Stroke
Conditions
Keywords
Stroke, Hemiplegia, Gait, Ambulation training, Neurologic physical therapy
Brief summary
The purpose of this study is to explore an alternative approach that emphasizes task specificity and treadmill training for ambulation training of these patients.
Detailed description
Restoration of independent ambulatory ability is one of the most common functional goals of patients with hemiplegia after stroke. Ambulation training, therefore, is an important part of physical therapy intervention for these patients. Conventional neurologic physical therapy for ambulation training, based sorely on neurophysiology, prohibits early ambulation experience after stroke in attempt to avoid the development of abnormal gait patterns. Such an approach has been shown to be limited in helping these patients regain independent ambulatory ability.
Interventions
BEHAVIORALTreadmill Training
Partian body weight support treadmill training, 30 min/day \* 3 days /week
Sponsors
National Science and Technology Council, Taiwan
National Taiwan University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
40 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* between 40 and 75 years old * first stroke with R't side hemiplegia due to middle cerebral artery occlusion and received acute treatment at NTUH * being willing to sign an informed consent approved by the Human Subjects Committee of the National Taiwan University Hospital * able to ambulate independently in parallel bars and having no independent ambulation ability outside parallel bars Excursion criteria: * having unstable vital sign, unconsciousness, or obvious cognitive, perception, and language impairment, and couldn't communicate with the experimenters * having other neurological diseases, or moderate to severe neuromuscular or musculoskeletal or cardiovascular disorders, or disorders from systematic diseases other than stroke
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To investigate walking speed and stride length as the representation of ambulation ability | 3 months |
Secondary
| Measure | Time frame |
|---|---|
| To investigate the the co-activation duration between the activity of hamstring and quadriceps, and tibialis anterior and gastrocnemius joints, the level of symmetry in step length and stance/swing duration ratio between the affected and unaffected legs | 3 months |
Countries
Taiwan
Outcome results
None listed