Effects of Stepping Training With External Feedback on Walking and Functional Ability in Ambulatory Patients With Spinal Cord Injury
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 44
- 试验地点
- 1
- 主要终点
- Change of walking stability using Timed up and go test [TUGT]
研究概览
简要总结
Does a 4-week stepping training program with or without external feedback clinically change functional ability and reduce risk of fall of ambulatory patients with iSCI?
Are there significant differences between 4-weeks stepping training with or without external feedback in ambulatory patients with iSCI?
详细描述
To compare effects of 4-week stepping training with or without external feedback on functional ability and incidence of falls in ambulatory patients with iSCI (between-group comparison).
To compare the change of functional ability in a group of 4-week stepping training with or without the utility of external feedback (within-group comparison).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Independent ambulatory patients with iSCI
- •Non-traumatic or traumatic causes
- •Independent walking with or without assistive devices at least 17 meters (Functional Independence Measure Locomotor (FIM-L) scores 5-7)
- •Age at least 18 years
- •Body mass index (BMI) between 18.5 - 29.9 kg/m2.
排除标准
- •Any conditions or disorders that might affect ability to participate in the study and/or ambulatory ability of the subjects such as
- •Brain function disorders
- •Visual deficits that cannot be corrected using glasses or contact lens
- •Musculoskeletal pain (with an intensity of pain more than 5 out of 10 on a numerical rating pain scale)
- •Deformity of the musculoskeletal system
- •Unable to follow a command of the tests
- •Unstable medical conditions
- •Color blindness
研究组 & 干预措施
Stepping training with feedback
Subjects will be instructed to perform the stepping task with external feedback continuously until 20 minutes (excluding resting periods) but without fatigue. Then they continue a training program of overground walking for 10 minutes.
They have to be involved in a training program of their groups 5 times/week, for 4 weeks in total.
干预措施: Stepping training with feedback (Other)
Stepping training without feedback
Subjects will be instructed to perform the stepping task without external feedback continuously until 20 minutes (excluding resting periods) but without fatigue. Then they continue a training program of overground walking for 10 minutes.
They have to be involved in a training program of their groups 5 times/week, for 4 weeks in total.
干预措施: Stepping training without feedback (Other)
结局指标
主要结局
Change of walking stability using Timed up and go test [TUGT]
时间窗: prior to training, after 2 weeks, after 4 weeks, and 6 months after complete the training program
The test was designed to measure mobility and dynamic balance control related to walking. Subjects will be instructed to stand up from a standard chair, walk at a fastest and safe speed for 3 meters, turn around a traffic cone, walk back and sit down on the chair with or without a walking device. Then the average time required for the 3 trials will be recorded.
次要结局
- Change of walking speed using 10 meter walk test (10MWT)(prior to training, after 2 weeks, after 4 weeks, and 6 months after complete the training program)
- Change of walking endurance using 6 minute walk test (6MWT)(prior to training, after 2 weeks, after 4 weeks, and 6 months after complete the training program)
- Change of lower limb muscle strength using Five times sit-to-stand [FTSST](prior to training, after 2 weeks, after 4 weeks, and 6 months after complete the training program)
研究者
Sugalya Amatachaya
Assoc. Prof. Dr.
Khon Kaen University