Using a device to improve balance in stroke survivors

Cranial-nerve Non-invasive Neuromodulation and Dynamic Balance in Chronic Stroke Survivors

Not applicable Interventional Medical University of South Carolina · NCT05135533

This study tests if a device called PoNS, used alongside balance training, can help stroke survivors improve their walking and stability.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment60 (estimated)
Ages22 Years to 85 Years
SexAll
SponsorMedical University of South Carolina Academic / other
Locations1 site (Charleston, South Carolina)
Trial IDNCT05135533 on ClinicalTrials.gov

What this trial studies

This study investigates the effectiveness of the Portable Neuromodulation Stimulator (PoNS) in conjunction with gait and balance training to enhance postural and walking stability in individuals who have experienced a stroke. Participants will receive either the PoNS therapy or a sham treatment while engaging in balance training exercises. The goal is to gather evidence on how this non-invasive stimulation can aid recovery and improve mobility in stroke survivors. The study focuses on individuals who have residual impairments following their stroke, specifically targeting those with lower extremity weakness.

Who should consider this trial

Good fit: Ideal candidates are individuals who have had a stroke at least six months prior and exhibit residual lower extremity weakness.

Not a fit: Patients with pre-existing neurological disorders or severe orthopedic issues may not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could significantly improve balance and mobility in stroke survivors, enhancing their quality of life.

How similar studies have performed: While the use of neuromodulation for balance improvement is a growing field, this specific approach with PoNS therapy is relatively novel and has not been extensively tested in stroke populations.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* At least six months since the onset of Ischemic or hemorrhagic stroke.
* Demonstrate residual paresis in the lower extremity (Fugl-Mayer lower extremity score \< 34).
* Are able to provide informed consent demonstrated by their ability to weigh the consequences of participating versus not participating in the study.
* Can walk at least 10 feet with and without assistive device.
* Functional Gait Assessment score \<22.

Exclusion Criteria:

* Pre-existing neurological disorders.
* Previous stroke affecting the other hemisphere .
* Severe arthritis or orthopedic problems that limit passive range of motion.
* Areas of recent bleeding or open wounds.
* Lack normal sensation on the tongue.
* Received treatment for cancer within the past year.
* Non-removable metal orthodontic devices.
* Oral health problems.
* Are sensitive to nickel, gold or copper.
* Chronic infectious diseases.
* Are pregnant.
* Have dementia

Where this trial is running

Charleston, South Carolina

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Stroke
Last reviewed 2026-06-13 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.