Effects of Treadmill-Based Gait Training in Patients With Stroke

Обзор

Hemiplegia is one of the most common sequelae after stroke. Most patients develop thermal asymmetry between the affected and contralateral sides of the body, as well as an asymmetric gait pattern characterized by differences in the duration of gait cycle phases, step length, cadence, and weight distribution between limbs. These patterns result in reduced aerobic capacity, endurance, energy efficiency, and walking speed, negatively impacting the patient's functional abilities. There are different methodologies for the treatment gait impairments. Among them, treadmill training has been investigated as an effective therapeutic approach to post-stroke rehabilitation. Treadmill gait training may reduce asymmetry between hemibodies in hemiplegic patients. For this reason, our aim is to describe the effects of treadmill training on gait, focusing on its impact on thermal asymmetry, walking speed, aerobic endurance, and the biomechanical and kinematic characteristics of gait. Patients with hemiplegia will undergo treadmill-based gait training to evaluate its influence on the recovery of this sequel of stroke.

Вмешательства

• Другое Treadmill gait training
  Participants will undergo a 15-minute treadmill gait training session using a safety harness and under the continuous supervision of a physiotherapist to ensure patient safety. The study will be carried out for 12 weeks with a frequency of two weekly sessions. During them, the participants will receive treadmill training. All participants will walk at a speed exceeding 2.5 km/h. The speed will be individually adjusted to provide a challenging yet appropriate intensity based on each participant's
• Другое CONVENTIONAL PHYSIOTHERAPY
  CONVENTIONAL PHYSIOTHERAPY The conventional physiotherapy program was individualized and targeted sensorimotor impairments commonly observed after stroke, with progressive adjustments in exercise intensity and task complexity according to individual performance and tolerance. It included exercises aimed at improving balance, lower-limb muscle strength, coordination, gait performance, and functional task-oriented activities.

Первичные конечные точки

• Thermal asymmetry [Срок оценки: 30 minutes]

Вторичные конечные точки (3)

• Walking speed [Срок оценки: 5 minutes]
• Endurance [Срок оценки: 30 minutes]
• Gait Biomechanics and Kinematics [Срок оценки: 10 minutes]

Критерии участия

Критерии включения

• Aged between 18 and 80 years
• History of stroke at least six months prior
• Presence of hemiplegia or hemiparesis
• Ability to walk independently or with assistive devices

Критерии исключения

• Cognitive impairments interfering with the understanding of treatment procedures
• Inability to get on and maintain position on the treadmill
• Severe heart failure
• Active inflammatory or infectious conditions at the time of evaluation
• Attendance below 80% of scheduled sessions

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Двойное слепое

Основная цель

Лечение

Центры проведения

Испания · 1 центр

• Universidad de Salamanca — Salamanca

Идентификаторы

NCT: NCT07127861 · INV-2025-58

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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