Gait Characteristics at Different Speeds in Individuals With Stroke

NCT07114575 | Completed

• 1 other identifier: VR01
• Study Type: observational
• Target: 15
• Locations: 1 country
• Sites: 1

Brief Summary

Stroke is the second leading cause of death and the third leading cause of death combined with disability worldwide. Despite improved recognition and management of stroke risk factors, the risk of stroke has increased by 50% in the last two decades due to increased life expectancy, currently affecting one in every four individuals. If this trend continues, by 2030, it is estimated that 12 million people will die from stroke, and 70 million will live with its consequences. Stroke leads to significant changes in the spatiotemporal parameters of gait. Spatial parameters include step length, stride length, and step width, while temporal parameters comprise cadence, stance phase, double support phase (DSP), and swing phase. Gait speed, incorporating both spatial and temporal elements, is classified as a spatiotemporal parameter. Compared to healthy individuals, people post-stroke tend to have increased DSP and stance phases, shortened step lengths, and widened step widths. Asymmetries between the paretic and non-paretic limbs further disrupt gait symmetry. Previous studies have shown that during prolonged walking tasks such as the 6-minute walk test, both gait speed and symmetry deteriorate in the later stages, potentially due to fatigue. However, changes in walking speed itself may also influence gait symmetry. From this perspective, the aim of this study is to investigate how spatiotemporal gait parameters vary across different walking speeds in individuals with stroke.

Conditions

Stroke

Keywords

stroke; spatial; temporal; walking; analysis

Outcome Measures

Primary Outcomes (3)

• Stance Phase

  Stance phase of hemiplegic side during walking. This outcome will be obtained as a result of the gait analysis

  Baseline

• Hemiplegic Side Step Length

  Step legth of hemiplegic side during walking. This outcome will be obtained as a result of the gait analysis

  Baseline

• Double Support Phase

  Double support phase during walking. This outcome will be obtained as a result of the gait analysis

  Baseline

Secondary Outcomes (1)

• Stride Length

  Baseline

Other Outcomes (3)

• Fugl Meyer Lower Extremity

  Baseline

• Berg Balance Scale

  Baseline

• Functional Ambulation Category

  Baseline

Study Arms (3)

Self Selected Speed

Participants in this group will perform the gait analysis at their preferred comfortable walking speed.

Other: Gait Analysis

Slow Walking Speed

Participants in this group will walk at a speed approximately 25% slower than their comfortable walking speed.

Other: Gait Analysis

Fast Walking Speed

Participants in this group will walk at a speed approximately 25% faster than their comfortable walking speed.

Other: Gait Analysis

Interventions

Gait Analysis OTHER

All participants will undergo gait analysis at three different walking speeds.

Fast Walking Speed; Self Selected Speed; Slow Walking Speed

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Stroke survivors.

You may qualify if:

• Having an ICD-10 diagnosis code of G.81 Hemiplegia
• Ability to walk with or without assistance (Functional Ambulation Classification score of 2 or higher)

You may not qualify if:

• Presence of any known additional neurological or orthopedic condition that may affect walking
• Inability to complete the tests due to cognitive and/or physical reasons
• Inability to complete the analysis at walking speeds increased or decreased by 25%

Sponsors & Collaborators

• Ankara Yildirim Beyazıt University: lead

Study Sites (1)

Ankara Bilkent City Hospital

Ankara, None Selected, 06800, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Stroke

Interventions

Gait Analysis

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Gait; Physical Examination; Diagnostic Techniques and Procedures; Diagnosis; Physical Functional Performance; Physical Fitness; Health; Population Characteristics

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 1 Day
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: August 3, 2025
• First Posted: August 11, 2025
• Study Start: August 1, 2025
• Primary Completion: February 27, 2026
• Study Completion: March 10, 2026
• Last Updated: March 12, 2026

Record last verified: 2026-03

Locations

TU (1)