Effectiveness of a Neuromuscular Exercise Program and Visual Feedback in the Management of Body Position During Standing and Walking for Patients With Stroke During the Second Stage of Rehabilitation
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Enrollment
- 120
- Locations
- 1
- Primary Endpoint
- Recovery Locus of Control Scale
Study Overview
Brief Summary
The aim of the biomedical research is to evaluate the changes of body position management during standing and walking for stroke patients, using innovative training methods during the rehabilitation.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 44 Years to 74 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Experienced an ischemic stroke for the first time;
- •Middle-aged (44-59) and elderly (60-74) by WHO classification;
- •Muscle strength of the lower extremities according to the Oxford scale is 3-5 points;
- •Do not have any neglect;
- •Mini Mental State Examination >12 points.
Exclusion Criteria
- •Experienced an ischemic stroke not for the first time;
- •Had hip or knee replacement surgery's, which may affect gait;
- •Muscle strength of the lower extremities according to the Oxford scale is 0-2 points;
- •Have neglect;
- •Mini Mental State Examination <12 points.
Arms & Interventions
First Group
Neuromuscular exercise program with standard physiotherapy with no visual feedback.
Intervention: Standard physiotherapy (Other)
Second Group
Neuromuscular exercise program with physiotherapy with visual feedback using Biodex platform
Intervention: Biodex Balance SD and Biodex Gait Trainer (Device)
Outcomes
Primary Outcomes
Recovery Locus of Control Scale
Time Frame: Baseline
This scale contains 9 statements that are designed to evaluate the internal and external beliefs regarding the traumatic events that the patient has experienced.
Muscle strength by Oxford scale
Time Frame: Baseline
Testing key muscles from the lower and upper extremities against the examiner's resistance and grading the patient's strength on a 0 (No contraction) to 5 (Movement against gravity with full resistance) scale.
Gait and Balance testing by Berg Scale
Time Frame: Baseline
The Berg balance scale is used to objectively determine a patient's ability (or inability) to safely balance during a series of predetermined tasks. It consists of 14 items scored on an ordinal scale of 0 to 4 for a total of 56 points (a higher score indicates lower fall risk).
Timed Stand Up and Go Test
Time Frame: Baseline
subjects are asked to rise from a standard armchair, walk to a marker 3 m away, turn, walk back, and sit down again. 314. The test is a reliable and valid test for quantifying functional mobility that may also be useful in following clinical change over time.
Secondary Outcomes
- Gait analysis with zebris FDM (score)(Baseline - before enrolling 4 week training program and after 4 week training)
- Center of Pressure analysis during step cycles with zebris FDM (score)(Baseline - before enrolling 4 week training program and after 4 week training)
- Limits of Stability Testing with Biodex SD (score)(Baseline - before enrolling 4 week training program and after 4 week training)
- Stance analysis with zebris FDM (score)(Baseline - before enrolling 4 week training program and after 4 week training)
- Risk of Fall Testing with Biodex SD (score)(Baseline - before enrolling 4 week training program and after the whole training)
Investigators
Toma Steponkienė
PhD student, Lecturer
Lithuanian University of Health Sciences