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Not yet recruiting NCT07494500

Vestibular Training on Community Ambulation and Fall Risk in Stroke

No phase Interventional 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: Vestibular training, Conventional physical therapy.
Who it may be relevant to
Registry conditions: Stroke. Basic parameters: 18 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

Effects of Vestibular Training on Community Ambulation and Fall Risk in Individuals With Chronic Stroke

Overview

Nearly half of individuals with stroke experience limitations in community ambulation, and 35.7% of community-dwelling stroke survivors experienced falls while walking, indicating that falls are common during routine daily activities in community settings. Sensory reweighting refers to the ability to appropriately prioritize and integrate sensory inputs to maintain postural stability. Stroke survivors often demonstrate impaired sensory reweighting, characterized by excessive reliance on visual and proprioceptive cues and insufficient integration of vestibular information. This deficit adversely affects postural control and subsequently compromises gait performance and fall risk .In addition, many individuals with stroke exhibit reduced gaze stability during walking and turning, suggesting potential impairments in the vestibulo-ocular reflex (VOR), a key mechanism for maintaining stable vision during head movement. Insufficient gaze stability has been associated with gait disturbances; therefore, deficits in sensory reweighting and VOR function may contrib-ute to limited community ambulation and increased fall risk. Although previous studies have primarily focused on general balance training, few have directly targeted vestibular input. Thus, the effectiveness of vestibular-specific training for improving community ambulation and reducing fall risk in chronic stroke remains unclear. This study aims to investigate the effects of vestibular training on community ambulation and fall risk in individuals with chronic stroke.

Interventions

  • Other Vestibular training
    Gaze stabilization exercises and balance training under visual and head-movement challenges to stimulate vestibular input and maintain balance.
  • Other Conventional physical therapy
    Strength, posture, gait, and functional training.

Primary outcome measures

  • Walking Ability Questionnaire [Time frame: Baseline, 4 weeks after training, and 4-week follow-up]
  • Community Walking Speed [Time frame: Baseline, post-intervention, 4 weeks after training, and 4-week follow-up]
  • Taiwan Chinese version of the Falls Efficacy Scale [Time frame: Baseline, 4 weeks after training, and 4-week follow-up]
Secondary outcome measures (9)
  • Functional Gait Assessment [Time frame: Baseline, 4 weeks after training, and 4-week follow-up]
  • Six-minute Walk Test [Time frame: Baseline, 4 weeks after training, and 4-week follow-up]
  • Mini-Balance Evaluation Systems 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]
  • Tinetti Performance-Oriented Mobility Assessment [Time frame: Baseline, 4 weeks after training, and 4-week follow-up]
  • Modified Clinical Test of Sensory Integration and Balance [Time frame: Baseline, 4 weeks after training, and 4-week follow-up]
  • Dynamic Visual Acuity Test [Time frame: Baseline, 4 weeks after training, and 4-week follow-up]
  • Stroke Impact Scale [Time frame: Baseline, 4 weeks after training, and 4-week follow-up]
  • Gait performance [Time frame: Baseline, post-intervention, 4 weeks after training, and 4-week follow-up]

Eligibility criteria

Inclusion criteria

  • Diagnosis of First-occurrenced stroke
  • ≥ 6 months after stroke
  • Ability to walk at least 400 meters with or without the use of a walking assistive device
  • Mini-Mental State Examination score ≥ 24
  • Age between 18 and 80 years

Exclusion criteria

  • Other neurological or musculoskeletal conditions affected postural stability
  • Presence of dizziness or vertigo
  • Presence of conditions affecting cervical blood flow or limiting cervical range of motion
  • Visual impairment
  • Unstable cardiac status or uncontrolled hypertension

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: NCT07494500 · NYCU114245AF2

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