Immediate Effects of Stepping Training Using External Feedback in Spinal Cord Injury Patients

NCT ID: NCT03875066

Last Updated: 2019-12-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-04-19

Study Completion Date

2019-07-31

Brief Summary

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* Does stepping training with or without external feedback change functional ability of ambulatory patients with iSCI immediately after training?
* Are there significant differences between the immediate effects of stepping training with or without external feedback in ambulatory patients with iSCI?

Detailed Description

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To compare immediate effects of stepping training with or without the utility of external feedback on functional ability relating to walking in ambulatory patients with iSCI (between-group comparison).

Secondary objective To compare immediate effects in a group of stepping training with or without the utility of external feedback on functional ability relating to walking in ambulatory patients with iSCI (within-group comparison).

Conditions

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Spinal Cord Injuries

Keywords

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Rehabilitation Neurological condition Walking ability Feedback External information

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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A to B

Subjects were involved in an control training program (A). After 2 weeks washout period, Subjects were trained using the other program (B).

Group Type OTHER

Stepping training without feedback

Intervention Type OTHER

Subjects stand in a step standing position with placing one leg on the load cells of the device and the other leg at the posterolateral direction to the trained leg outside the load cells. Then subjects will be instructed to shift/take their body-weight onto the trained leg as most as they can. If the subjects can take a proper level of their body-weight onto the trained leg, the subjects can step the other leg forward to the marker. Then they have to do the same when steps the leg backward.

Stepping training with feedback

Intervention Type OTHER

Subjects stand in a step standing position with placing one leg on the load cells of the device and the other leg at the posterolateral direction to the trained leg outside the load cells, look at the displayed section which will be positioned at their eye level. Then subjects will be instructed to shift/take their body-weight onto the trained leg until the green zone of the displayed section is lightened. When the subjects can take a proper level of their body-weight onto the trained leg, the beep sound will be alarmed to trigger the subjects and therapist that the subjects can step the other leg forward to the marker. Then they have to do the same when steps the leg backward.

B to A

Subjects were involved in an control training program (B). After 2 weeks washout period, Subjects were trained using the other program (A).

Group Type OTHER

Stepping training without feedback

Intervention Type OTHER

Subjects stand in a step standing position with placing one leg on the load cells of the device and the other leg at the posterolateral direction to the trained leg outside the load cells. Then subjects will be instructed to shift/take their body-weight onto the trained leg as most as they can. If the subjects can take a proper level of their body-weight onto the trained leg, the subjects can step the other leg forward to the marker. Then they have to do the same when steps the leg backward.

Stepping training with feedback

Intervention Type OTHER

Subjects stand in a step standing position with placing one leg on the load cells of the device and the other leg at the posterolateral direction to the trained leg outside the load cells, look at the displayed section which will be positioned at their eye level. Then subjects will be instructed to shift/take their body-weight onto the trained leg until the green zone of the displayed section is lightened. When the subjects can take a proper level of their body-weight onto the trained leg, the beep sound will be alarmed to trigger the subjects and therapist that the subjects can step the other leg forward to the marker. Then they have to do the same when steps the leg backward.

Interventions

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Stepping training without feedback

Subjects stand in a step standing position with placing one leg on the load cells of the device and the other leg at the posterolateral direction to the trained leg outside the load cells. Then subjects will be instructed to shift/take their body-weight onto the trained leg as most as they can. If the subjects can take a proper level of their body-weight onto the trained leg, the subjects can step the other leg forward to the marker. Then they have to do the same when steps the leg backward.

Intervention Type OTHER

Stepping training with feedback

Subjects stand in a step standing position with placing one leg on the load cells of the device and the other leg at the posterolateral direction to the trained leg outside the load cells, look at the displayed section which will be positioned at their eye level. Then subjects will be instructed to shift/take their body-weight onto the trained leg until the green zone of the displayed section is lightened. When the subjects can take a proper level of their body-weight onto the trained leg, the beep sound will be alarmed to trigger the subjects and therapist that the subjects can step the other leg forward to the marker. Then they have to do the same when steps the leg backward.

Intervention Type OTHER

Other Intervention Names

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Control program Experimental program

Eligibility Criteria

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Inclusion Criteria

* Independent ambulatory patients with iSCI at a chronic stage (Post-injury time \> 12 months)
* Traumatic cause or non-progressive disease
* Independent walking with or without assistive devices at least 17 meters (Functional Independence Measure Locomotor (FIM-L) scores 5-7)
* Age at least 18 years
* Body mass index (BMI) between 18.5 - 29.9 kg/m2.

Exclusion Criteria

* Any conditions or disorders that might affect ability to participate in the study and/or ambulatory ability of the subjects such as

* Brain function disorders
* Visual deficits that cannot be corrected using glasses or contact lens
* Musculoskeletal pain (with an intensity of pain more than 5 out of 10 on a numerical rating pain scale)
* Deformity of the musculoskeletal system
* Unable to follow a command of the tests
* Unstable medical conditions
* Color blindness
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Khon Kaen University

OTHER

Sponsor Role lead

Responsible Party

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Sugalya Amatachaya

Assoc. Prof. Dr.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sugalya Amatachaya

Role: PRINCIPAL_INVESTIGATOR

Faculty of Associated Medical Sciences, Khon Kaen University, Thailand

Locations

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Faculty of Associated Medical Science

Khon Kaen, Muang, Thailand

Site Status

Countries

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Thailand

References

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Other Identifiers

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PHD57K0194

Identifier Type: -

Identifier Source: org_study_id