Post-Stroke Visual Dependence and Early Intervention of Multisensory Balance Rehabilitation
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- A history of falls
研究概览
简要总结
This cross-sectional study aims to investigate the prevalence of post-stroke visual dependence, and the effects of visual dependence on balance and gait. It also determines whether visual dependence could differentiate stroke patients with a history of falls from without.
详细描述
Stroke participants will be recruited to measure the level of visual dependence, muscle strength, neurological recovery, balance ability, vertigo symptom, gait pattern and activities of daily living. This will calculate the prevalence of post-stroke visual dependence, and investigate the negative impact of visual dependence on balance and walking functions. This also determines whether the value of visual dependence could differentiate stroke patients with a history of falls from without a history of falls.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Crossover
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 20 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •first stroke with 20-80 years of age
- •the time since onset is more than 6 months
- •can walk independently at least 10 meters without any walking devices and orthosis
- •normal cognitive function with scoring more than 24 on the Mini Mental State Examination scale
- •can understand and follow commands
- •can give informed consent
排除标准
- •other neurological disorders which could affect balance assessment
- •cerebellar stroke
- •diagnosis with central or peripheral vestibular diseases.
结局指标
主要结局
A history of falls
时间窗: Baseline
Any falls in the past year (n). Fall is defined by the inadvertently coming to rest on the ground, floor or other lower level, excluding intentional change in position to rest in furniture, wall or other objects. More than once fall is identified as faller.
Postural visual dependence
时间窗: Baseline
Postural sway will be measured using an accelerometer attached on the lower back when participants are looking at blank wall, eyes closed and looking at rotating visual background. Greater postural sway in conditions with eyes closed and rotating visual background corresponding to looking at blank wall represents the higher level of postural visual dependence.
Perceived visual dependence
时间窗: Baseline
Perceived visual dependence will be assessed using a computerized Rod and Disc Test (RDT). Participants will adjust a tilted rod to their subjective visual vertical with rotating visual background. The error (degrees) between subjective visual vertical and gravitational vertical will be measured and represented as the level of visual dependence. Higher error indicates higher level of perceived visual dependence.
次要结局
- Physical impairment of paretic leg and foot(Baseline)
- Berg Balance Scale(Baseline)
- Timed Up and Go test(Baseline)
- Modified Clinical Test of Sensory Integration and Balance(Baseline)
- Situational Vertigo Questionnaire(Baseline)
- Gait pattern(Baseline)
- Barthel index(Baseline)
- Five Times Sit to Stand Test(Baseline)
- Falls Efficacy Scale - International(Baseline)
研究者
Shu-Chun Lee
Principal Investigator
Taipei Medical University