Dual-task Training Using Virtual Reality: Influence on Walking and Balance in Post Stroke Survivors
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 22
- Locations
- 1
- Primary Endpoint
- change in 10-meter walking test across pre, post and follow-up time points.
Study Overview
Brief Summary
The purpose of the study was to investigate the feasibility of using a virtual reality- based dual task training of upper extremity tracking while treadmill-walking, to improve walking and balance performance in post stroke survivors
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Investigator)
Eligibility Criteria
- Ages
- 40 Years to 80 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •With hemiplegia after a stroke for at least a year since the incident.
- •Range age 40-
- •Without medication or with stabilized medication.
- •Use ankle-foot orthosis or no splint at all.
Exclusion Criteria
- •Severe cardiac problems
- •A score less than 25 in the Mini-Mental test.
- •Fractures or severe orthopedic limitations that do not allow for training, and which have occurred over the last six months.
- •More than three falls in the past year before participating in the study
Arms & Interventions
experimental-DTW
The intervention of the experimental group was based on dual-task treadmill walking while using the Virtual Reality (VR) tool.
Intervention: Dual Task Walking (DTW) (Behavioral)
Control- TMW
The intervention of the control group was based on single-task treadmill walking.
Intervention: Single-task Treadmill Walking (TMW) (Behavioral)
Outcomes
Primary Outcomes
change in 10-meter walking test across pre, post and follow-up time points.
Time Frame: Pre-intervention time: one week before the intervention period (4 week).Post intervention time:immediately after the intervention. Follow-up time: 4 weeks after intervention
Change in Functional Reach Test across pre, post and follow-up time points.
Time Frame: Pre-intervention time: one week before the intervention period (4 week).Post intervention time:immediately after the intervention. Follow-up time: 4 weeks after intervention
Change in Activities-specific Balance Confidence (ABC) Scale
Time Frame: Pre-intervention time: one week before the intervention period (4 week).Post intervention time:immediately after the intervention. Follow-up time: 4 weeks after intervention
Activities-specific Balance Confidence (ABC) Scale is a 16-item questionnaire/survey. Each item is rated from 0% (no confidence) to 100% (complete confidence). Elderly respondents are asked to rate their confidence that they will lose their balance or become unsteady in the course of daily activities. ABC is an 11-point scale and ratings should consist of whole numbers (0-100) for each item. Participants should indicate their level of confidence in doing an activity without losing balance or becoming unsteady by choosing one of the percentage points on the scale from 0%-100%. Total the ratings (possible range = 0 to 1600) and divide by 16 to get each subject's ABC score. Scores lower than 50 indicate a low level of functioning, scores above 50 but below 80 indicate a medium level, and those over 80 indicate a high level of functioning.
Change in The Berg Balance Scale (BBS) across pre, post and follow-up time points.
Time Frame: Pre-intervention time: one week before the intervention period (4 week).Post intervention time:immediately after the intervention. Follow-up time: 4 weeks after intervention
14-item scale designed to measure balance of the older adult in a clinical setting. A five-point ordinal scale, ranging from 0-4. "0" indicates the lowest level of function and "4" the highest level of function.Total Score = 56. 41-56 = low fall risk, 21-40 = medium fall risk, 0 -20 = high fall risk.
Change in Timed up and go across pre, post and follow-up time points.
Time Frame: Pre-intervention time: one week before the intervention period (4 week).Post intervention time:immediately after the intervention. Follow-up time: 4 weeks after intervention
Secondary Outcomes
No secondary outcomes reported