Stroke
Conditions
Keywords
Constraint Induced Movement Therapy
Brief summary
This is a prospective randomized control trial of patients with unilateral impairment of the lower extremity after stroke. Patients will be randomized to intervention group and control group. Intervention group will receive one hour of intense massed practice of lower extremity either in the form of shaping or task practice. Control group will receive conventional physical therapy for 1 hour as per current standard of care that follows stroke clinical practice guideline.
Interventions
OTHERCIMT
Intervention group will receive one hour of intense massed practice of lower extremity either in the form of shaping or task practice.
OTHERConventional Physical Therapy
1 hour as per current standard of care that follows stroke clinical practice guideline.
Sponsors
NYU Langone Health
Study design
Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
55 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age 55 or older * new ischemic stroke as revealed by CT scan or MRI of a brain or as per updated definition by American heart and American stroke association (Sacco et al., 2013) * Manual muscle testing with grad of \> 1+ in hip and knee joint musculature * able to walk atleast 10 feet indoors with or without assistance and assistive device. * Motivated to participate and some initiation of flexion and extension movement in hip, knee and ankle joints. * Ability to follow visual/verbal instructions as assessed by a minimum score of 24/30 points on the minimental state examination * Fairly intact sensation
Exclusion criteria
* Serious cardiac or pulmonary condition or other medical condition that make it difficult or risky to participate in intensive training * Severe joint pain or degenerative disease to the musculoskeletal system of the lower extremity * other neurological disease 4) problems with following instructions.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cycle time as measured by GAITRite. | 2 Weeks | GAITrite is considered a gold standard for gait analysis. It consists of a mat with the sensors which are pressure sensitive and when patient ambulates on the mat the system measures parameters like step length, stride length, cycle time and velocity. |
| step length as measured by GAITRite. | 2 Weeks | GAITrite is considered a gold standard for gait analysis. It consists of a mat with the sensors which are pressure sensitive and when patient ambulates on the mat the system measures parameters like step length, stride length, cycle time and velocity. |
| Stride length as measured by GAITRite. | 2 Weeks | GAITrite is considered a gold standard for gait analysis. It consists of a mat with the sensors which are pressure sensitive and when patient ambulates on the mat the system measures parameters like step length, stride length, cycle time and velocity. |
| velocity as measured by GAITRite | 2 Weeks | GAITrite is considered a gold standard for gait analysis. It consists of a mat with the sensors which are pressure sensitive and when patient ambulates on the mat the system measures parameters like step length, stride length, cycle time and velocity. |
Countries
United States
Outcome results
None listed