Hemiplegic Gait, Stroke
Conditions
Keywords
anterioposterior, weight, shifting, training, patient
Brief summary
To investigate the effect of anteroposterior weight shifting training with visual biofeedback on step length asymmetry. Reduced speed and asymmetry of stepping is a specific characteristic of hemiplegic gait. Asymmetry of stepping is characterized by shorter step length of the unaffected limb compared to the affected limb. Causes of this phenomenon are difficulty in weight bearing at the affected limb, weak propulsive force of the affected limb, and decreased strength of hip extensors. To correct these factors. we have developed an anteroposterior weight shifting training system with visual feedback and studied its effects.
Interventions
AP shifting training in addition to gait training 3 times a week for 6 weeks
Gait training only for 3 times a week for 6 weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Independent standing 2. Ability to walk 10m without manual assistance 3. Asymmetric ratio of step length \> 1.1 4. No severe perceptual, cognitive or cardiovascular impairments that could affect walking
Exclusion criteria
1. Quadriplegia or double hemiplegia 2. Orthopedic or neurologic conditions in addition to the stroke 3. Had more than 1 cerebrovascular accident
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change of step Length Asymmetric Ratio | baseline, 3 weeks, 6 weeks, 12 weeks | paretic step length/non paretic step length |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| change of Step Length Asymmetric Index | baseline, 3 weeks, 6 weeks, 12 weeks | paretic step length-non paretic step length/0.5\[paretic step length +non paretic step length |
Countries
South Korea