Treatment studiy with locomotor training vs conventional physiotherapy in patients with pusher behvaviour

Not Applicable

• Conditions: R29.5; R29.3; R27; I69.3; Abnormal posture; Other lack of coordination; Sequelae of cerebral infarction

• Registration Number: DRKS00003444
• Lead Sponsor: Klinikum der Universität München, Campus Großhadern

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2013-11-28
• Study Completion: 2016-07-30
• Results First Posted: 2018-08-31
• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: Complete
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

Patients after hemispheric ischemic or heamorrhage stroke
- Age 18 to 90 years
- Right or left hemiparesis
- Patients are classified with pusher behaviour according to the SCP (cut-off > 0 per component)
- 30 min in a vertical body position ('standing')

Exclusion Criteria

Exclusion criteria for the therapy with the Lokomat:
- orthostatic hypotension
- bone fractures
- sever osteoporosis
- Problems with the skin at the lower extremities (because of the cuffs)
- known orthopaedic disorder (e.g. arthrosis)
- significant asymmetries (e.g. length of legs)
- body height <160 cm and >190 cm or body weight >150 kg

Exclusion criteria for the Spacecurl (SPV):
- severe cardiovascular disease
- known thrombosis
- known aneurism
- instable spine
- neurosis/ psychosis
- pregnancy
- body height <145 cm and >195 cm or body weigth >130 kg

Study & Design

• Study Type: interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Immediately before and after the intervention phase, two weeks after the end of the intervention and at discharge of the patient 2 clinical scales to assess pusher behaviour will be conducted:<br>- Scale for Contraversive Pushing (SCP)<br>- Burke Lateropulsion Scale (BLS)

Secondary Outcome Measures

Name	Time	Method
The following outcome measures will be assessed immediately before and after the intervention phase, two weeks after the intervention phase and at discharge of the patient:<br>- head, trunk and leg orientation documented by photographs<br>- subjective visual vertical (using the bucket test)<br>- subjective postural vertical (using the Spacecurl)<br>- Performance Oriented Mobility Assessment (POMA)<br>- Walking ability (FAC)