ClinicalTrials.gg
RecruitingNCT06574737Updated Aug 29, 2024

Use of Surface Electromyography as a Tools to Predict Upper Extremity Recovery Function After Stroke

An observational study in Upper Extremity Paresis, Muscle Contracture Upper Arm and Stroke, sponsored by Universitas Padjadjaran. Recruiting at 1 site in Indonesia. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-08-29.

Sponsored by Universitas Padjadjaran · Observational

From the registry’s dates

  • Primary completion was expected by Apr 2025, 1 year 6 months ago, but the record still lists the study as recruiting.
  • Started May 2024; still recruiting 2 years 6 months later.
Study type
Observational
Model
Other
Time perspective
Other
Enrollment
30
Ages
18 Years and older
Sex
All
01

Study summary

Hypothesis :

Based on the framework and premises above, the hypothesis is formulated as follows: H0 : surface electromyography parameters cannot predicts upper extremity motor function recovery in stroke patients H1: surface electromyography parameters can predicts upper extremity motor function recovery in stroke patients

Read the detailed description

Study design and setting This study is an analytic quantitative observational study, to analyse the quantification of Manual Muscle Test score, Fugl Mayer Assessment-Upper Extremity score and electrical signals of the anterior deltoid, biceps, triceps, wrist flexors and wrist extensors muscles based on contractions, length of contraction and amplitude parameters in patients with acute phase stroke. This study performed at HasanSadikin Hospital between February 2024 - July 2024. Study participants Potential participants will be recruited by the main researcher

Inclusion criteria:

  1. Patients who are hospitalized with upper extremity weakness due to stroke on the same side which confirmed with computed tomography scan or structural magnetic resonance imaging, in the acute phase
  2. Men and women aged more than 18 years old
  3. Willing to participate

Exclusion criteria:

  1. Cognitive impairment (MoCA-Ina score less than 26)
  2. Impaired consciousness (GCS score less than 15)
  3. Unstable medical conditions at time of hospitalization
  4. Patients with pacemaker
  5. Having other injury or dysfunction in the impaired side of upper extremity that caused restrictions on the range of joint movement and muscle weakness, such as fractures, periarthritis, or moderate-severe pain
  6. Diagnosis of other neurological disease or disorders in addition to stroke (e.g., traumatic brain injury, neuropathy or radiculopathy)
  7. Get treated in isolation room
  8. Hypersensitivity to gel electrodes

Drop out criteria:

  1. Unable to do 2 or more follow up session
  2. Withdrawn by themselves

Confounding factor:

  1. Stroke location
  2. Stroke size
  3. Spasticity
  4. Rehabilitation program
  5. Compliance rehabilitation
  6. Stroke risk factor

Sampling Technique The method of sampling based on consecutive samplings, that is, all stroke patients who meet the inclusion and exclusion criteria during the duration of the study.

Based on the formula above, the minimum sample size for this research is adequate, so the minimum sample size is 30 samples.

02

Conditions studied

  • Upper Extremity Paresis
  • Muscle Contracture Upper Arm
  • Stroke

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Keywords

  • Surface electromyography
  • Predictor Stroke
  • Upper Extremity Recovery
03

In context

Paresis

468 studies on the registry are indexed under Paresis; 117 are open to participants now.

This study's planned enrollment of 30 is below the median of 49 across 42 observational studies indexed under Paresis.

Browse Paresis studies →

Lead sponsor

Universitas Padjadjaran is the lead sponsor of 93 studies on the registry; 23 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

All stroke patients who meet the inclusion and exclusion criteria during the duration of the study.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Patients who are hospitalized with upper extremity weakness due to stroke on the same side which confirmed with computed tomography (CT) scan or structural magnetic resonance imaging (MRI), in the acute phase
  2. Men and women aged more than 18 years old
  3. Willing to participate

Exclusion criteria

Exclusion Criteria:

  1. Cognitive impairment (-Ina score less than 26)
  2. Impaired consciousness (GCS score less than 15)
  3. Unstable medical conditions at time of hospitalization
  4. Patients with pacemaker
  5. Having other injury or dysfunction in the impaired side of upper extremity that caused restrictions on the range of joint movement and muscle weakness, such as fractures, periarthritis, or moderate-severe pain
  6. Diagnosis of other neurological disease or disorders in addition to stroke (e.g., traumatic brain injury, neuropathy or radiculopathy)
  7. Get treated in isolation room
  8. to gel electrodes
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Observational model
Other
Time perspective
Other
Enrollment
30 participants (estimated)
Target follow-up
3 Months
Patient registry
Yes
06

What researchers measure

Primary outcomes

  1. Electrical activity deltoid, biceps, triceps, wrist flexor, wrist extensor muscle

    * Contraction (number/minute). The number of contractions was reported for each participant as a count of the number of contractions divided per minute time (the more the better outcome) windows analyzed for that participant. * Length of contraction (millisecond) (the longer the better outcome) * Amplitude (mV) (the more the better outcome)

