Stepping Training Using Feedback in Stroke

NCT02916797 | Completed

• 1 other identifier: PHD56I0044
• Study Type: interventional
• Target: 36
• Locations: 0 countries
• Sites: N/A

Brief Summary

• Are there differences in immediate effects of stepping training with and without the use of visually weight-taking machine (VWTM) on variables relating to well-controlled walking and walking symmetry in ambulatory patients with stroke?
• Are there differences of 4-week stepping training with and without the use of VWTM on variables relating to well-controlled walking and walking symmetry in ambulatory patients with stroke?

Conditions

Cerebrovascular Accident

Keywords

Feedback; Physical Therapy

Outcome Measures

Primary Outcomes (1)

• 10MWT

  Walking speed

  4 weeks

Secondary Outcomes (3)

• 6MWT

  4 weeks

• TUGT

  4 weeks

• Lower limb support ability

  4 weeks

Study Arms (2)

Stepping training with feedback

EXPERIMENTAL

Subjects stand in a step standing position with placing the affected leg on the load cells of the VWTM and the non-affected leg slightly backward outside the load cells, look forward to light bars of the displayed section which will be set at their eye level. Then subjects will be instructed to shift/take their body-weight onto the affected leg until the green zone of the displayed section is lighting and a beep sound to alarm the subjects to step the non-affected leg forward and backward as much as they can. Subjects repetitively practice the task for 30 minutes with a period of sufficient rest as required.

Other: Stepping training with feedback

Stepping training without feedback

NO INTERVENTION

Subjects will be trained and instructed the same as the experimental group but without using the displayed section, for approximately 30 minutes/day (excluding rest periods), 5 days/week, for 4 week. Then, every subject will be trained to walk overground with or without a walking device for 10 minutes in order to promote transferability of the part-task practice to the whole/target task. Subjects still receive routine treatments from other rehabilitation professionals as needed during participation in the study.

Interventions

Stepping training with feedback OTHER

Stepping training with the use of external feedback. The subjects will be instructed to shift/take their body-weight onto the affected leg until the green zone of the displayed section is lighting and a beep sound to alarm the subjects to step the non-affected leg forward and backward as much as they can.

Stepping training with feedback

Eligibility Criteria

• Age: 45 Years - 74 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Subjects are independent ambulatory patients with first stroke episode with the age at least 45-74 years old,
• subacute (post-stroke time \< 6 months) or chronic (post-stroke time ≥ 6 months) stroke
• Independent walking at least 10 meters with or without a walking device
• Able to follow verbal command used in this study

You may not qualify if:

• The subjects who have other medical conditions that might affect participation in the study such as uncontrolled underlying diseases (i.e. hypertension, heart disease, thyroid, etc.), deformity in the lower extremities, pain more than 5 out of 10 on a visual analog scale, legally blind or had a history of visual deficits that were unable to be corrected by glasses or contact lens, have a color blindness and inability to communicate or follow the commands used in this study

Sponsors & Collaborators

• Khon Kaen University: lead

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

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

Study Officials

• Sugalya Amatachay, Ph.D.

  School of Physical Therapy,Faculty of Associated Medical Sciences, Khon Kaen University, Thailand

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assoc. Prof. Dr.

Study Record Dates

• First Submitted: September 22, 2016
• First Posted: September 27, 2016
• Study Start: April 10, 2016
• Primary Completion: February 28, 2018
• Study Completion: February 28, 2018
• Last Updated: March 12, 2019

Record last verified: 2017-08

Data Sharing

• IPD Sharing: Will not share