Trial Outcomes & Findings for Operant H-reflex Down-conditioning of Rectus Femoris in Post-stroke Stiff Knee Gait (NCT NCT05467774)

NCT ID: NCT05467774

Last Updated: 2024-07-16

Results Overview

H-reflex magnitude of rectus femoris. Lower values are considered better. The H-reflex is the amplitude of the monosynaptic spinal reflex, elicitied by electrical stimulation of the femoral nerve, normalized by the preceding M-wave. The M-wave is the amplitude of the muscle activity response to surface electrical stimulation of the femoral nerve. All muscle activity measured at the individual's rectus femoris of the stimulated limb. A value of 100% would mean no change in reflex magnitude, whereas a change of -20%, for instance, would mean a 20% drop in reflex magnitude over the 3 month training period.

Recruitment status

COMPLETED

Study phase

EARLY_PHASE1

Target enrollment

7 participants

Primary outcome timeframe

3 months

Results posted on

2024-07-16

Participant Flow

There were no other factors considered in addition to already stated inclusion/exclusion criteria

Participant milestones

Participant milestones
Measure
Training Group
Participants receive 24 sessions of operant H-reflex conditioning of the rectus femoris. Operant RF H-reflex conditioning: Operant down-conditioning of rectus femoris H-reflex
Overall Study
STARTED
7
Overall Study
COMPLETED
7
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Operant H-reflex Down-conditioning of Rectus Femoris in Post-stroke Stiff Knee Gait

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Training Group
n=7 Participants
Participants receive 24 sessions of operant H-reflex conditioning of the rectus femoris. Operant RF H-reflex conditioning: Operant down-conditioning of rectus femoris H-reflex
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
6 Participants
n=99 Participants
Age, Categorical
>=65 years
1 Participants
n=99 Participants
Age, Continuous
33.4 years
STANDARD_DEVIATION 19.4 • n=99 Participants
Sex: Female, Male
Female
4 Participants
n=99 Participants
Sex: Female, Male
Male
3 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
5 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
Race (NIH/OMB)
Asian
1 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
Race (NIH/OMB)
White
6 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Region of Enrollment
United States
7 participants
n=99 Participants

PRIMARY outcome

Timeframe: 3 months

H-reflex magnitude of rectus femoris. Lower values are considered better. The H-reflex is the amplitude of the monosynaptic spinal reflex, elicitied by electrical stimulation of the femoral nerve, normalized by the preceding M-wave. The M-wave is the amplitude of the muscle activity response to surface electrical stimulation of the femoral nerve. All muscle activity measured at the individual's rectus femoris of the stimulated limb. A value of 100% would mean no change in reflex magnitude, whereas a change of -20%, for instance, would mean a 20% drop in reflex magnitude over the 3 month training period.

Outcome measures

Outcome measures
Measure
Training Group
n=7 Participants
Participants receive 24 sessions of operant H-reflex conditioning of the rectus femoris. Operant RF H-reflex conditioning: Operant down-conditioning of rectus femoris H-reflex
Percentage Change From Baseline in RF H-reflex Magnitude
-43.82 percentage change in reflex size
Standard Error 4.81

SECONDARY outcome

Timeframe: 3 months

H-reflex magnitude of vastus medialis. Lower values are considered better. The H-reflex is the amplitude of the monosynaptic spinal reflex, elicitied by electrical stimulation of the femoral nerve, normalized by the preceding M-wave. The M-wave is the amplitude of the muscle activity response to surface electrical stimulation of the femoral nerve. All muscle activity measured at the individual's vastus medialis of the stimulated limb. A value of 100% would mean no change in reflex magnitude, whereas a change of -20%, for instance, would mean a 20% drop in reflex magnitude over the 3 month training period.

Outcome measures

Outcome measures
Measure
Training Group
n=7 Participants
Participants receive 24 sessions of operant H-reflex conditioning of the rectus femoris. Operant RF H-reflex conditioning: Operant down-conditioning of rectus femoris H-reflex
Percentage Change From Baseline in VM H-reflex Magnitude
-49.16 percentage change in reflex size
Standard Error 5.42

Adverse Events

Training Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. James Sulzer

MetroHealth Hospital/Case Western Reserve University

Phone: 5125419036

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place