    Time frame: 3 days of stroke onset, 5 days of stroke onset, 1 months, 2 months and 3 months after stroke onset

Secondary outcomes

  1. Manual Muscle Testing score

    5: Normal 4: Good 3: Fair 2: Poor 1: Trace 0: Zero (5 : higher end of strength ability, 0 = low-end ability of strength ability) (the more, the better outcome)

    Time frame: 3 days of stroke onset, 5 days of stroke onset, 1 months, 2 months and 3 months after stroke onset

  2. Fugl Mayer Assessment-Upper Extremity score

    ≤25 : severe 26-45 : moderate 46-66 : mild (66 : maximum score for upper extremity score = normal, the more the better outcome)

    Time frame: 3 days of stroke onset, 5 days of stroke onset, 1 months, 2 months and 3 months after stroke onset

07

Study locations

1 of 1 sites recruiting
  • Berthy Al Mungiza
    Bandung, West Java 40161, Indonesia
    Recruiting
08

References and documents

Publications

  • Fan J, Li X, Yu X, Liu Z, Jiang Y, Fang Y, Zong M, Suo C, Man Q, Xiong L. Global Burden, Risk Factor Analysis, and Prediction Study of Ischemic Stroke, 1990-2030. Neurology. 2023 Jul 11;101(2):e137-e150. doi: 10.1212/WNL.0000000000207387. Epub 2023 May 17. PubMed 37197995 ↗
  • Venketasubramanian N, Yudiarto FL, Tugasworo D. Stroke Burden and Stroke Services in Indonesia. Cerebrovasc Dis Extra. 2022;12(1):53-57. doi: 10.1159/000524161. Epub 2022 Mar 21. PubMed 35313314 ↗
  • Shelton FN, Reding MJ. Effect of lesion location on upper limb motor recovery after stroke. Stroke. 2001 Jan;32(1):107-12. doi: 10.1161/01.str.32.1.107. PubMed 11136923 ↗
  • Lawrence ES, Coshall C, Dundas R, Stewart J, Rudd AG, Howard R, Wolfe CD. Estimates of the prevalence of acute stroke impairments and disability in a multiethnic population. Stroke. 2001 Jun;32(6):1279-84. doi: 10.1161/01.str.32.6.1279. PubMed 11387487 ↗
  • Feldner HA, Papazian C, Peters KM, Creutzfeldt CJ, Steele KM. Clinical Use of Surface Electromyography to Track Acute Upper Extremity Muscle Recovery after Stroke: A Descriptive Case Study of a Single Patient. Appl Syst Innov. 2021 Jun;4(2):32. doi: 10.3390/asi4020032. Epub 2021 May 10. PubMed 34778722 ↗
  • Steele KM, Papazian C, Feldner HA. Muscle Activity After Stroke: Perspectives on Deploying Surface Electromyography in Acute Care. Front Neurol. 2020 Sep 23;11:576757. doi: 10.3389/fneur.2020.576757. eCollection 2020. PubMed 33071953 ↗
  • Alt Murphy M, Al-Shallawi A, Sunnerhagen KS, Pandyan A. Early prediction of upper limb functioning after stroke using clinical bedside assessments: a prospective longitudinal study. Sci Rep. 2022 Dec 21;12(1):22053. doi: 10.1038/s41598-022-26585-1. PubMed 36543863 ↗
  • Papazian C, Baicoianu NA, Peters KM, Feldner HA, Steele KM. Electromyography Recordings Detect Muscle Activity Before Observable Contractions in Acute Stroke Care. Arch Rehabil Res Clin Transl. 2021 Jun 5;3(3):100136. doi: 10.1016/j.arrct.2021.100136. eCollection 2021 Sep. PubMed 34589686 ↗
  • Stinear CM, Smith MC, Byblow WD. Prediction Tools for Stroke Rehabilitation. Stroke. 2019 Nov;50(11):3314-3322. doi: 10.1161/STROKEAHA.119.025696. Epub 2019 Oct 15. No abstract available. PubMed 31610763 ↗
  • Manzur-Valdivia H, Alvarez-Ruf J. Surface Electromyography in Clinical Practice. A Perspective From a Developing Country. Front Neurol. 2020 Oct 15;11:578829. doi: 10.3389/fneur.2020.578829. eCollection 2020. PubMed 33178121 ↗
  • Ueda S, Aoki H, Yasuda Y, Nishiyama A, Hayashi Y, Honaga K, Tanuma A, Takakura T, Kurosu A, Hatori K, Hayashi A, Fujiwara T. The MMT of Elbow Flexion and the AFE Predict Impairment and Disability at 3 Weeks in Patients With Acute Stroke. Front Neurol. 2022 Mar 30;13:831800. doi: 10.3389/fneur.2022.831800. eCollection 2022. PubMed 35432154 ↗
  • Lv W, Liu K, Zhou P, Huang F, Lu Z. Surface EMG analysis of weakness distribution in upper limb muscles post-stroke. Front Neurol. 2023 Apr 25;14:1135564. doi: 10.3389/fneur.2023.1135564. eCollection 2023. PubMed 37181551 ↗
  • Raghavan P. Upper Limb Motor Impairment After Stroke. Phys Med Rehabil Clin N Am. 2015 Nov;26(4):599-610. doi: 10.1016/j.pmr.2015.06.008. Epub 2015 Aug 25. PubMed 26522900 ↗
  • Li S. Stroke Recovery Is a Journey: Prediction and Potentials of Motor Recovery after a Stroke from a Practical Perspective. Life (Basel). 2023 Oct 15;13(10):2061. doi: 10.3390/life13102061. PubMed 37895442 ↗
  • Grefkes C, Fink GR. Recovery from stroke: current concepts and future perspectives. Neurol Res Pract. 2020 Jun 16;2:17. doi: 10.1186/s42466-020-00060-6. eCollection 2020. PubMed 33324923 ↗
  • Pregnolato G, Rimini D, Baldan F, Maistrello L, Salvalaggio S, Celadon N, Ariano P, Pirri CF, Turolla A. Clinical Features to Predict the Use of a sEMG Wearable Device (REMO(R)) for Hand Motor Training of Stroke Patients: A Cross-Sectional Cohort Study. Int J Environ Res Public Health. 2023 Mar 14;20(6):5082. doi: 10.3390/ijerph20065082. PubMed 36981992 ↗
  • Salvalaggio S, Boccuni L, Turolla A. Patient's assessment and prediction of recovery after stroke: a roadmap for clinicians. Arch Physiother. 2023 Jun 19;13(1):13. doi: 10.1186/s40945-023-00167-4. PubMed 37337288 ↗
  • Roman NA, Miclaus RS, Nicolau C, Sechel G. Customized Manual Muscle Testing for Post-Stroke Upper Extremity Assessment. Brain Sci. 2022 Mar 28;12(4):457. doi: 10.3390/brainsci12040457. PubMed 35447988 ↗
  • Kostka J, Niwald M, Guligowska A, Kostka T, Miller E. Muscle power, contraction velocity and functional performance after stroke. Brain Behav. 2019 Apr;9(4):e01243. doi: 10.1002/brb3.1243. Epub 2019 Feb 28. PubMed 30821102 ↗
  • Pandian S, Arya KN. Stroke-related motor outcome measures: do they quantify the neurophysiological aspects of upper extremity recovery? J Bodyw Mov Ther. 2014 Jul;18(3):412-23. doi: 10.1016/j.jbmt.2013.11.006. Epub 2013 Nov 9. PubMed 25042312 ↗
  • McManus L, De Vito G, Lowery MM. Analysis and Biophysics of Surface EMG for Physiotherapists and Kinesiologists: Toward a Common Language With Rehabilitation Engineers. Front Neurol. 2020 Oct 15;11:576729. doi: 10.3389/fneur.2020.576729. eCollection 2020. PubMed 33178118 ↗
  • Hogrel JY. Clinical applications of surface electromyography in neuromuscular disorders. Neurophysiol Clin. 2005 Jul;35(2-3):59-71. doi: 10.1016/j.neucli.2005.03.001. PubMed 16087069 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — Sex Women Men Age Length of stay Stroke diagnosis Ischemic stroke Haemorrhagic stroke Stroke side Right hemisphere Left hemisphere Dominant Hand Right Left Stroke severity Minor stroke Moderate stroke Moderate to severe stroke Severe stroke Stroke risk factor Hypertension Diabetes Mellitus Heart disease Dyslipidemia Smoking Recurrent stroke Yes No

