UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000060710
Receipt number R000069456
Scientific Title Effects of repetitive sit-to-stand self-exercise combined with neuromuscular electrical stimulation on bilateral quadriceps in hemiplegic patients in a convalescent rehabilitation ward: A randomized crossover study
Date of disclosure of the study information 2026/02/20
Last modified on 2026/02/20 10:29:48

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Basic information

Public title

Effects of repetitive sit-to-stand self-exercise combined with neuromuscular electrical stimulation on bilateral quadriceps in hemiplegic patients in a convalescent rehabilitation ward: A randomized crossover study

Acronym

stroke
sit-to-stand self-exercise combined with neuromuscular electrical stimulation

Scientific Title

Effects of repetitive sit-to-stand self-exercise combined with neuromuscular electrical stimulation on bilateral quadriceps in hemiplegic patients in a convalescent rehabilitation ward: A randomized crossover study

Scientific Title:Acronym

stroke
sit-to-stand self-exercise combined with neuromuscular electrical stimulation

Region

Japan


Condition

Condition

stroke

Classification by specialty

Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The objective of this study is to investigate the effects of repetitive sit-to-stand self-exercise combined with neuromuscular electrical stimulation (NMES) on the bilateral quadriceps, in addition to conventional rehabilitation, on lower limb motor function, standing balance, and walking ability in hemiplegic patients admitted to a convalescent rehabilitation ward, using a randomized crossover design.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Manual muscle strength testing using a handheld dynamometer

Key secondary outcomes

Motricity Index
Fugl-Meyer Assessment-Lower Extremity
Hand grip
Calf circumference
Five-Times Sit-to-Stand Test
Berg Balance Scale
Functional Ambulation Categories
10m walking test
6-minute walk test
Functional Independence Measure
Physical activity level


Base

Study type

Interventional


Study design

Basic design

Cross-over

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

No treatment

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

conventional rehabilitation
Period A: Conventional rehabilitation only (60 min/day).
Duration: 2 weeks for each phase, with a 1-week washout period (5 weeks in total).

Interventions/Control_2

Repetitive sit-to-stand self-exercise combined with NMES, in addition to conventional rehabilitation
Period B: Repetitive sit-to-stand exercise with NMES (1 set/day, 3 days/week) plus conventional rehabilitation (60 min/day).
Duration: 2 weeks for each phase, with a 1-week washout period (5 weeks in total).

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <

Age-upper limit

85 years-old >=

Gender

Male and Female

Key inclusion criteria

1. Patients aged 18 to 85 years.
2. Patients admitted to the convalescent rehabilitation ward of our hospital (within 180 days after stroke onset).
3. Patients with their first-ever stroke, classified as either cerebral infarction or intracerebral hemorrhage.
4. Patients presenting with mild to moderate lower limb motor paralysis.
5. Patients with a Functional Ambulation Categories (FAC) score of 1 or higher.
6. Patients with stable systemic conditions, including blood pressure, pulse rate, and blood glucose levels.
7. Patients capable of providing written informed consent personally.

Key exclusion criteria

1. Patients with significant cognitive impairment that interferes with the execution of repetitive sit-to-stand exercise with NMES (Mini-Mental State Examination [MMSE] score of 23 points or less).
2. Patients with contraindications to electrical stimulation therapy, including cardiac pacemakers, pregnancy, malignant tumors, active bleeding sites, infections, or areas of inflammation.
3. Patients deemed unable to perform self-exercises due to exertional dyspnea, heart failure, arrhythmia, myocardial infarction, or other cardiovascular conditions.
4. Patients with a history of neurological or orthopedic diseases affecting trunk or lower limb function, or those with comorbidities (e.g., degenerative diseases, scoliosis) whose symptoms might be exacerbated by functional training.
5. Patients with severe hepatic impairment, renal impairment, or cardiovascular disease.
6. Patients with severe sensory impairment, ataxia, or higher brain dysfunction such as aphasia, which makes the execution of repetitive sit-to-stand exercise with NMES difficult.

Target sample size

16


Research contact person

Name of lead principal investigator

1st name Kodai
Middle name
Last name Miyara

Organization

Kyushu University of Nursing and Social Welfare

Division name

Department of Rehabilitation

Zip code

865-0062

Address

888 Tomino, Tamana, Kumamoto

TEL

0968-75-1800

Email

k-miyara@kyushu-ns.ac.jp


Public contact

Name of contact person

1st name Kodai
Middle name
Last name Miyara

Organization

Kyushu University of Nursing and Social Welfare

Division name

Department of Rehabilitation

Zip code

865-0062

Address

888 Tomino, Tamana, Kumamoto

TEL

0968-75-1800

Homepage URL


Email

k-miyara@kyushu-ns.ac.jp


Sponsor or person

Institute

Kyushu University of Nursing and Social Welfare

Institute

Department

Personal name



Funding Source

Organization

Kyushu University of Nursing and Social Welfare

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor

Hakujyuji Rehabilitation Hospital

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Hakujyuji Hospital

Address

4-3-1 Ishimaru, Nishi-ku, Fukuoka-shi, Fukuoka

Tel

0968-75-1800

Email

k-miyara@kyushu-ns.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

白十字リハビリテーション病院


Other administrative information

Date of disclosure of the study information

2026 Year 02 Month 20 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2025 Year 10 Month 28 Day

Date of IRB


Anticipated trial start date

2026 Year 03 Month 01 Day

Last follow-up date

2027 Year 03 Month 31 Day

Date of closure to data entry

2027 Year 05 Month 31 Day

Date trial data considered complete

2027 Year 05 Month 31 Day

Date analysis concluded

2027 Year 05 Month 31 Day


Other

Other related information



Management information

Registered date

2026 Year 02 Month 20 Day

Last modified on

2026 Year 02 Month 20 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000069456