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Набор скоро начнётся NCT07494500

Vestibular Training on Community Ambulation and Fall Risk in Stroke

Без фазы С лечением Stroke

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: Vestibular training, Conventional physical therapy.
Кому может быть актуально
Состояния в реестре: Stroke. Базовые параметры: 18 лет — 80 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
Тайвань
Следующий шаг
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Официальное название

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

Обзор

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.

Вмешательства

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

Первичные конечные точки

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

Критерии участия

Критерии включения

  • 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

Критерии исключения

  • 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

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

Здоровые добровольцы: Нет

Дизайн исследования

Распределение
Рандомизированное
Модель
Параллельные группы
Маскирование
Простое слепое
Основная цель
Лечение

Центры проведения

Тайвань · 1 центр
  • Department of Physical Therapy and Assistive Technology, National Yang Ming Chiao Tung Uni — Taipei

Идентификаторы

NCT: NCT07494500 · NYCU114245AF2

Первоисточники (государственные реестры)

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