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Robot-assisted Gait Training for Patients With Stroke

Not Applicable
Conditions
Cerebrovascular Accident
Interventions
Procedure: Standard rehab
Device: Robot-assisted gait rehabilitation
Registration Number
NCT02781831
Lead Sponsor
China Medical University Hospital
Brief Summary

Investigation of the clinical feasibility and efficacy of a newly developed robot-assisted gait training system for stroke survivors. It is anticipated that robot-assisted gait rehabilitation in combination with standard hospital based rehabilitation will achieve significantly better gait outcomes than standard hospital based rehabilitation alone.

Detailed Description

Stroke is the leading cause of permanent disability in most developed countries world wide with one-third of the surviving patients from stroke fail to regain independent walking ability. Robot-assisted gait rehabilitation that is able to deliver high intensity and consistent repeatability in a safe and controlled environment are gaining traction and advocators for its inclusion as part of the routine post-stroke rehabilitation program. However, despite the recent technological advances in the development and design of better robotics, the exact benefit of the robot-assisted therapy over traditional rehabilitation remain sparse and unclear. It is therefore the aim of the proposed project to fulfil this important gap in our clinical knowledge by comparatively investigate the clinical feasibility and efficacy of a recently developed HIWIN Robotic Gait Training System (MRG-P100) against the traditional rehabilitation program with an emphasis on the determination of functional recovery and the appropriate gait adaptation of such robotic system for stroke survivors.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
60
Inclusion Criteria
  1. Between the age of 20-65 years;
  2. Diagnosis of first, single unilateral cortical-subcortical stroke verified by brain imaging;
  3. Paresis of a lower limb;
  4. Inability to walk without aid or device.
Exclusion Criteria
  1. Deemed by a physician to be medically unstable;
  2. Other prior musculoskeletal conditions that affected gait capacity;
  3. Co-existence of other neurological diseases;
  4. Cognitive impairments that would impact on the safe participation in the study (MMSE<23) -

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Standard RehabilitationStandard rehabPatient with stroke receiving standard hospital based rehabilitation program
Robot-assisted RehabilitationRobot-assisted gait rehabilitationPatient with stroke receiving standard hospital based rehabilitation as well as robot-assisted gait rehabilitation program
Primary Outcome Measures
NameTimeMethod
Fugl-Meyer Assessment, lower extremity subscaleAssessing change from baseline after 1 month of intervention

Lower limb function as measured by Fugl-Meyer Assessment, lower extremity subscale

Secondary Outcome Measures
NameTimeMethod
Functional Ambulation CategoriesAssessing change from baseline after 1 month of intervention

Categorizes patients according to basic motor skills necessary for functional ambulation

10 Meters Walking TestAssessing change from baseline after 1 month of intervention

Assesses walking speed in meters per second over a short duration

Berg Balance ScaleAssessing change from baseline after 1 month of intervention

testing a participant's static and dynamic balance abilities

Timed Up and Go testAssessing change from baseline after 1 month of intervention

Assess a participant's mobility and requires both static and dynamic balance

Kinetic and Kinematic Gait AnalysisAssessing change from baseline after 1 month of intervention

The temporo-spatial and kinematic gait parameters of the participants will be assessed using a Vicon Motion Analysis System with kinetic data collection through a force plate.

Trial Locations

Locations (1)

China Medical University Hospial

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Taichung City, Taiwan

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