Supporting information: Study protocol, Statistical analysis plan

Time frame: February 2025 - July 2025

Access criteria: With access article/journal With participants characteristics: Sex Women Men Age Length of stay Stroke diagnosis Ischemic stroke Haemorrhagic stroke Stroke side Right hemisphere Left hemisphere Dominant Hand Right Left Stroke severity Minor stroke Moderate stroke Moderate to severe stroke Severe stroke Stroke risk factor Hypertension Diabetes Mellitus Heart disease Dyslipidemia Smoking Recurrent stroke Yes No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started May 2024 (actual). Primary completion is estimated for Apr 2025, 11 months after the start.

Of 22 observational studies under Paresis, half reached primary completion within 39 months of starting (the median), counting those still running; a quarter within 21 and three quarters within 68. This study's planned 11 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 12, 2024
First posted
Aug 28, 2024
StartActual
May 1, 2024
Primary completionEst.
Apr 30, 2025
CompletionEst.
Jul 31, 2025
Last update
Aug 29, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 29, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06574737
Lead sponsor
Universitas Padjadjaran
Responsible party
Sponsor
First posted
Aug 28, 2024
Start date
May 1, 2024
Primary completion
Apr 30, 2025 (estimated)
Completion
Jul 31, 2025 (estimated)
Last update
Aug 29, 2024

Study contacts

Vitriana Biben, Doctoral
Contact
vitriana@unpad.ac.id
022-7302-931
Berthy Al mungiza, Bachelor
Contact
berthy.almungiza@gmail.com
+62 857-4752-0920

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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