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Replacing Canes With an Elasticated Orthosis in Chronic Stroke Patients: The Influence on Gait and Balance. A Series of N-of-1 Trials

Replacing Canes With an Elasticated Orthotic-garment in Chronic Stroke Patients: The Influence on Gait and Balance. A Series of N-of-1 Trials

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03642444
Enrollment
4
Registered
2018-08-22
Start date
2014-01-08
Completion date
2015-01-30
Last updated
2018-08-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Stroke

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

DEVICECane

Assistive walking device

DEVICEElasticated worn orthotic-garment

Assistive walking device -elasticated worn orthotic garment

Sponsors

Bildungszentrum Gesundheit Basel-Stadt
CollaboratorUNKNOWN
Rehab Basel
CollaboratorOTHER
Technical University of Bern
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
NONE

Intervention model description

N-of-1 series

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

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

MeasureTime frameDescription
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

MeasureTime frameDescription
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)

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 17, 2026