New sEMG electrode placement for calf muscles after stroke
Official title: Validation of New sEMG Electrode Placement Guidelines for the Triceps Surae in Post-stroke Individuals
Run by University Hospital, Ghent · NCT07387328 · Data updated 2026-11-12
This project will test whether new electrode placement guidelines give more accurate calf muscle sEMG readings in adults who had a stroke and have calf muscle atrophy.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 20 (estimated) |
| Sponsor | University Hospital, Ghent Academic / other |
| Locations | 1 site (Ghent, Oost-Vlaanderen) |
| Status | Recruiting |
| Started | April 17, 2026 |
| Main results expected | October 31, 2027 |
| Study ends | October 31, 2027 |
| Registry record updated | June 3, 2026 |
| Trial ID | NCT07387328 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults who had a stroke with hemiparesis and calf muscle atrophy, who can lie prone for about 90 minutes and—if doing the walking portion—can walk without shoes (assistive devices allowed), and who have no other neurological or major lower‑limb orthopedic conditions.
✕Probably not a fit
People with other neurological or significant orthopedic conditions affecting the legs, prior surgery on the affected lower leg, or severe cognitive impairment preventing consent are unlikely to receive benefit from this validation work.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Surface electromyography (sEMG) recordings of the triceps surae are sensitive to where electrodes are placed, and standard SENIAM landmarks can miss individual muscle variations after stroke. Investigators developed EPICA (Electrode Placement for Individual Calf Anatomy) guidelines that use individual anatomy to guide placement and have been tested in healthy volunteers. In this observational validation, people with hemiparesis after stroke will have electrode positions determined on the affected side using imaging (3D freehand ultrasound) and sEMG recordings during rest and walking when possible to compare EPICA placements with standard locations. All procedures occur at Ghent University Hospital and no experimental treatments are given.
Why it matters
Potential benefit: If successful, the guidelines could produce more reliable sEMG measurements of calf muscles, improving gait analysis and helping clinicians tailor rehabilitation.
How similar studies have gone: The EPICA placement guidelines showed promising results in healthy volunteers, but this is one of the first formal validations in people after stroke.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adult individuals who have experienced a stroke (CVA or cerebrovascular accident). * Have no other neurological disorder. * Are able to lie in the prone position for approximately one and a half hours. * Are able to walk without shoes for the walking component (only applicable to participants who will perform walking). The use of an assistive device such as a walking stick (or similar) is permitted. Exclusion Criteria: * Presence of other neurological or orthopedic conditions that may influence the measurements and results (e.g., Parkinson's disease, peripheral neuropathy of the lower limbs, severe ankle osteoarthritis limiting range of motion, etc.). * Having undergone a surgical intervention on the hemiparetic lower leg (e.g., ankle joint arthrodesis, etc.). * Severe cognitive impairments that prevent understanding participation in the study (assessed using the AbilityQ).
Where it's running
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Ghent University Hospital
Ghent, Oost-Vlaanderen, Belgium Recruiting
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.