Hemiplegic Gait
Conditions
Brief summary
Gait problems in hemineglect patient post stroke , vestibuloocular training plays a role in improving gait function, gait assessment using a model based study (Microsoft Kinect) for pre and post training assesment.
Detailed description
The syndrome of visuospatial neglect is a common consequence of unilateral brain injury. It is most often associated with stroke and is more severe and persistent following right hemisphere damage, with reported frequencies in the acute stage of up to 80%. This may result in gait disturbance, high levels of energy expenditure and increase the risk of falls. Vestibuleo-ocular training techniques are aimed at improving or even restoring visual function by training patients to detect stimuli in the blind hemifield and increase their overall sensitivity to them. The investigators propose a model based (Microsoft Kinect), a device can be used for assessment of spatiotemporal gait variables as well as gait kinematics.
Interventions
OTHERvestibuloocular training
using vestibulo ocular training program for training neglect patient
OTHERregular exercise training for hemiplegic patients
Traditional gait training program.
Sponsors
Beni-Suef University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
60 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Subjects age will range from (60-70) years old. * Patients who had a stroke at least six months prior. * Patients who had visual field defects post stroke. * Patients who could walk without caretaker assistance or no severe dyskinesias. * Adequate hearing (hearing aid if required). * Patients who had no problem with their state of consciousness and absence of dementia * Patients who had no orthopedic problems that may affect gait. * Patients will be chosen in both sexes. * Clinically and medically stable.
Exclusion criteria
Patients who will meet one of the following criteria will be excluded from the study: * Only one functional eye. * Neurological problem or any severe co-morbidity likely to affect gait. * Intact visual field. * Instability of patient's medical condition. * Obese ( BMI ≥ 30 Kg∕m2 ). * Association with another medical problem that can affect patient
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| gait changes in hemineglect patient after vestibulo ocular rehabilitation program | baseline | gait assesment using microsoft kinect for hemineglect patient pre and post vestibulo ocular rehabilitation |
Countries
Egypt
Outcome results
None listed