Effects of Biofeedback Gait Training on Gait Quality Post-stroke
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Stroke
- Sponsor
- National Yang Ming Chiao Tung University
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Gait symmetry
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
Post-stroke gait dysfunction is characterized by reduced gait velocity and stride length, along with gait asymmetry and instability. Gait asymmetry and instability are considered as indicators for gait quality, which affect independence and quality of life in individual with stroke. Previous studies have suggested that gait biofeedback is a promising strategy for enhancing the efficacy of post-stroke gait training. However, there is insufficient evidence on the effects of kinematic biofeedback gait training on gait asymmetry and instability in individuals with stroke. Therefore, the purpose of this study is to investigate the effects of real-time kinematic gait biofeedback training on gait quality in individuals with stroke.
Investigators
Yea-Ru Yang
Professor
National Yang Ming Chiao Tung University
Eligibility Criteria
Inclusion Criteria
- •First stroke
- •Stroke onset time ≥ 6 months
- •Functional Ambulation Category ≥3
- •Passive range of motion of affected hip extension is at least 10 degrees
- •Mini-Mental State Measurement score ≥ 24 points
Exclusion Criteria
- •Modified Ashworth Scale of affected ankle plantar flexors ≥ 2
- •Muscle strength of affected ankle plantar flexors via Manual Muscle Testing ≤ 1
- •Uncorrected auditory impairment
- •Severe cardiovascular disease or uncontrolled hypertension
- •Other orthopedic diseases that may affect walking ability
- •Other neurological disease except stroke
Outcomes
Primary Outcomes
Gait symmetry
Time Frame: Change from baseline at 4 weeks after training and 4 weeks follow-up
Using GAITRite system to measure the symmetry of saptiotemporal parameters
Gait variability
Time Frame: Change from baseline at 4 weeks after training and 4 weeks follow-up
Using GAITRite system to measure the coefficient of variation of saptiotemporal parameters
Secondary Outcomes
- Propulsive force(Change from baseline at 4 weeks after training and 4 weeks follow-up)
- Stroke Impact Scale(Change from baseline at 4 weeks after training and 4 weeks follow-up)
- Gait performance(Change from baseline at 4 weeks after training and 4 weeks follow-up)
- Berg Balance Scale(Change from baseline at 4 weeks after training and 4 weeks follow-up)
- Activities-specific Balance Confidence Scale(Change from baseline at 4 weeks after training and 4 weeks follow-up)
- Taiwan Chinese version Falls Efficacy Scale(Change from baseline at 4 weeks after training and 4 weeks follow-up)
- Frenchay Activities Index(Change from baseline at 4 weeks after training and 4 weeks follow-up)