Backward Walking Observation Training in People With Stroke and Gait Quality in Stroke
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Backward walking observation training, Non-motor observational backward walking training.
- Who it may be relevant to
- Registry conditions: Stroke. Basic parameters: 20 years — 80 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Taiwan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
The Effect of Backward Walking Observation Training on Improving Brain Activity and Gait Quality in People With Stroke
Overview
Walking impairment is one of the most common and concerning issues for individuals with stroke. Previous studies have often used improvements in walking speed and distance as reference indicators for gait performance progress in individuals with stroke. However, for people with chronic stroke, it may be more appropriate to prioritize improving gait symmetry and gait variability to enhance gait quality as a primary intervention goal. Additionally, stroke can lead to an imbalance in interhemispheric brain activity, which evolves as motor function recovers. According to the literature review, backward walking may extend the support time of the lower limbs, thereby enhancing the weight-bearing capacity of the affected limb. This, in turn, could promote gait symmetry and reduce gait variability. Changes in brain activity might also accompany such improvements in gait quality. Therefore, this study aims to investigate the immediate, short-term and post carryover intervention effects of backward walking observation training on gait quality in individuals with chronic stroke as well as to explore its effects on interhemispheric activity balance in individuals with chronic stroke.
Interventions
- Other Backward walking observation training
Backward treadmill training after watching a video of backward walking. - Other Non-motor observational backward walking training
Backward treadmill training after watching a video of landscape without any movements.
Primary outcome measures
- Brain activity [Time frame: Baseline, 4 weeks after training, and 4-week follow-up]
- Gait symmetry [Time frame: Baseline, post-intervention, 4 weeks after training, and 4-week follow-up]
- Gait varability [Time frame: Baseline, post-intervention, 4 weeks after training, and 4-week follow-up]
Secondary outcome measures (4)
- Gait performance [Time frame: Baseline, post-intervention, 4 weeks after training, and 4-week follow-up]
- Time Up & Go test [Time frame: Baseline, 4 weeks after training, and 4-week follow-up]
- Activities-specific Balance Confidence Scale [Time frame: Baseline, 4 weeks after training, and 4-week follow-up]
- Taiwan Chinese version Falls Efficacy Scale [Time frame: Baseline, 4 weeks after training, and 4-week follow-up]
Eligibility criteria
Inclusion criteria
- ≥ 6 months after the diagnosis of stroke
- Independent walking over at least 7m with or without a walking aid
- Mini-mental state examination score ≥ 24
Exclusion criteria
- Had difficulty in backward walking
- Any neuromuscular disorders history
- With visual or auditory disorders
- Unstable cardiac status or uncontrolled hypertension
- Any musculoskeletal disorders that would affect walking ability
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Taiwan · 1 center
- Department of Physical Therapy and Assistive Technology, National Yang Ming Chiao Tung Uni — Taipei
Identifiers
NCT: NCT06850662 · NYCU113210AF2