Improving walking in stroke survivors using operant conditioning
Operant Conditioning of Reflex Pathways to Improve Walking in Individuals Post-stroke
NA · University of Nevada, Las Vegas · NCT05801744
This study is testing a new method to help stroke survivors with walking difficulties by using a training technique to improve muscle movement in their ankles.
Quick facts
| Phase | NA |
|---|---|
| Study type | Interventional |
| Enrollment | 5 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | University of Nevada, Las Vegas (other) |
| Locations | 1 site (Las Vegas, Nevada) |
| Trial ID | NCT05801744 on ClinicalTrials.gov |
What this trial studies
This study aims to investigate the effects of operant conditioning on reflex pathways in the ankle of individuals who have experienced a stroke and suffer from hemiparesis and foot drop. It will involve 40 visits over approximately four months, focusing on enhancing the activation of the tibialis anterior muscle to improve walking ability. Participants will be adults who are at least six months post-stroke and demonstrate specific gait deficits. The study seeks to recruit five individuals for this intervention.
Who should consider this trial
Good fit: Ideal candidates are adults aged 18 and older who are at least six months post-stroke and exhibit foot drop due to hemiparesis.
Not a fit: Patients with a history of ear disease, balance problems unrelated to stroke, or other neurological conditions affecting mobility may not benefit from this study.
Why it matters
Potential benefit: If successful, this approach could significantly enhance walking ability and quality of life for stroke survivors with foot drop.
How similar studies have performed: While operant conditioning has been explored in various rehabilitation contexts, this specific application to reflex pathways in post-stroke patients is relatively novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * At least 6 months following a single, unilateral stroke, resulting in hemiparesis. * Ambulatory with or without assistive device, but must demonstrate a gait deficit which is indicative of foot drop from reduced activation of the tibialis anterior muscle. * Able to follow verbal directions. * Able to see icons on computer monitor (with or without corrective lenses) from at least 4 feet away. * All subjects will be adults at least 18 years old. * Know history and current medication management for lower limb spasticity, if any. Exclusion Criteria: * No history of ear disease or balance problems outside of those caused by the stroke. * Cerebellar stroke * No other neurological disease or injuries other than the stroke affecting the use of the legs and/or walking.
Where this trial is running
Las Vegas, Nevada
- University of Nevada, Las Vegas — Las Vegas, Nevada, United States (RECRUITING)
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Stroke, Post-stroke Hemiparesis, Foot Drop