Effect of High Tone Power Therapy on Spasticity and Gait Kinematics in Stroke Patients
NCT Number: NCT06562530
Status: ACTIVE_NOT_RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Stroke
Interventions: DEVICE: high tone power therapy|DEVICE: transcutaneous electrical nerve stimulation (TENS)|OTHER: selected physical therapy program
Sponsor: Cairo University
Sex: ALL
Age: ADULT
Enrollment: 51
Study Design: Allocation: RANDOMIZED|Intervention Model: PARALLEL|Masking: SINGLE (PARTICIPANT)|Primary Purpose: TREATMENT
Start Date: 2024-01-01
Completion Date: 2024-12
Locations: faculty of physical therapy, Cairo university, Giza, Egypt

Summary:
This study aims to compare between High tone power therapy (modulated frequency current) and Transcutaneous electrical nerve stimulation (fixed frequency current) on spasticity and selected kinematic gait parameters in stroke patients.

Primary Outcome Measures: Modified Ashworth Scale (MAS), This scale is used to measure spasticity of Calf muscle in grades from 0 to 5., measurements will be done 3 days before the start of the treatment program and will be done after 3 days post intervention|Computerized electromyography (EMG) using H/M ratio, EMG is an objective device used to measure spasticity of the Soleus muscle in percentage (%), measurements will be done 3 days before the start of the treatment program and will be done after 3 days post intervention|Ten-meter Walk test(10-MWT), This scale is used to measure walking speed in m/s

* self-selected walking speed (SSWS) in (m/s).
* fastest walking speed (FWS) in (m/s)., measurements will be done 3 days before the start of the treatment program and will be done after 3 days post intervention|Time up and go test (TUG), This test is used to measure time taken by patient to apply sit to stand, walk a distance of 3 meters, turn and walk back to the chair in (sec.), measurements will be done 3 days before the start of the treatment program and will be done after 3 days post intervention|Gait velocity, Gait Analyzer Smart Phone Application is an objective tool that assesses gait velocity (m/s)., measurements will be done 3 days before the start of the treatment program and will be done after 3 days post intervention|cadence, Gait Analyzer Smart Phone Application is an objective tool that assesses cadence: the number of steps per second in (steps/ s)., measurements will be done 3 days before the start of the treatment program and will be done after 3 days post intervention|step time, Gait Analyzer Smart Phone Application is an objective tool that assesses step time in ( msec.), measurements will be done 3 days before the start of the treatment program and will be done after 3 days post intervention|step time symmetry, Gait Analyzer Smart Phone Application is an objective tool that assesses step time symmetry: the symmetry in time between affected and unaffected lower limbs in percentage (%), measurements will be done 3 days before the start of the treatment program and will be done after 3 days post intervention|step length, Gait Analyzer Smart Phone Application is an objective tool that assesses step length by the inertial sensor system symmetry in meters (m)., measurements will be done 3 days before the start of the treatment program and will be done after 3 days post intervention|step length symmetry, Gait Analyzer Smart Phone Application is an objective tool that assesses step length symmetry: the symmetry in step length between affected and unaffected lower limbs in percentage (%), measurements will be done 3 days before the start of the treatment program and will be done after 3 days post intervention
Secondary Outcome Measures: Lafayette Hand-held Dynamometer, This is an objective device used to measure the isometric contraction of dorsi flexors in pounds (lbs.), measurements will be done 3 days before the start of the treatment program and will be done after 3 days post intervention