First ischemic or hemorrhagic stroke at least 6 months ago chronic stroke
Conditions
Interventions
Two 15-
min of inclined walking training on the treadmill and 5 mins over-
ground walking with 5 mins break in between. Treadmill speed is increased slowly until comfortable speed is reached as determined by each subject. Initially,
the inclined grade is set at 0% and is increased by 5 % (10 % = 5.7°) every 5 mins as tolerated.,The training protocol is the same as that described in the experimental group,
but increasing treadmill speed by 0.1 mph (0.1 mph = 0.045 m/s) every 5 mins instead of inclined level as progression.
Experimental Other,Active Comparator Other
inclined treadmill training ,regular treadmill training
Sponsors
National Yang Ming University
Cardinal Tien Hospital
Eligibility
Sex/Gender
All
Age
20 Years to 80 Years
Inclusion criteria
Inclusion criteria: First ischemic or hemorrhagic stroke at least 6 months ago. Independent walking with or without assistive device. Ankle dorsiflexion less than 0°at initial contact with passive range of motion (PROM) at least to 10°. Sufficient cognition (Mini-Mental State Examination, MMSE score of 24 or higher).
Exclusion criteria
Exclusion criteria: Other orthopedic and neurological disorders interfering the ability to walk. A symptomatic cardiac failure or unstable angina. Uncontrolled hypertension.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Ankle control during walking pre-test and post-test ankle dorsiflexion range and coefficient of variance (CV), measured by the twin-axis electronic goni,Gait performance pre-test and post-test Velocity, cadence, stride length, measured by the Physilog (Gait Up, Lau,Stair climbing performance pre-test and post-test The time for four-stair-climbing | — |
Secondary
| Measure | Time frame |
|---|---|
| Muscle activity of tibialis anterior (TA) and gastrocnemius (GM) pre-test and post-test bipolar Ag-AgCl electrode,muscle strength pre-test and post-test hand-hled dyanometer.,walking ability and functi pre-test and post-test six-minute walk test (6-MWT). | — |
Countries
Taiwan
Contacts
Public ContactRay-yau Wang
National Yang-Ming University
Outcome results
None listed