Pushing Behaviors in Individuals Post-stroke

NCT02190734 | Completed

• 1 other identifier: Pusher1
• Study Type: interventional
• Target: 6
• Locations: 1 country
• Sites: 2

Brief Summary

Some individuals demonstrate pushing behaviors after having a stroke. The purpose of this study is to see if there are immediate changes in pushing behaviors in individuals who have had a stroke before and after sitting in a wheelchair, walking on the treadmill, and walking overground. The investigators do not think there will be a change with sitting in the wheelchair, but the investigators think there may be an improvement in pushing behaviors after walking training.

Conditions

Stroke

Keywords

Stroke; Pusher Syndrome; Lateropulsion; Pushing Behaviors; Burke Lateropulsion Scale

Outcome Measures

Primary Outcomes (1)

• Burke Lateropulsion Scale

  Clinical measure of pushing behaviors in supine, sitting, standing, walking, and transfers will be performed before and after each 30 minute training session.

  Before and after each of 3 treatment sessions (3 separate days) over a maximum of a 10 day period

Study Arms (1)

wheelchair, walking on treadmill, walking overground

OTHER

Sitting in wheel chair Gait training on treadmill Gait training overground

Other: Sitting in wheel chair; Other: Gait training on treadmill; Other: Gait training overground

Interventions

Sitting in wheel chair OTHER

Placebo/control intervention- No treatment, sitting in a wheelchair for 30 minutes

wheelchair, walking on treadmill, walking overground

Gait training on treadmill OTHER

Walking on a treadmill with or without body weight support during 30 minute treatment

wheelchair, walking on treadmill, walking overground

Gait training overground OTHER

Walking overground with or without body weight support during 30 minute treatment

wheelchair, walking on treadmill, walking overground

Eligibility Criteria

• Age: 18 Years - 89 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• score \>0 in each subsection of the Scale for Contraversive Pushing
• admitted to the Rehabilitation Institute of Chicago inpatient rehabilitation setting
• stroke within previous 180 days
• consent to participate in the study
• ambulating greater than 150' at a time prior to stroke

You may not qualify if:

• other neurologic diagnoses
• weight bearing precautions, orthopedic injuries, or other medical co-morbidities that prevent adherence to the study protocol

Sponsors & Collaborators

• Shirley Ryan AbilityLab: lead

Study Sites (2)

Rehabilitation Hospital of the Pacific

Honolulu, Hawaii, 96817, United States

Location

Rehabilitation Institute of Chicago

Chicago, Illinois, 60611, United States

Location

MeSH Terms

Conditions

Stroke

Interventions

Sitting Position; Wheelchairs

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Intervention Hierarchy (Ancestors)

Posture; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Self-Help Devices; Equipment and Supplies

Study Officials

• T. George Hornby, PT, PhD

  Rehabilitation Institute of Chicago, University of Illinois at Chicago

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: May 21, 2014
• First Posted: July 15, 2014
• Study Start: May 1, 2014
• Primary Completion: December 1, 2016
• Study Completion: December 1, 2017
• Last Updated: April 22, 2019

Record last verified: 2019-04

Locations

US (2)