patients With Stroke
Official title: Effect of Russian Current Stimulation for Anterior Tibial Group on Postural Stability and Risk of Falling in Patients With Stroke
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Stroke
Lead sponsor: Cairo University
Sponsor class: OTHER
First posted: 2025-01-27
Enrollment: 40
Sex: ALL
Minimum age (years): 40
Maximum age (years): 55
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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.

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.

Primary outcomes:
measure: Static postural stability overall stability index (OST)
timeFrame: 6 weeks
Secondary outcomes:
measure: Berg balance scale
timeFrame: 6 weeks
measure: Risk of falls index
timeFrame: 6 weeks
Other outcomes:
Locations:
city: Minya
country: Egypt
facility: Deraya University
Study officials:
affiliation: Professor, Cairo University
name: Hoda Mohamed Zakaria, PhD
role: STUDY_CHAIR
References: