Immediate and Retained Effects of Three Types of Dual-task Interventions on Dual-task Walking Performance of Stroke Patients: Psychometric Study and Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 54
- 试验地点
- 1
- 主要终点
- gait speed
研究概览
简要总结
The objective of this study is to investigate psychometric properties of dual-task walking assessments and compare effects of three types of dual-task balance interventions on dual-task walking for stroke patients.
详细描述
English Synopsis
I. Title of Study:
Immediate and retained effects of three types of dual-task interventions on dual-task walking performance of stroke patients: psychometric study and randomized controlled trial
II. Study Objectives:
The objective of this study is to investigate psychometric properties of dual-task walking assessments and compare effects of three types of dual-task balance interventions on dual-task walking for stroke patients. Specifically, we will investigate psychometric properties (i.e. reliability, validity, and responsiveness) of dual-task walking assessments with various levels of difficulty for stroke individuals (Aim 1). The second aim of this study is to compare the immediate and retained effects of combined motor and cognitive dual-task training (MCDTT), motor dual-task training (MDTT), and cognitive dual-task training (CDTT) on dual-task gait and cognitive performance after stroke (Aim 2). The third aim of this study is to elucidate the changed CMI pattern of stroke patients after dual-task interventions (Aim 3).
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
- 20 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •(1) first-ever stroke with onset duration more than 3 months
- •(2) able to walk 10 m
- •(3) no severe vision, hearing, and language problems.
排除标准
- •orthopedic and other neurological disorders that affect walking
- •other treatments that could influence the effects of the interventions (e.g., recent Botulin toxin treatment of the lower extremity)
- •moderate or severe cognitive impairments (score < 24 on Mini-Mental State Examination)
- •severe uncorrected visual deficits.
研究组 & 干预措施
MCDTT
The MCDTT group will receive dual-task interventions at progressively increasing task difficulty 3 times a week for 4 weeks.
干预措施: MCDTT (Device)
MDTT
The MDTT group will receive dual-task interventions at progressively increasing task difficulty 3 times a week for 4 weeks.
干预措施: MDTT (Device)
CDTT
The CDTT group will receive dual-task interventions at progressively increasing task difficulty 3 times a week for 4 weeks.
干预措施: CDTT (Device)
结局指标
主要结局
gait speed
时间窗: 10 minutes
Participants will walk 10m at their preferred speed and at fast speed. A 12-meter walkway will be used for walking testing. In order to allow the subjects to have enough distance to accelerate and decelerate, only the time taken to walk the middle 10 meters will be recorded by a stopwatch. The primary gait parameter is gait speed (cm/s) under dual-task walking conditions using the 10 Meter Walking Test.
composite score
时间窗: 10 minutes
For all the cognitive tasks, we will calculate a composite score for cognitive-task performance by dividing the accuracy (% correct responses) with the reaction time of correct answers (milliseconds), which accounts for speed-accuracy tradeoffs in the overall dual-task effect.
次要结局
- Berg Balance Scale (BBS).(5-10 minutes)
- Chair Stand Test (CS).(2 minutes)
- Patient Global Impression of Change Scale (PGIC).(1 minutes)
- Muscle Strength of Lower-Extremity.(10 minutes)
- Mini-Balance Evaluation Systems Test (Mini-BESTest).(10 minutes)
- Functional Gait Assessment (FGA).(10 minutes)
- Timed Up and Go Test (TUG)(2 minutes)
- Activity-specific Balance Confidence Scale (ABC).(2 minutes)
研究者
Li-Ling Chuang
Assistant Professor
Chang Gung University