Unpredictable Perturbations During Gait to Improve Balance Performance, Confidence and Participation in Persons With Hemiparesis at a Chronic Stage: a Pilot Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 21
- 主要终点
- Balance capacities
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
盲法说明
Outcome measures pretraining were collected pre-randomization. Post-training, the assessors were masked for the arm.
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
结局指标
主要结局
Balance capacities
时间窗: 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
时间窗: Within the week post-training
Self-selected and fast gait speed measured over 10 meters (10 meter walking test)
次要结局
- 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)
研究者
Cyril Duclos
Associate professor
Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal