The goal of this clinical trial is to learn if operant conditioning can reduce spasticity in order to improve walking in stroke patient. The main questions it aims to answer are:
* Can participants self-regulate reflex excitability
* Can participants self-regulate reflex, reduce spasticity and improve walking Participants will undergo surface stimulation to evoke spinal reflexes and will be asked to control these reflexes therefore reducing spasticity.
Researchers will compare result to able bodied participants to see if \[insert effects\]
Who can participate
Age range18 Years
SexALL
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion criteria
✓. Sign and date consent form
✓. At least 3 months since stroke event
✓. Over 18 years of age at time of eligibility
✓. Ability to stand upright and walk for at least 5 minutes
✓. Premorbidly independent
✓. Mild to moderate gait impairment
✓. Reduced knee flexion during walking relative to the unimpaired side
✓. Unilateral hemiparesis of the lower limbs
Exclusion criteria
✕. Co-existing neurological condition other than prior stroke involving the hemiparetic lower limb (e.g., peripheral nerve injury, PD, SCI, TBI, MS).
✕. History of lower limb musculoskeletal injury
✕. Functionally relevant osteoarthritis and weight bearing restriction
What they're measuring
1
Surface electromyographic recording of leg muscles
Timeframe: baseline, week 6 -mid-treatment, week 12 - end of treatment, 4-week post treatment, 12 weeks post treatment, 24 weeks post treatment