Ultrasound-guided needle nerve stimulation to improve walking after stroke
Official title: Ultrasound-Guided Percutaneous Neuromodulation Protocol to Improve Gait Rehabilitation in Patients Who Have Suffered a Stroke. Clinical Trial.
Run by Universidad de Zaragoza · NCT07196878 · Data updated 2026-11-12
This trial will test whether adding ultrasound-guided percutaneous nerve stimulation to regular physiotherapy helps adults who have had a stroke walk faster and move better.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 70 Years |
| Sex | All |
| Enrollment | 30 (estimated) |
| Sponsor | Universidad de Zaragoza Academic / other |
| Locations | 1 site (Zaragoza, Aragon) |
| Status | Recruiting |
| Started | September 15, 2025 |
| Main results expected | August 31, 2026 |
| Study ends | December 31, 2026 |
| Registry record updated | June 12, 2026 |
| Trial ID | NCT07196878 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18–70 who are in the subacute or chronic phase of stroke (at least three months post-event), able to walk independently for short distances (about 10 meters), currently receiving physiotherapy, and able to consent are ideal candidates.
✕Probably not a fit
People with needle phobia, uncontrolled bleeding disorders, active systemic inflammatory disease, recent invasive physiotherapy, pregnancy, certain skin or oncologic conditions, or those unable to attend site visits or walk independently are unlikely to benefit from this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional study compares standard physiotherapy alone versus physiotherapy plus ultrasound-guided percutaneous neuromodulation (PNM) targeted to the sciatic and common peroneal nerves. About 30 adults at least three months after stroke who can walk independently for short distances will be enrolled and receive usual rehabilitation while the experimental group also receives needle-based nerve stimulation under ultrasound. Stimulation sessions use a fine needle placed near the nerve with brief electrical pulses (e.g., 10 Hz for short trains) alongside conventional strength, mobility, and balance exercises. Outcomes include walking speed, lower-limb strength, spasticity, balance, functional mobility, and health-related quality of life over the treatment period.
Why it matters
Potential benefit: If successful, the approach could speed walking recovery, increase leg strength, reduce spasticity, and improve balance and daily function for some stroke survivors.
How similar studies have gone: Small pilot studies and other peripheral neuromodulation approaches have shown promising but limited improvements in motor recovery after stroke, while ultrasound-guided percutaneous nerve stimulation remains a relatively novel and not yet widely validated technique.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Be between 18 and 70 years of age; 2. Have suffered a stroke (CVA); 3. Be in the subacute or chronic phase of the disease; 4. Be able to walk 10 meters without assistance from another person; 5. Currently be undergoing physiotherapy with conservative techniques; 6. Be able to understand the technique being applied; 7. Sign the informed consent form. Exclusion Criteria: 1. Belonephobia (fear of needles); 2. Allergy to needles or metals; 3. Presence of uncontrolled coagulopathies; 4. Presence of uncontrolled arterial disease; 5. Pregnancy; 6. Dermatological disorders; 7. Presence of diseases such as systemic inflammatory disorders (e.g., rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, or septic arthritis); 8. Presence of diseases such as tumors, cancer, or metastases; 9. Having received invasive physiotherapy treatment in the last 4 weeks.
Where it's running
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Universidad de Zaragoza
Zaragoza, Aragon, Spain Recruiting
Study contacts
- Study coordinator: Alejandro Martín García
- Email: alejandro140martin@gmail.com
- Phone: +34655856799
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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.