Stroke
Conditions
Keywords
stroke, hemiplegia
Brief summary
This study aims to investigate the effect of an elasticated orthotic garment Thera Togs on walking ability and balance in currently cane using chronic stroke subjects (minimum 6 months post stroke) using a series of N-of-1 Trials.
Detailed description
Aim: To investigate the effect of replacing canes with an elasticated orthotic-garment on gait and balance in chronic stroke subjects. Design Experimental, multiple baseline N-of-1 series with an ABC design with randomised period duration. Participants Four cane using chronic stroke subjects. Interventions Phase A (9-12 weeks) usual cane-walking to establish baseline values; Phase B (9-19 weeks) intervention: orthotic-garment worn throughout the day with maximal cane reduction; Phase C (9-10 weeks) individually determined follow-up: either no walking-aid, orthotic-garment or cane. Weekly measurement of Outcome Measures for gait and balance function
Interventions
Assistive walking device
Assistive walking device -elasticated worn orthotic garment
Sponsors
Study design
Intervention model description
N-of-1 series
Eligibility
Inclusion criteria
* Chronic stroke (\> six months since last stroke) * Independent cane walkers. Subjects usually use canes to walk inside (this could be intermittent changing from cane to holding furniture etc.) and always when outside * A Mini Mental Score of 22 or above.
Exclusion criteria
* Patients at risk of falling identified as a Berg Balance Score ≤42/56
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Functional Gait Assessment from baseline to post-Intervention (up to 28 weeks) | Post intervention up to 28 weeks (on average 21.5 weeks) | Change of gait function between phases A (baseline) and Phase B (Intervention) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Trunk-sway from baseline to post-Intervention (up to 28 weeks) | Post intervention up to 28 weeks (on average 21.5 weeks) | Change of trunk-sway at body center-of-mass during walking measured as Total-Angle-Area(TAA°) in frontal and sagittal-planes measured with a gyroscope Sway Star between phases A (baseline) and Phase B (Intervention) |