GREEN Walk: A Nature-based Gait Training to Improve the Quality of Life Among Chronic Stroke Survivors

NCT07634315 | Completed

• 1 other identifier: PT-002
• Study Type: interventional
• Target: 11
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of the study is to find out if a nature-based gait training program titled GREEN Walk can help people with chronic stroke improve their physical, mental, and social health, as well as their overall quality of life. The participants in this study are people with chronic stroke who are able to take-part in walking rehabilitation. they will take part in a structured walking program designed to simulate real-life outdoor movement. Participants will:

1. 1.Join GREEN Walk sessions that last about 60 minutes each.
2. 2.Walk through different natural-like environments with different terrains and simple obstacles.
3. 3.Perform guided walking tasks that challenge balance, strength, and coordination.
4. 4.Complete assessment tests before and after the program to measure changes in movement, mood, social participation, and overall health related quality of life.

Conditions

Chronic Stroke Survivors

Keywords

chronic stroke; environmental physical therapy; gait training

Outcome Measures

Primary Outcomes (1)

• Changes From and Significant Difference in Participants' Health-Related Quality of Life (HRQoL) between Baseline and one-week and six weeks post-intervention.

  Using the Short Form Health Survey (SF-36) with subscales on the following: 1. general health 2. physical 3. mental 4. social 5. emotional Participants achieved a response if they scored a total health score ranging from 0 (worst health) to 100 (best health).

  From enrollment to first and six weeks post-intervention.

Secondary Outcomes (3)

• Changes From and Significant Difference in Participants' Physical Ability between Baseline and one-week and six weeks post-intervention.

  From enrollment to first and six weeks post-intervention.

• Changes From and Significant Difference in Participants' Mental Capacity between Baseline and one-week and six weeks post-intervention.

  From enrollment to first and six weeks post-intervention.

• Changes From and Significant Difference in Participants' Social status between Baseline and one-week and six weeks post-intervention.

  From enrollment to first and six weeks post-intervention.

Study Arms (1)

Experimental Group

EXPERIMENTAL

The study was a quasi-experimental study with only one group. All participants in the group received a 1 hr./day x 3 days/week x 6 weeks of progressing Guided Recovery Engaging in ENvironment Walk training (GREEN Walk) in the green spaces. The gait training includes the following: 1. walking in even surfaces 2. walking in uneven surfaces 3. walking on curbs 4. walking on ramps 5. stair climbing

Other: GREEN Walk Training Program

Interventions

GREEN Walk Training Program OTHER

The GREEN Walk training program emphasizes a nature-based gait training and environmental adaptability. The participants were exposed to grassy pathways, inclined surfaces, uneven grounds, natural slopes, and obstacle enriched environments that simulated real life community ambulation as the intervention primarily utilized naturally available environments and simple obstacles, making it practical for long term implementation beyond clinic-based care. This form of training more closely resembled daily mobility situations encountered outside the rehabilitation setting, making the intervention more task specific and functionally relevant. Specifically, all participants attended a 1 hr./day x 3 days/week x 6 weeks of progressing Guided Recovery Engaging in ENvironment Walk training (please see attached Study Protocol Appendix for the exercise protocol). No other interventions provided to the participants.

Also known as: GREEN Walk Exercise

Experimental Group

Eligibility Criteria

• Age: 40 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• have provided informed consent

You may not qualify if:

• with other comorbidities

Sponsors & Collaborators

• Mariano Marcos State University: lead

Study Sites (1)

Mariano Marcos State University

Batac City, Ilocos Norte, 2906, Philippines

Location

Study Officials

• Mary Audrey D Viloria, MS in Rehabilitation Science

  Mariano Marcos State University

  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: Instructor III

Study Record Dates

• First Submitted: May 28, 2026
• First Posted: June 8, 2026
• Study Start: March 28, 2025
• Primary Completion: May 10, 2025
• Study Completion: May 15, 2025
• Last Updated: June 8, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share

Locations

PH (1)