The Effect of Backward Walking Treadmill Training on Balance in Patient With Chronic Stroke

The Purpose of This Study Was to Discuss on the Effects of Backward Walking Treadmill Training on Balance Ability, Speed of Walking and Cardiopulmonary Fitness for Patient With Chronic Stroke

The purpose of this research was to discuss the effect of backward walking treadmill training on balance ability, speed of walking and cardiopulmonary fitness in patients with chronic stroke.

Study Overview

• Status: Completed
• Conditions: Stroke
• Intervention / Treatment: Other: backward walking treadmill training; Other: conventional physical therapy

Detailed Description

Walking training is a good method and strategy to improve postural stability, balance, gait symmetry, and increase walking ability. Generally, there are many walking training theories and methods for patients with chronic stroke and treadmill walking training is applied in recent years. Previous studies showed that patients with stroke improve the walking abilities and speed after the walking treadmill training. However, most studies have demonstrated that forward walking treadmill training improved balance and walking ability in patients with stroke, but fewer studies have investigated the effects on backward walking treadmill training. However, no studies to date have investigated the effects of backward walking treadmill training for patients with chronic stroke.

• Study Type: Interventional
• Enrollment (Actual): 30
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Taiwan
  • Kaohsiung, Taiwan, 807
    • Kaohsiung Medical University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 60 years to 65 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• This experiment recruited subjects with chronic stroke more than six months, whose level of Brunnstrom stage was beyond IV and who were able to walk more than eleven meters with or without assistive devices

Exclusion Criteria:

Study Plan

How is the study designed?

Design Details

• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Other: backward walking treadmill training; The intervention group not only received four weeks of conventional physical therapy but also accepted additional four weeks of backward walking treadmill training at the same time	Other: backward walking treadmill training; subjects accepted 30 minutes backward walking treadmill training. a week for four weeks.; Other: conventional physical therapy; subjects accepted 30 minutes traditional physical therapy three times a week for four weeks
Other: conventional physical therapy; The conventional physical therapy training focused on strengthening, postural control, functional mobility and forward gait training program but excluded backward walking training	Other: conventional physical therapy; subjects accepted 30 minutes traditional physical therapy three times a week for four weeks

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
The change of Berg Balance Scale (BBS)	Baseline, week 4.

Secondary Outcome Measures

Outcome Measure	Time Frame
The change of pulmonary function test (PFT): forced vital capacity (FVC) and Forced expiratory volume in one second (FEV1)	Baseline, week 4.

Other Outcome Measures

Outcome Measure	Time Frame
Timed 10-Meter Walk Test (10 MWT)	10 minutes
6-minute walk test (6 MWT)	6-minute
Up and Go test (TUG)	Baseline, week 4.

Collaborators and Investigators

• Sponsor: Kaohsiung Medical University Chung-Ho Memorial Hospital
• Investigators: Study Chair: Lan Y Guo, Ph.D, Department of Sports Medicine, College of Medicine, Kaohsiung Medical University

Publications and helpful links

General Publications

• Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS medicine 3(11):e442, 2006. Mendis S. Stroke disability and rehabilitation of stroke: World Health Organization perspective. International journal of stroke : official journal of the International Stroke Society 8(1):3-4, 2013 Chen CY, Huang YB, Tzu-Chi Lee C. Epidemiology and disease burden of ischemic stroke in Taiwan. The International journal of neuroscience 123(10):724-731, 2013 Bonita R, Beaglehole R. Recovery of motor function after stroke. Stroke; a journal of cerebral circulation 19(12):1497-1500, 1988 Niam S, Cheung W, Sullivan PE, Kent S, Gu X. Balance and physical impairments after stroke. Archives of physical medicine and rehabilitation 80(10):1227-1233, 1999
• Chang KW, Lin CM, Yen CW, Yang CC, Tanaka T, Guo LY. The Effect of Walking Backward on a Treadmill on Balance, Speed of Walking and Cardiopulmonary Fitness for Patients with Chronic Stroke: A Pilot Study. Int J Environ Res Public Health. 2021 Mar 1;18(5):2376. doi: 10.3390/ijerph18052376.

Study record dates

Study Major Dates

• Study Start: February 1, 2014
• Primary Completion (Actual): December 1, 2014
• Study Completion (Actual): December 1, 2014

Study Registration Dates

• First Submitted: November 17, 2015
• First Submitted That Met QC Criteria: November 29, 2015
• First Posted (Estimate): December 2, 2015

Study Record Updates

• Last Update Posted (Estimate): December 2, 2015
• Last Update Submitted That Met QC Criteria: November 29, 2015
• Last Verified: February 1, 2015

More Information

Terms related to this study

• Keywords: Chronic Stroke; cardiopulmonary; Berg Balance Scale (BBS)
• Additional Relevant MeSH Terms: Cardiovascular Diseases; Vascular Diseases; Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Stroke
• Other Study ID Numbers: KMUH-IRB-20130288