Effects of Thera-band Resisted Treadmill Training on Walking Ability in Chronic Stroke Patients
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- Balance
研究概览
简要总结
The purpose of this study is to determine if treadmill training combined with thera-band resistance to body support and forward propulsion would be more effective than treadmill training alone in improving over-ground walking ability and reducing energy cost in chronic stroke patients. This study will also characterize the neuromuscular and kinematic strategies to adapt to resisted treadmill walking in non-impaired adults and stroke patients.
详细描述
This study includes chronic stroke patients who will be randomly assigned to treadmill training combined with thera-band or treadmill training alone group to receive 30 min per session, 2 sessions per week for 8 weeks walking training . Functional balance (Berg Balance Scale), gait characteristics during preferred and maximal speed level walking, and oxygen uptake during 5-minute bouts of treadmill walking will be assessed before and after training and at 2-month follow-up. Clinical sensorimotor function assessment, including hand grip strength, plantar sensitivity, stroke rehabilitation assessment of movement and Fugl-Meyer lower extremity motor scale will also 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 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •the diagnosis of first time unilateral stroke more than 6 months before
- •the ability to walk for at least 15 m without person assistance
- •apparent gait deficits upon visual inspection by a trained physical therapist or inability in community ambulation, i.e. walking speed < 0.8 m/s
- •resting blood pressure lower than 150/90 mmHg.
排除标准
- •older than 75 years
- •inability to follow the experimental instructions or procedures
- •any pain, inflammation, or other conditions that could affect walking
- •medically unstable.
研究组 & 干预措施
Treadmill training combined with thera-band
Participants will receive walking training on treadmill with thera-band at the waist. The direction of the thera-band resistance will be straight backward, backward-toward-right, and backward-toward-left. For each direction, the level of resistance and treadmill speed will be adjusted to allow the participants to perceive a 10-minute training to be 'slightly difficult'.
干预措施: Treadmill training combined with/ without thera-band (Behavioral)
Treadmill training alone
Participants will receive treadmill walking training at a speed that will be adjusted to allow the participants to perceive a 10-minute training to be 'slightly difficult'. For each session, there will be three 10-min treadmill walking bouts.
干预措施: Treadmill training combined with/ without thera-band (Behavioral)
结局指标
主要结局
Balance
时间窗: 8 weeks
Berg Balance scale Minimum scale = 0 Maximum scale = 56 Higher scores indicate better functional balance.
stride characteristics
时间窗: 8 weeks
Wearable movement sensors will be used to measure walking speed, stride length and time, and gait cycle. Ground reaction forces during walking. A force platform will be used to measure ground reaction forces and center of pressure.
Walking oxygen uptake
时间窗: 8 weeks
A Ultima Cordi 02 machine will be used to measure VO2 during 5-minute bouts of treadmill walking.
次要结局
未报告次要终点
研究者
Sang-I Lin
Professor
National Cheng Kung University