Effect of Mental Arithmetic Priming on Gait and Balance in Stroke

NCT ID: NCT07327814

Last Updated: 2026-01-08

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

17 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-12-27

Study Completion Date

2026-06-01

Brief Summary

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This study investigates the effect of cognitive priming through mental arithmetic on functional mobility in post-stroke patients. It hypothesizes that performing mental calculations (addition, subtraction, multiplication) prior to movement stimulates frontoparietal networks, thereby improving gait speed and dynamic balance compared to a passive control condition.

Detailed Description

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Stroke often results in impaired sensorimotor integration and executive dysfunction, leading to gait and balance deficits. Emerging evidence suggests a link between numerical cognition and motor control networks. This randomized controlled trial compares an experimental group (performing 30-second mental arithmetic tasks) against a control group (passive visual exposure). Functional mobility is assessed immediately following the cognitive stimulus using the Ten-Meter Walk Test (10mWT) and the Timed Up and Go (TUG) test to evaluate the immediate "priming" effects of cognitive load on motor performance.

Conditions

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Stroke; Hemiparesis, Gait Disorders, Postural Balance, Disorders

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants
Single Blind (Participant)

Study Groups

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Intervention: Behavioral: Mental Arithmetic

Visual presentation of arithmetic equations (Addition, Subtraction, Multiplication) projected on a screen. Participants must calculate and verbally report the answer within a 10-second window per equation.

Group Type EXPERIMENTAL

Mental Arithmetic

Intervention Type BEHAVIORAL

Visual presentation of arithmetic equations (Addition, Subtraction, Multiplication) projected on a screen. Participants must calculate and verbally report the answer within a 10-second window per equation.

Passive Viewing

Passive viewing of a black screen with no cognitive demand.

Group Type PLACEBO_COMPARATOR

Passive Viewing

Intervention Type BEHAVIORAL

Passive viewing of a black screen with no cognitive demand.

Interventions

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Mental Arithmetic

Visual presentation of arithmetic equations (Addition, Subtraction, Multiplication) projected on a screen. Participants must calculate and verbally report the answer within a 10-second window per equation.

Intervention Type BEHAVIORAL

Passive Viewing

Passive viewing of a black screen with no cognitive demand.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of stroke.
* Mini-Mental State Examination (MMSE) score ≥ 23.
* Ability to walk 10 meters independently (with or without assistive device).

Exclusion Criteria

* Hemianopia.
* Wernicke's aphasia or Global aphasia.
* Orthopedic injuries or recent surgeries affecting the lower limbs.
Minimum Eligible Age

60 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Lebanese University

OTHER

Sponsor Role lead

Responsible Party

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Ahmad Rifai Sarraj

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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Ahmad I. Rifai Sarraj, PhD

Role: CONTACT

+9613662956

Jihan Allaw, Master

Role: CONTACT

References

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Khayat J, Champely S, Diab A, Rifai Sarraj A, Fargier P. Effect of mental calculus on the performance of complex movements. Hum Mov Sci. 2019 Aug;66:347-354. doi: 10.1016/j.humov.2019.05.008. Epub 2019 May 28. No abstract available.

Reference Type BACKGROUND
PMID: 31146193 (View on PubMed)

Other Identifiers

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ED-STROKE-MENTAL-CALCULUS

Identifier Type: -

Identifier Source: org_study_id

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