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Assessing Leg Control in People With Chronic Stroke

June 19, 2019

Overview

The Fugl-Meyer assessment (FMA) is the “Gold Standard” for the assessing individuals with brain injuries. The full assessment can take over an hour to complete. Clinicians have limited time to perform a full evaluation of their patients, the FMA is just one part of this evaluation. The lower extremity selective voluntary motor control component of the FMA (FMA-LE) is difficult for clinicians who are not experts to perform and interpret. The Selective Control Assessment of Lower Extremity (SCALE) was developed for children who have cerebral palsy (CP). The SCALE is considered reliable in the pediatric population with CP. This study aims to determine inter-rater and intra-rater reliability for the FMA-LE and the SCALE. Finally the scores on the SCALE and FMA-LE will be compared to the time it takes for stroke survivors to walk 10-meters to determine how well each measure predicts functional status.

 

Study Information

This is an observational, prospective, cohort study with an estimated 20 participants. The study began August 5, 2018 and is expected to be completed by September 2021.

 

Inclusion Criteria

 

  • All adults between 18 and 79 years of age who have sustained a chronic cerebrovascular accident (stroke) with known corticospinal tract damage
  • At least one year after onset
  • Ability to walk
  • Ability to understand and follow simple instructions
  • Ability to provide written, informed consent

 

Exclusion Criteria

 

  • History of cerebellar infarct, traumatic brain injury, tumor, etc.
  • Rigidity, ataxia, or other Cerebellar or Basal Ganglia signs or symptoms.
  • Hospitalizations in the past 6 months
  • Neurosurgical or Musculoskeletal surgery in last 12 months
  • Neurological or Musculoskeletal injury within the past month
  • Pain that interferes with the ability to assume side-lying position
  • Medication for hypertonicity: Participants may be on medicine for abnormal tone

 

However, there must not be any of the following:

  1. Change in dosage or type of medication during the past 6 months
  2. Botox injection(s) within 6 months.

 

Location

You may participate in this study at the University of Minnesota Minneapolis, Minnesota, United States, 55455. If you have any questions or concerns please contact Teresa Bisson, PT, DPT, NCS, ATP at 612-624-2364 or at tbisson@umn.edu.

 

Sponsors/Collaborators

This study is sponsored by the University of Minnesota – Clinical and Translational Science Institute. Deborah Diaz, PT, PhD of Mary Baldwin University and Teresa Bisson, PT, DPT, NCS, ATP of the University of Minnesota – Clinical and Translational Science Institute serve as the Principal Investigators.

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