Stroke
Conditions
Keywords
Biofeedback, Gait symmetry, Gait variability, Gait training
Brief summary
Post-stroke gait dysfunction is characterized by reduced gait velocity and stride length, along with gait asymmetry and instability. Gait asymmetry and instability are considered as indicators for gait quality, which affect independence and quality of life in individual with stroke. Previous studies have suggested that gait biofeedback is a promising strategy for enhancing the efficacy of post-stroke gait training. However, there is insufficient evidence on the effects of kinematic biofeedback gait training on gait asymmetry and instability in individuals with stroke. Therefore, the purpose of this study is to investigate the effects of real-time kinematic gait biofeedback training on gait quality in individuals with stroke.
Interventions
Gait training include treadmill and overground walking. The biofeedback device system will provide real-time feedback on hip extension angles.
Gait training include treadmill and overground walking.
Sponsors
National Yang Ming Chiao Tung University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* First stroke * Stroke onset time ≥ 6 months * Functional Ambulation Category ≥3 * Passive range of motion of affected hip extension is at least 10 degrees * Mini-Mental State Measurement score ≥ 24 points
Exclusion criteria
* Modified Ashworth Scale of affected ankle plantar flexors ≥ 2 * Muscle strength of affected ankle plantar flexors via Manual Muscle Testing ≤ 1 * Uncorrected auditory impairment * Severe cardiovascular disease or uncontrolled hypertension * Other orthopedic diseases that may affect walking ability * Other neurological disease except stroke
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Gait symmetry | Change from baseline at 4 weeks after training and 4 weeks follow-up | Using GAITRite system to measure the symmetry of saptiotemporal parameters |
| Gait variability | Change from baseline at 4 weeks after training and 4 weeks follow-up | Using GAITRite system to measure the coefficient of variation of saptiotemporal parameters |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Berg Balance Scale | Change from baseline at 4 weeks after training and 4 weeks follow-up | Using Berg Balance Scale to evaluate balance ability |
| Activities-specific Balance Confidence Scale | Change from baseline at 4 weeks after training and 4 weeks follow-up | Using Activities-specific Balance Confidence Scale to evaluate individual's balance confidence in performing daily activities |
| Propulsive force | Change from baseline at 4 weeks after training and 4 weeks follow-up | Using Force plate to measure the ground reaction force |
| Frenchay Activities Index | Change from baseline at 4 weeks after training and 4 weeks follow-up | Using Frenchay Activities Index to measure individual's capacity to perform instrumental activities of daily living |
| Stroke Impact Scale | Change from baseline at 4 weeks after training and 4 weeks follow-up | Using Stroke Impact Scale to evaluate disability and quality of life after stroke |
| Taiwan Chinese version Falls Efficacy Scale | Change from baseline at 4 weeks after training and 4 weeks follow-up | Using Taiwan Chinese version Falls Efficacy Scale to evaluate concerns about falling |
| Gait performance | Change from baseline at 4 weeks after training and 4 weeks follow-up | Using the GAITRite system to evaluate saptiotemporal parameters |
Countries
Taiwan
Contacts
Primary ContactYea-Ru Yang, PhD
Outcome results
None listed