Stroke
Conditions
Interventions
Intervention 1: Patient-Paced Alternate Gait Training (PP-AGT) Description: Walking training is performed using a knee-ankle-foot orthosis (KAFO) with a Gait Solution ankle joint and the knee joint l
Sponsors
Naka-Izu Rehabilitation Center
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Stroke patients with hemiplegia Patients requiring total assistance for walking at admission (Functional Independence Measure [FIM] gait score of 1) Patients meeting the following criteria for requiring a knee-ankle-foot orthosis (KAFO): Inability to walk appropriately with an ankle-foot orthosis (AFO) due to physical issues such as knee buckling or hyperextension (genu recurvatum) Absence of joint range of motion (ROM) limitations in the lower limbs that would hinder alternate gait training (AGT) Presence of moderate to severe motor paralysis, defined as a Stroke Impairment Assessment Set (SIAS) knee motor score of 3 or less Patients whose participation is approved by the physical therapist in charge
Exclusion criteria
Exclusion criteria: Patients who are discharged within 3 months after the start of AGT Patients with more than 3 months elapsed from stroke onset to the start of AGT
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Functional Ambulation Category (FAC) | — |
Secondary
| Measure | Time frame |
|---|---|
| Functional Independence Measure (FIM) gait score at discharge Timing of AGT (Alternate Gait Training) termination (Duration until weaning from KAFO) Stroke Impairment Assessment Set (SIAS) lower limb motor scores (hip, knee, and ankle) at discharge Knee extension strength on the non-paretic side at discharge Fugl-Meyer Assessment (FMA) score at discharge Total Functional Independence Measure (FIM) score at discharge | — |
Countries
Japan
Contacts
Public ContactMunehito Kamakura
Naka-Izu Rehabilitation Center Department of Rehabilitation, Division of Physical Therapy
Outcome results
None listed