Ultrasound of calf muscles could reveal who is at risk of falling after stroke

NCT ID NCT07812428

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First seen Sep 10, 2026 · Last updated Sep 11, 2026 · Updated 1 time

Summary

Researchers are studying whether the thickness of two calf muscles, the gastrocnemius and soleus, relates to balance, walking ability, and fear of falling in people with hemiplegia after a stroke. They will use ultrasound to measure muscle thickness on both the weakened and unaffected sides in 39 adults who are at least one month past their stroke. Participants also complete balance and mobility tests and a questionnaire about fear of falling. The goal is to understand how muscle structure connects to physical and emotional recovery, which could help shape rehabilitation for people at high risk of falls.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

What this could lead to
If muscle thickness tracks with balance and fear of falling, doctors could use a simple ultrasound scan to spot stroke survivors at high risk of falls and target rehabilitation earlier.
What could go wrong
This is a small observational study of 39 people, so it can only show associations, not cause and effect. Ultrasound measurements can vary between operators, and results may not apply to stroke survivors who cannot stand or walk.

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Study facts

What this study's own registry entry says, in plain language.

Participants

39 people

The number who actually took part.

Started

Aug 2025

Expected to finish

Oct 2026

An estimate. End dates often move.

Lead sponsor

A government agency

The lead sponsor is a government body.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Who is studied

A total of 39 individuals diagnosed with hemiplegia who present to the University of Health Sciences Istanbul Physical Therapy and Rehabilitation Training and Research Hospital SUAM, Physical Medicine and Rehabilitation Hospital, will be included in the study.

Ages

18 years and older

Sex

Anyone

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: Individuals diagnosed with hemiplegia confirmed by clinical and imaging methods Patients in the subacute-chronic phase, at least 1 month post-stroke Adults aged 18 years and older Individuals able to stand and/or walk a few steps (at least FAS ≥ 2) Individuals scoring 24 or higher on the Mini-Mental State Examination Individuals who agree to participate in the study Exclusion Criteria: Individuals with gait or balance limitations due to other neurological disorders Individuals unable to tolerate physical testing due to severe cardiac disease, active infection, malignancy, or other systemic diseases Patients with skin lesions or amputations preventing ultrasound assessment Individuals with a history of prior lower extremity orthopedic surgery, prosthesis use, or musculoskeletal abnormalities Individuals with cognitive or communication impairments that prevent understanding of instructions or participation Receipt of botulinum toxin injection within the last 3 months Presence of spasticity ≥ 3 on the Modified Ashworth Scale (MAS) in the muscles to be assessed

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Istanbul FTR EAH

    Istanbul, Bahcelievler, 34180, Turkey (Türkiye)

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