Ultrasound-Guided Percutaneous Neuromodulation Protocol to Improve Gait Rehabilitation in Patients Who Have Suffered a Stroke. Clinical Trial.

Status: Recruiting
Location: See location...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

The goal of this clinical trial is to learn if percutaneous ultrasound-guided neuromodulation (NMP-e) can improve gait rehabilitation in adults who have suffered a stroke. The main questions it aims to answer are: * Does NMP-e improve walking speed in stroke survivors? * Does NMP-e enhance muscle strength, functional mobility, reduce spasticity, improve balance, and increase health-related quality of life? Researchers will compare the addition of NMP-e to conventional physiotherapy versus conventional physiotherapy alone to see if the intervention provides additional benefits in gait rehabilitation and other functional outcomes. Participants will: * Continue their regular physiotherapy treatment consisting of passive and active-assisted mobilizations and strength exercises. * Receive NMP-e targeting the sciatic nerve at mid-thigh and the common peroneal nerve at the fibular head (experimental group only). * Undergo stimulation with an electrostimulator at 10 Hz for 10 seconds per trial, repeated 10 times, with intensity adjusted for comfort. * Be evaluated before the intervention, immediately after, and one week later using: * 10-Meter Walk Test for gait speed * Dynamometry for ankle plantarflexor and dorsiflexor strength * Time Up and Go test for functional mobility * Modified Modified Ashworth Scale for spasticity * Berg Balance Scale for balance * EuroQoL-5 Dimensions for health-related quality of life Participants must be adults aged 18-70, able to walk 10 meters without assistance, currently receiving physiotherapy, and able to provide informed consent. Key exclusions include pregnancy, bleeding disorders, needle allergies, systemic inflammatory disorders, or recent invasive physiotherapy. This randomized controlled trial will be conducted at ATECE, \*\*a Spanish association dedicated to the care and rehabilitation of individuals with acquired brain injury\*\*, where participants will be recruited and receive their interventions. The study aims to evaluate the potential of NMP-e as an adjunctive therapy for improving gait and related functional outcomes in subacute and chronic stroke patients.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 70
Healthy Volunteers: f
View:

• Be between 18 and 70 years of age;

• Have suffered a stroke (CVA);

• Be in the subacute or chronic phase of the disease;

• Be able to walk 10 meters without assistance from another person;

• Currently be undergoing physiotherapy with conservative techniques;

• Be able to understand the technique being applied;

• Sign the informed consent form.

Locations
Other Locations
Spain
Universidad de Zaragoza
RECRUITING
Zaragoza
Contact Information
Primary
Alejandro Martín García
alejandro140martin@gmail.com
+34655856799
Time Frame
Start Date: 2025-09-15
Estimated Completion Date: 2027-12
Participants
Target number of participants: 30
Treatments
Experimental: Ultrasound-Guided Percutaneous Neuromodulation
Ultrasound-guided percutaneous neuromodulation is performed 10 times, each lasting 10 seconds with 10-second rest intervals.
No_intervention: Control group
Control group that does not receive the intervention; it is used solely for comparison.
Related Therapeutic Areas
Sponsors
Leads: Alejandro Martín García

This content was sourced from clinicaltrials.gov