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Trial registered on ANZCTR
Registration number
ACTRN12612000583842
Ethics application status
Approved
Date submitted
28/05/2012
Date registered
30/05/2012
Date last updated
21/11/2013
Type of registration
Retrospectively registered
Titles & IDs
Public title
Gait support for acute and sub-acute patients who demonstrate foot drop following stroke
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Scientific title
In people following acute and subacute stroke does gait support using the Bioness L300 improve gait compared to usual rehabilitation?
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Secondary ID [1]
273439
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Stroke
279226
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Condition category
Condition code
Stroke
279433
279433
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0
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Ischaemic
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Stroke
286859
286859
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0
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Haemorrhagic
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Physical Medicine / Rehabilitation
286860
286860
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0
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Physiotherapy
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Bioness Ness L300 Foot Drop System will be used in people admitted to hospital following stroke. Dose, intensity and activities of use will not be specified but will be described.
The L300 is a wireless peroneal nerve electrical stimulation unit, which promotes ankle dorsiflexion after toe off and during the swing phase of gait (TGA Approval number 152654). The unit will be fitted by a trained physiotherapist and participants will wear the device during physiotherapy intervention and management. Devices will be worn by participants as required and will be at the discretion of the physiotherapist.
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Intervention code [1]
283770
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Treatment: Devices
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Intervention code [2]
284949
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Rehabilitation
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Comparator / control treatment
Comparator group will receive standard treatment prescribed by rehabilitation team.
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Control group
Active
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Outcomes
Primary outcome [1]
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Walking ability measured as walking speed during 10 m walk test.
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Assessment method [1]
286001
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Timepoint [1]
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Discharge from hospital or when L300 no longer clinically required; at 4, 8 and 12 weeks post discharge from hospital
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Secondary outcome [1]
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Feasibility measured as number of stroke survivors who successfully use the L300; duration, sessions, steps taken using the L300; patient and therapist perception of usefulness determined through 10-point rating scale; adverse events including falls and skin irritation.
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Assessment method [1]
294942
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Timepoint [1]
294942
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At discharge from hospital or when L300 no longer required.
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Secondary outcome [2]
294943
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Achievement of motor milestones: time to independent sitting balance, standing balance, 10 steps, 10 m walk test.
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Assessment method [2]
294943
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Timepoint [2]
294943
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During hospital admission, dates will be recorded when these motor milestones are achieved.
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Secondary outcome [3]
294944
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Balance measured using Balance Outcome Measure for Elder Rehabilitation
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Assessment method [3]
294944
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Timepoint [3]
294944
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At discharge from hospital or when L300 no longer required.
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Secondary outcome [4]
294945
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Walking capacity measured using six minute walk test
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Assessment method [4]
294945
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Timepoint [4]
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At discharge from hospital or when L300 no longer required.
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Secondary outcome [5]
294946
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Modified Barthel Index
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Assessment method [5]
294946
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Timepoint [5]
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4, 8 and 12 weeks post discharge from hospital
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Secondary outcome [6]
294947
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Quality of life using Euroqol 5D
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Assessment method [6]
294947
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Timepoint [6]
294947
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4, 8 and 12 weeks post discharge from hospital
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Eligibility
Key inclusion criteria
Diagnosed as stroke
Receiving physiotherapy rehabilitation
Are medically stable
Able to understand simple instructions
If walking, foot drop is evident during walking without adaptive AFO
Muscle weakness of the paretic ankle dorsiflexors and/or evertors
Have a minimum 4 sessions with NESS L300
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Other neurological or musculoskeletal condition affecting lower limbs that would limit walking ability e.g. Parkinson’s Disease, severe osteoarthritis, spinal cord injury, cerebral palsy, multiple sclerosis
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Participants will be enrolled in the study by treating physiotherapists. Sites have been allocated to being an intervention or control site. participants, therapists and study investigators will not be blind to intervention.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
NA
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
9/01/2012
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Actual
28/02/2012
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Date of last participant enrolment
Anticipated
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Actual
30/11/2012
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
150
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Queensland Health
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Address [1]
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Charlotte Street
Brisbane QLD 4001
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Country [1]
284248
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Australia
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Primary sponsor type
Government body
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Name
Queensland Rural Stroke Outreach Service
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Address
Geriatric and Rehabilitation Unit,
Cartright Street Windsor Qld 4029
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Country
Australia
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Secondary sponsor category [1]
269203
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Other Collaborative groups
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Name [1]
269203
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Queensland Rehabilitation Physiotherapy Network
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Address [1]
269203
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The Prince Charles Hospital
Rode Road
Chermside QLD 4032
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Country [1]
269203
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
286214
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Metro North - The Prince Charles Hospital HREC
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Ethics committee address [1]
286214
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Administration Building Lower Ground The Prince Charles Hospital Rode Road, Chermside QLD 4032
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Ethics committee country [1]
286214
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Australia
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Date submitted for ethics approval [1]
286214
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Approval date [1]
286214
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31/08/2011
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Ethics approval number [1]
286214
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HREC/11/QPCH/136
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Summary
Brief summary
The QH Rural Stroke Outreach Service and the Queensland Rehabilitation Physiotherapy Network are investigating the use of the Bioness NESS L300 (L300) to support gait recovery in people following stroke with foot drop. A prospective clinical controlled study involving eight rehabilitation units is planned. Each participating site has nominated to be either an intervention or a control site. Following familiarisation, participants will use the L300 during physiotherapy treatment once medically stable until they are discharged or the L300 is no longer clinically required. Participants will be followed up by phone at 4, 8 and 12 weeks following recruitment to the study.
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Trial website
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Trial related presentations / publications
Kuys SS, Clarke J, Lynch M, Dilworth C. Portable peroneal electrical stimulation early following stroke: risks and recovery. Smarts Stroke Conference 9th Australasian Nursing & Allied Health Stroke Conference. International Journal of Stroke 2013, 8; Supp 2, 11. Kuys SS, Clarke J, Dilworth C, Lynch M. Peroneal electrical stimulation: application early following stroke. 24th Annual Scientific Meeting of the Stroke Society of Australia. International Journal of Stroke 2013, 8; Supp 1, 29. Kuys S, Clarke J, Lynch M, Stewart C, Dilworth C, Grimley R. Portable electrical stimulation early following stroke: a protocol. Stroke Society of Australasia, 2012. International Journal of Stroke; 2012, 7 S1:32.
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Public notes
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Contacts
Principal investigator
Name
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Dr Suzanne Kuys
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Address
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The Prince Charles Hospital, Rode Road, Chermside, Queensland 4032
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Country
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Australia
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Phone
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61 7 31396319
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Dr Suzanne Kuys
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Address
16673
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Allied Health Research Collaborative
The Prince Charles Hospital
Rode Road, Chermside QLD 4032
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Country
16673
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Australia
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Phone
16673
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61 7 3139 6319
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Fax
16673
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Suzanne Kuys
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Address
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Allied Health Research Collaborative
The Prince Charles Hospital
Rode Road, Chermside QLD 4032
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Country
7601
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Australia
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Phone
7601
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61 7 3139 6319
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Fax
7601
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Email
7601
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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