Effects of Backward Gait Training in Chronic Stroke Patients

NCT ID: NCT04903392

Last Updated: 2022-03-15

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

28 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-12-01

Study Completion Date

2023-12-01

Brief Summary

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Loss of motor control after stroke, muscle weakness, abnormal movement patterns, spasticity, range of motion limitations and sensory dysfunction, resulting in a decrease in the load transferred to the affected limb, changes in gait pattern and balance skills. Post-stroke muscle weakness has been shown to occur not only in the lower and upper extremity muscles but also in the respiratory muscles. It was found that the plantar pressure distribution in the affected side feet was decreased in individuals with stroke and this situation negatively affected the walking function. A systematic review of treadmill training revealed that treadmill training significantly increased walking speed and walking distance. Learning to walk backwards is also recommended to improve the movement components required for walking forward. As a result of the investigations, although there are studies about the effects of back-walking training on walking and balance function in chronic stroke patients, there is no study investigating the effects on plantar pressure distribution and respiratory parameters. Therefore, this study, which planned to investigate the effects of treadmill retching training on balance, plantar pressure distribution and respiratory parameters in chronic stroke patients, will contribute to the literature.

Detailed Description

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Conditions

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Chronic Stroke Patients

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Backward Walking Group

Conventional therapy + Backward Walking Training

Group Type EXPERIMENTAL

Backward Walking Training

Intervention Type OTHER

The training speed will start at the basic walking speed and will increase by 5% of the starting speed each week. The training, which will take 30 minutes, will be as follows: 5 minutes forward walking (warm-up phase), 20 minutes backward walking (intervention phase) and 5 minutes forward (cooling phase).

-three times a week for six weeks

Forward Walking Group

Conventional therapy + Forward Walking Training

Group Type OTHER

Forward Walking Training

Intervention Type OTHER

The training speed will start at the basic walking speed and will increase by 5% of the starting speed each week. It will be in the form of walking forward for 30 minutes.

-three times a week for six weeks

Interventions

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Backward Walking Training

The training speed will start at the basic walking speed and will increase by 5% of the starting speed each week. The training, which will take 30 minutes, will be as follows: 5 minutes forward walking (warm-up phase), 20 minutes backward walking (intervention phase) and 5 minutes forward (cooling phase).

-three times a week for six weeks

Intervention Type OTHER

Forward Walking Training

The training speed will start at the basic walking speed and will increase by 5% of the starting speed each week. It will be in the form of walking forward for 30 minutes.

-three times a week for six weeks

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Volunteering to participate in the study
* More than 6 months have passed since the onset of stroke
* First time stroke diagnosis
* Being between the ages of 40-65
* Spasticity severity in lower extremity less than 3 according to Modified Ashworth Scale,
* Being medically stable
* Ability to walk 10 meters and above without assistance

Exclusion Criteria

* Presence of other neurological or orthopedic diseases that affect standing and walking involving the lower limbs
* Uncontrollable Hypertension
* Having been diagnosed with any pulmonary disease
* Severe cardiac conditions
* Uncontrollable DM
* Lack of cooperation
Minimum Eligible Age

40 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bandırma Onyedi Eylül University

OTHER

Sponsor Role lead

Responsible Party

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Burçin Akçay

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Burçin Akçay

Balıkesir, , Turkey (Türkiye)

Site Status RECRUITING

Countries

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Turkey (Türkiye)

Central Contacts

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Burçin Akçay

Role: CONTACT

+905056533273

Facility Contacts

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Burçin Akçay

Role: primary

+905056533273

References

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Kim KH, Lee KB, Bae YH, Fong SSM, Lee SM. Effects of progressive backward body weight suppoted treadmill training on gait ability in chronic stroke patients: A randomized controlled trial. Technol Health Care. 2017 Oct 23;25(5):867-876. doi: 10.3233/THC-160720.

Reference Type BACKGROUND
PMID: 28759977 (View on PubMed)

Munari D, Serina A, Disaro J, Modenese A, Filippetti M, Gandolfi M, Smania N, Picelli A. Combined effects of backward treadmill training and botulinum toxin type A therapy on gait and balance in patients with chronic stroke: A pilot, single-blind, randomized controlled trial. NeuroRehabilitation. 2020;46(4):519-528. doi: 10.3233/NRE-203067.

Reference Type BACKGROUND
PMID: 32508341 (View on PubMed)

Nadeau S, Amblard B, Mesure S, Bourbonnais D. Head and trunk stabilization strategies during forward and backward walking in healthy adults. Gait Posture. 2003 Dec;18(3):134-42. doi: 10.1016/s0966-6362(02)00070-x.

Reference Type BACKGROUND
PMID: 14667946 (View on PubMed)

Weng CS, Wang J, Pan XY, Yu ZZ, Wang G, Gao LP, Huo CN. [Effectiveness of backward walking treadmill training in lower extremity function after stroke]. Zhonghua Yi Xue Za Zhi. 2006 Oct 10;86(37):2635-8. Chinese.

Reference Type BACKGROUND
PMID: 17198591 (View on PubMed)

Yang YR, Yen JG, Wang RY, Yen LL, Lieu FK. Gait outcomes after additional backward walking training in patients with stroke: a randomized controlled trial. Clin Rehabil. 2005 May;19(3):264-73. doi: 10.1191/0269215505cr860oa.

Reference Type BACKGROUND
PMID: 15859527 (View on PubMed)

Other Identifiers

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BAkcay

Identifier Type: -

Identifier Source: org_study_id

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