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Biofeedback Gait Training on Gait Quality in Stroke

Not Applicable
Recruiting
Conditions
Stroke
Interventions
Other: Gait training without biofeedback
Other: Gait training with biofeedback
Registration Number
NCT06490276
Lead Sponsor
National Yang Ming Chiao Tung University
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.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
40
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

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Gait training without biofeedback groupGait training without biofeedbackThe intervention is a 60-minute session and 3 sessions/week, totaling 4 weeks.
Gait training with biofeedback groupGait training with biofeedbackThe intervention is a 60-minute session and 3 sessions/week, totaling 4 weeks.
Primary Outcome Measures
NameTimeMethod
Gait variabilityChange from baseline at 4 weeks after training and 4 weeks follow-up

Using GAITRite system to measure the coefficient of variation of saptiotemporal parameters

Gait symmetryChange from baseline at 4 weeks after training and 4 weeks follow-up

Using GAITRite system to measure the symmetry of saptiotemporal parameters

Secondary Outcome Measures
NameTimeMethod
Propulsive forceChange from baseline at 4 weeks after training and 4 weeks follow-up

Using Force plate to measure the ground reaction force

Stroke Impact ScaleChange from baseline at 4 weeks after training and 4 weeks follow-up

Using Stroke Impact Scale to evaluate disability and quality of life after stroke

Gait performanceChange from baseline at 4 weeks after training and 4 weeks follow-up

Using the GAITRite system to evaluate saptiotemporal parameters

Berg Balance ScaleChange from baseline at 4 weeks after training and 4 weeks follow-up

Using Berg Balance Scale to evaluate balance ability

Activities-specific Balance Confidence ScaleChange from baseline at 4 weeks after training and 4 weeks follow-up

Using Activities-specific Balance Confidence Scale to evaluate individual's balance confidence in performing daily activities

Taiwan Chinese version Falls Efficacy ScaleChange from baseline at 4 weeks after training and 4 weeks follow-up

Using Taiwan Chinese version Falls Efficacy Scale to evaluate concerns about falling

Frenchay Activities IndexChange from baseline at 4 weeks after training and 4 weeks follow-up

Using Frenchay Activities Index to measure individual's capacity to perform instrumental activities of daily living

Trial Locations

Locations (1)

Department of Physical Therapy and Assistive Technology, National Yang Ming Chiao Tung University

🇨🇳

Taipei, Taiwan

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