Stroke
Conditions
Brief summary
Stroke survivors have higher risks of falling compared to other healthy non-stroke adults. Stroke patients' balance can be trained by Kinect-based training that enable user friendly and interactive training.
Interventions
PROCEDUREBalance training
Improvement of balance ability in stroke patients
Sponsors
Chinese University of Hong Kong
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
50 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. have single stroke with onset \>1 year, 2. have unilateral paresis, 3. are 50 years of age or older, 4. able to stand without aid for at least 15min, 5. have moderate level of motor impairment in the affective upper limb, i.e. 15≤ Fugl-Meyer Assessment for upper-extremity(FMA-UE) ≤ 45, 6. have some level of deficit in balance control, i.e. Berg Balance Scale(BBS)\< 52/56, 7. have a minimum Snellen visual acuity of 20/40 with/without spectacles, 8. have a minimum Mini-Mental-Status-Examination score of 22/30, and 9. have to be able to follow the training procedures.
Exclusion criteria
1. enrolled in other rehabilitation program in the study duration, 2. have other neurological conditions in addition to stroke (e.g. Parkinson's disease), 3. have unstable cardiovascular disease (e.g. history of heart disease, or poorly controlled hypertension, i.e. blood pressure \>160mmHg/100mmHg), or 4. have other serious diseases or conditions (e.g. osteoporosis, recent joint replacement surgery, amputation) that preclude them from participating in the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Berg Balance Scale (BBS) | 3-month follow-up | A 14-item objective measure designed to assess static balance and fall risk in adult populations |
| Timed Up and Go (TUG) | 3-month follow-up | It is used to assess mobility, balance, walking ability, and fall risk in older adults |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Fugl-Meyer Assessment (FMA) of Motor Recovery after Stroke | 3-month follow-up | It is used to evaluate and measure recovery in post-stroke hemiplegic patients |
| Activities-specific Balance Confidence (ABC) Scale | 3-month follow-up | Subjective measure of confidence in performing various ambulatory activities without falling or experiencing a sense of unsteadiness |
| lean-and-release postural system | 3-month follow-up | It is used to evaluate balance-recovery in chronic stroke patients. Participants will wear a safety harness designed to prevent impact between body and floor, and they will be asked to stand on two force plates in standardized stance and lean forward with around 10% body weight supported by a cable attached to a release mechanism. Compensatory balance-recovery reactions will be evoked by the sudden release of the support cable, inducing a forward fall. Participants will be evaluated under three different conditions: no handrail, handrail on the unaffected side, and handrail on the affected side. |
| Electromyography (EMG) | 3-month follow-up | It is used to detect the muscle activity |
| Barthel Index of Activities of Daily Living | 3-month follow-up | It is used to assess the ability of an individual with a neuromuscular or musculoskeletal disorder to care for him/herself |
Countries
Hong Kong
Outcome results
None listed