Unpredictable Perturbations During Gait to Improve Balance Performance, Confidence and Participation in Persons With Hemiparesis at a Chronic Stage: a Pilot Study
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Hemiparesis;Poststroke/CVA
- Sponsor
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal
- Enrollment
- 21
- Primary Endpoint
- Balance capacities
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
Individuals with stroke have balance and gait deficits. Gait training does improve balance and gait abilities, but adding perturbations may have increase these effects. The objective was to compare the effect gait training with and without perturbations on balance and gait abilities in individuals with hemiparesis due to stroke at a chronic stage.
Investigators
Cyril Duclos
Associate professor
Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal
Eligibility Criteria
Inclusion Criteria
- •able to walk at a comfortable speed less than 1.0 m/s
- •have reduced dynamic balance capacities (as evaluated by the mini-BESTest; score below the 95% confidence interval of the mean score of the corresponding age group of normative data)
- •with or without a history of fall
- •be able to walk on a treadmill, without external support, such as handrails or walking aid, for at least 1 minute
Exclusion Criteria
- •hemineglect (more than 6 omissions on the bell cancellation test),
- •cognitive impairment (Mini-Mental State Examination score under 24/30)
- •uncorrected visual deficit or pathologies other than stroke which can affect their gait or balance
Outcomes
Primary Outcomes
Balance capacities
Time Frame: Within the week post-training
Score at the mini-Balance Evaluation System Test (mini-BESTest). Score between 0 and 28. Higher scores associated with better balance abilities.
Gait capacities
Time Frame: Within the week post-training
Self-selected and fast gait speed measured over 10 meters (10 meter walking test)
Secondary Outcomes
- Community reintegration(6 weeks post training)
- Paretic and non-paretic maximal knee extensor strength(Within the week post-training)
- Balance confidence(6 weeks post training)