Clinical trial Recruiting at 1 site Observational Ages 18 and up

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 typeObservational
Ages18 Years and up
SexAll
Enrollment20 (estimated)
SponsorUniversity Hospital, Ghent
Academic / other
Locations1 site (Ghent, Oost-Vlaanderen)
StatusRecruiting
StartedApril 17, 2026
Main results expectedOctober 31, 2027
Study endsOctober 31, 2027
Registry record updatedJune 3, 2026
Trial IDNCT07387328 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

  • Ghent University Hospital
    Ghent, Oost-Vlaanderen, Belgium
    Recruiting

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.