Analysis of Gait Parameters After Therapy Using the Tilt-table Exercise and Motor Imagery - a Randomized Observational Study on Stroke Patients.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- Anna Olczak
- 入组人数
- 66
- 试验地点
- 1
- 主要终点
- Trunk Control Test
研究概览
简要总结
Sixty-six stroke patients were randomly assigned to three groups (conventional, with the addition of the Erigo®Pro table, and enriched with motor imagery). The Trunk Stability Test, walking speed, step symmetry, and lower limb load symmetry on the Riablo device, as well as the superficial tension of the transverse abdominis and multifidus muscles, were assessed before and after completing therapy.
详细描述
Sixty-six stroke patients were randomly assigned to three groups (conventional, with the addition of the Erigo®Pro table, and enriched with motor imagery). The Trunk Stability Test, walking speed, step symmetry, and lower limb load symmetry on the Riablo device, as well as the superficial tension of the transverse abdominis and multifidus muscles, were assessed before and after completing therapy.
Results: In each of the groups studied, the therapies used significantly improved the functional assessment of trunk stability (Trunk Control Test <0.001)). Additionally, after the intervention, the Erigo group showed a greater gait speed (p=0.003), while the Visualization group exhibited a higher level of tension in the multifidus (p=0.011) and transverse abdominal muscles (p=0.002).
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
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 30 Years 至 85 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •1) patients 6-8 weeks post-stroke,
- •2) aged 38-85 years, mean,
- •3) males and females,
- •4) walking with or without assistance (modified Rankin scale = 3),
- •5) with slight neurological deficits (NIHSS ≤7).
排除标准
- •1) stroke up to six weeks after the episode,
- •2) epilepsy,
- •3) no possibility to sit and stand,
- •4) persistent deficit of speech and cognitive functions, lack of attention,
- •5) visual disturbances,
- •6) depression,
- •7) high or very low blood pressure, dizziness, malaise.
研究组 & 干预措施
Conventional rehabilitation
In conventional rehabilitation, patients performed daily physiotherapy, which included intensive preparatory training for standing and sitting positions, strengthening exercises, weight-bearing exercises, and balance and coordination exercises (from 40 to 60 minutes of therapy).
Interventions:
Procedure: Conventional rehabilitation, the Erigo®Pro table, motor imagery
干预措施: Conventional rehabilitation, the Erigo®Pro table, motor imagery on gait. (Procedure)
Conventional rehabilitation
In conventional rehabilitation, patients performed daily physiotherapy, which included intensive preparatory training for standing and sitting positions, strengthening exercises, weight-bearing exercises, and balance and coordination exercises (from 40 to 60 minutes of therapy).
Interventions:
Procedure: Conventional rehabilitation, the Erigo®Pro table, motor imagery
干预措施: Conventional rehabilitation, the Erigo®Pro table, motor imagery on gait parameters. (Procedure)
Erigo®Pro
Interventions: Effective therapy included 1 session on a tilting table at an angle of 42° for 20 minutes, 5 times a week (Monday to Friday) at a speed of 32 steps per minute, followed by a physiotherapy session for two weeks.
Interventions:
Procedure: Conventional rehabilitation, the Erigo®Pro table, motor imagery
干预措施: Conventional rehabilitation, the Erigo®Pro table, motor imagery on gait. (Procedure)
Erigo®Pro
Interventions: Effective therapy included 1 session on a tilting table at an angle of 42° for 20 minutes, 5 times a week (Monday to Friday) at a speed of 32 steps per minute, followed by a physiotherapy session for two weeks.
Interventions:
Procedure: Conventional rehabilitation, the Erigo®Pro table, motor imagery
干预措施: Conventional rehabilitation, the Erigo®Pro table, motor imagery on gait parameters. (Procedure)
motor imagery (MI)
in addition to conventional physiotherapy, activity imagery during passive walking on the Erigo®Pro table was introduced. During the exercises on the table, the patients wore headphones that blocked out any external sounds, closed their eyes and their task was to imagine the sensation of their body moving (first-person imagination), differentiating the idea of walking in various real environments (park, forest, beach, snow, streets). in the city, walking at different speeds, going up and down stairs, running, etc.).
Interventions:
Procedure: Conventional rehabilitation, the Erigo®Pro table, motor imagery
干预措施: Conventional rehabilitation, the Erigo®Pro table, motor imagery on gait. (Procedure)
motor imagery (MI)
in addition to conventional physiotherapy, activity imagery during passive walking on the Erigo®Pro table was introduced. During the exercises on the table, the patients wore headphones that blocked out any external sounds, closed their eyes and their task was to imagine the sensation of their body moving (first-person imagination), differentiating the idea of walking in various real environments (park, forest, beach, snow, streets). in the city, walking at different speeds, going up and down stairs, running, etc.).
Interventions:
Procedure: Conventional rehabilitation, the Erigo®Pro table, motor imagery
干预措施: Conventional rehabilitation, the Erigo®Pro table, motor imagery on gait parameters. (Procedure)
结局指标
主要结局
Trunk Control Test
时间窗: two weeks
Assessment of trunk stability before and after therapy
次要结局
- RiabloTM device(two weeks)
- Luna EMG(two weeks)
研究者
Anna Olczak
PhD; Senior Specjalist of the Rehabilitation Clinic
Military Institute od Medicine National Research Institute