Gait Speeds and Demands in Chronic Stroke Patients: A Multi-dimensional Investigation
试验速览
- 阶段
- 1 期
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- stride characteristics
研究概览
简要总结
This study investigated the effect of treadmill walking training with and without random speed changes in persons in the chronic stage of stroke. It was hypothesized that random speed change group will show less attention and balance demands for speed change in level walking.
详细描述
This study includes chronic stroke patients who will be randomly assigned to blocked or random walking speed change group to receive 30 min per session, 3 sessions per week for 2 weeks' walking training on a treadmill. The outcome measures include gait characteristics under 3 tasks x 3 speed conditions x 2 attention conditions on an obstacle-free walk way. The three tasks are normal walking, narrow based walking and obstacle crossing. The three speed conditions are constant (preferred) speed, speeding up (preferred to maximum speed), and slowing down (maximum to preferred speed). The two attention conditions are none and serial subtraction of 3 during walking. Clinical sensorimotor function assessment, including hand grip strength, plantar sensitivity, stroke rehabilitation assessment of movement and Fugl-Meyer lower extremity motor scale will be conducted for subject characterization.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
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
- •Patients diagnosed with first stroke for at least 6 months
- •Able to walk for at least 20 minutes independently without exhaustion
- •Residual gait deficits
- •Resting blood pressure is lower than 150/90 mmHg
排除标准
- •Unable to follow experimental instructions during the process
- •Any pain, inflammation, or other neuromuscular or musculoskeletal conditions in the lower limbs that affect walking ability
- •Unstable health problems
结局指标
主要结局
stride characteristics
时间窗: 2 weeks
Wearable movement sensors are used to measure stride characteristics, such step length, gait velocity, under different walking conditions (normal, narrow based, dual task)
次要结局
未报告次要终点
研究者
Sang-I Lin
Professor, Department of Physical Therapy, National Cheng Kung University
National Cheng Kung University
