Effectiveness of a Neuromuscular Exercise Program and Visual Feedback in the Management of Body Position During Standing and Walking for Patients With Stroke During the Second Stage of Rehabilitation
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 120
- 试验地点
- 1
- 主要终点
- Recovery Locus of Control Scale
研究概览
简要总结
The aim of the biomedical research is to evaluate the changes of body position management during standing and walking for stroke patients, using innovative training methods during the rehabilitation.
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
- 44 Years 至 74 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Experienced an ischemic stroke for the first time;
- •Middle-aged (44-59) and elderly (60-74) by WHO classification;
- •Muscle strength of the lower extremities according to the Oxford scale is 3-5 points;
- •Do not have any neglect;
- •Mini Mental State Examination >12 points.
排除标准
- •Experienced an ischemic stroke not for the first time;
- •Had hip or knee replacement surgery's, which may affect gait;
- •Muscle strength of the lower extremities according to the Oxford scale is 0-2 points;
- •Have neglect;
- •Mini Mental State Examination <12 points.
研究组 & 干预措施
First Group
Neuromuscular exercise program with standard physiotherapy with no visual feedback.
干预措施: Standard physiotherapy (Other)
Second Group
Neuromuscular exercise program with physiotherapy with visual feedback using Biodex platform
干预措施: Biodex Balance SD and Biodex Gait Trainer (Device)
结局指标
主要结局
Recovery Locus of Control Scale
时间窗: Baseline
This scale contains 9 statements that are designed to evaluate the internal and external beliefs regarding the traumatic events that the patient has experienced.
Muscle strength by Oxford scale
时间窗: Baseline
Testing key muscles from the lower and upper extremities against the examiner's resistance and grading the patient's strength on a 0 (No contraction) to 5 (Movement against gravity with full resistance) scale.
Gait and Balance testing by Berg Scale
时间窗: Baseline
The Berg balance scale is used to objectively determine a patient's ability (or inability) to safely balance during a series of predetermined tasks. It consists of 14 items scored on an ordinal scale of 0 to 4 for a total of 56 points (a higher score indicates lower fall risk).
Timed Stand Up and Go Test
时间窗: Baseline
subjects are asked to rise from a standard armchair, walk to a marker 3 m away, turn, walk back, and sit down again. 314. The test is a reliable and valid test for quantifying functional mobility that may also be useful in following clinical change over time.
次要结局
- Gait analysis with zebris FDM (score)(Baseline - before enrolling 4 week training program and after 4 week training)
- Center of Pressure analysis during step cycles with zebris FDM (score)(Baseline - before enrolling 4 week training program and after 4 week training)
- Limits of Stability Testing with Biodex SD (score)(Baseline - before enrolling 4 week training program and after 4 week training)
- Stance analysis with zebris FDM (score)(Baseline - before enrolling 4 week training program and after 4 week training)
- Risk of Fall Testing with Biodex SD (score)(Baseline - before enrolling 4 week training program and after the whole training)
研究者
Toma Steponkienė
PhD student, Lecturer
Lithuanian University of Health Sciences