Dual-Task Training With Different Priority Instructional Sets on the Gait Parameters in Patients With Chronic Stroke

NCT03752788 | Completed DMC

• 1 other identifier: RRC-2017-005
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Balance is controlled through a complex process involving sensory, visual, vestibular and cerebral functioning which get affected by various neurological disorders such as in stroke. Different types of exercises are designed to target to cope up with the imbalance developed due to these neurological disorders. This study aimed to compare the efficacy of dual-task training using two different priority instructional sets in improving gait parameters such as self-selected velocity, fast speed, step length, and stride length in chronic stroke patients.

Conditions

Stroke; Middle Cerebral Artery Stroke; Chronic Stroke

Keywords

Stroke; Gait velocity; Stride length; Step length; Balance training; Dual task; Institutional priority sets

Outcome Measures

Primary Outcomes (1)

• 10-meter walk test

  It is used to evaluate gate parameters such as gait velocity (self-selected velocity and fast velocity, step length and stride length ) in patients with chronic stroke.

  Change from Baseline 10-meter Walk Test scores at 4-Weeks

Secondary Outcomes (2)

• Mini-mental state examination (MMSE) or Folstein test

  Before the study intervention

• Timed Up & Go (TUG) test

  Before the study intervention

Study Arms (2)

Dual-task Training Fixed Priority

EXPERIMENTAL

Dual-task Training with fixed priority instructional set for four weeks. Balance training sessions of 45 minutes per day, 3 times a week for four weeks, so as to complete 9-12 hours of training warm-up improve the balance performance. This included 12 repetitions in each session for 30 minutes after a 10-minutes warm up. Attention was focused on both postural and cognitive tasks throughout this session. In postural tasks, subjects were instructed to perform the following: walk narrow base of support with a cognitive task of counting backward by three walk narrow base of support with cognitive task of count forward by three, walk narrow base of support, step, sideways, backward avoiding the obstacles (holding a basket) with cognitive task to remember words.

Behavioral: Dual-task Training Fixed Priority

Dual-task Training Variable Priority

ACTIVE COMPARATOR

Dual-task Training with variable priority instructional set for four weeks. Balance training sessions of 45 minutes per day, 3 times a week for four weeks, so as to complete 9-12 hours of training warm-up improve the balance performance. This included 12 repetitions in each session for 30 minutes after a 10-minutes warm up. During the first half of the training session, attention was focused on postural tasks, while during the remaining half of the session, attention was focused on cognitive tasks.

Behavioral: Dual-task Training Variable Priority

Interventions

Dual-task Training Fixed Priority BEHAVIORAL

Dual-task training fixed priority instructional set for four weeks. Balance training sessions of 45 minutes per day, 3 times a week for four weeks, so as to complete 9-12 hours of training warm-up improve the balance performance. This included 12 repetitions in each session for 30 minutes after a 10-minutes warm up. Attention was focused on both postural and cognitive tasks throughout this session. In postural tasks, subjects were instructed to perform the following: walk narrow base of support with a cognitive task of counting backward by three walk narrow base of support with cognitive task of count forward by three, walk narrow base of support, step, sideways, backward avoiding the obstacles (holding a basket) with cognitive task to remember words.

Dual-task Training Fixed Priority

Dual-task Training Variable Priority BEHAVIORAL

Dual-task training variable priority instructional set for four weeks. Balance training sessions of 45 minutes per day, 3 times a week for four weeks, so as to complete 9-12 hours of training warm-up improve the balance performance. This included 12 repetitions in each session for 30 minutes after a 10-minutes warm up. During the first half of the training session, attention was focused on postural tasks, while during the remaining half of the session, attention was focused on cognitive tasks.

Dual-task Training Variable Priority

Eligibility Criteria

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

You may qualify if:

• A diagnosed case of middle cerebral artery chronic stroke made by a neurologist and verified using CT/MRI
• Exhibited the age between 45 and 65 years
• Ability to walk 10 meters without assistance
• Their stroke onset within 12 months prior to the study and
• Scored greater than 24 on Mini-Mental State Examination (MMSE).

You may not qualify if:

• Participants had neurological conditions other than stroke
• Uncontrolled hearing or visual and vestibular impairment
• Took more than 15 seconds on Timed Up \& Go (TUG) test
• Had lower extremity amputation
• A case of diagnosed speech-language impairment (not able to respond verbally to auditory stimuli) by a speech-language pathologist and noticed their concurrent participation in another clinical trial

Sponsors & Collaborators

• King Saud University: lead

Study Sites (1)

Rehabilitation Research Chair

Riyadh, 11433, Saudi Arabia

Location

MeSH Terms

Conditions

Stroke; Infarction, Middle Cerebral Artery

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases; Cerebral Infarction; Brain Infarction; Brain Ischemia; Cerebral Arterial Diseases; Intracranial Arterial Diseases; Infarction; Ischemia; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Necrosis

Study Officials

• AMIR IQBAL, MPT

  Rehabilitation Research Chair

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: November 19, 2018
• First Posted: November 26, 2018
• Study Start: May 15, 2017
• Primary Completion: November 1, 2017
• Study Completion: April 23, 2018
• Last Updated: November 26, 2018

Record last verified: 2018-11

Locations

SA (1)