I69.3 R27 R29.3 R41.4
Conditions
Interventions
Group 1: Patients with stroke and pusher-syndrome receive a session Lokomat therapy (GVS and conventional physiotherapy/ within one week in a pseudo-randomized order).
Group 2: Patients with stroke an
Sponsors
Klinikum der Universität München, Campus Großhadern
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: • Patients after unilateral ischemic or hemorrhagic stroke • The patient is not younger than 18 years • The patient suffers from hemiparesis • The patient can not stand unassisted • The patient is able to be in upright body position for at least 30 minutes
Exclusion criteria
Exclusion criteria: Exclusion criteria for the GVS-stimulation: • metal implant(s) in the body • brain tumor(s) • inflammation of the scalp • epilepsy • degenerative or psychiatric disease(s) Exclusion criteria for the Lokomat therapy: • orthostatic circulatory disturbance • unstable fractures or fractures unstable to weightbearing • severe osteoporosis • skin problems in the area of the Lokomat cuffs • known pre-existing joint problems (eg arthrosis) • significant asymmetries (eg discrepancy of leg length ) • Height below 160 cm and over 190 cm or a body weight >150 kg
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| - SCP Scale for Contraversive Pushing - LS Lateropulsion Scale The scales will be assessed by a trained and blinded examiner immediately before and after the respective therapy (either Lokomat, GVS or conventional physical therapy). Outcome is after the third therapy session. | — |
Secondary
| Measure | Time frame |
|---|---|
| - SVV Subjective Visual Vertical The bucket method was evaluated by Zwergal et al. (2009) as an easily performed and reliable bed-side test to measure the SVV. The subject sits upright and looks into a bucket. The visual field is completely covered by the edge of the bucket. On the bottom of the bucket is a dark, straight line. The bucket is rotated slowly by the examiner from different start positions into the direction of zero position. The subject indicates when he determines the dark line as vertical and the investigator reads out the deviation in degrees on a scale on the outside of the bucket. - Photographs for evaluation of head, trunk and leg position. The parameters will be collected before and after the respective therapy (either Lokomat, GVS or conventional physical therapy) by a trained therapist. Outcome is after the third Therapy unit. | — |
Countries
Germany
Contacts
Public ContactJeannine Bergmann
Schoen Klinik Bad Aibling
Outcome results
None listed