- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04625127
GaitBetter: Motor and Cognitive Training for Gait Rehabilitation and Falls Prevention in Stroke Survivors.
Study Overview
Status
Conditions
Detailed Description
This study consists of 3 distinct aims:
In Aim 1, the investigators will evaluate clinical acceptance of the GaitBetter solution by subjects and therapists. To do so, the investigators will run a pilot study to gather feedback from stakeholders (not reported here).
In Aim 2, the investigators will evaluate the efficacy of using the GaitBetter solution to improve motor-cognitive function of chronic stroke survivors. To do so, the investigators will run a single-arm, non-randomized study to test the hypothesis that the GaitBetter training is effective in improving gait and cognition in individuals with chronic stroke.
In Aim 3, the investigators will explore the efficacy of using the GaitBetter solution for improving rehabilitation outcomes in sub-acute stroke survivors. To do so, the investigators will run a randomized, controlled study to evaluate the effects of using the GaitBetter system in patients with subacute stroke on recovery trajectory.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Eric Fabara, MD
- Phone Number: 6179526336
- Email: efabara@partners.org
Study Contact Backup
- Name: Gregory Schiurring, BS
- Phone Number: 6179526331
- Email: gschiurring@partners.org
Study Locations
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Massachusetts
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Boston, Massachusetts, United States, 02129
- Recruiting
- Spaulding Rehabilitation Hospital Boston
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Contact:
- Paolo Bonato, PhD
- Phone Number: 617-952-6319
- Email: pbonato@partners.org
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Principal Investigator:
- Paolo Bonato, PhD
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Male and females of age between 18 to 85 year of age
History of one-sided ischemic or hemorrhagic stroke
- Chronic: more than 6 months post-stroke (Aim 1 and Aim 2)
- Subacute: within 8 weeks post-stroke (Aim 1 and Aim 3)
- Residual functional impairment of a lower extremity as a result of the stroke
- Ability to walk at least 15 meters with or without assistive devices (FIM walk subsection, levels 6 and 7)
- Ability to walk 3 consecutive minutes (5 minutes for Aim 2) on a treadmill at a speed equal to or greater than 0.22 m/s (0.8 km/h or 0.5 mph) with or without hand support.
- Medical clearance received from treating physician to participate in the gait training program proposed in the study
Exclusion Criteria:
- Severe aphasia limiting the ability to express needs or discomfort verbally or non-verbally
- Cognitive impairment limiting the ability to understand and follow instructions (as assessed by a score <23 on the Mini Mental State Examination)
- Previous diagnosis of neurological diseases other than stroke
- Recent history of lower extremity fractures (<12 months ago), unhealed wounds
- Current indication for isolation precautions (e.g. MRSA, VRE, C. difficile, and others)
- Severe visual impairments (as assessed by the NIH Stroke Scale Visual Field subscale. score >0)
- Hemispatial neglect (as assessed by the Line Bisection Test)
- Subjects diagnosed with a medical condition that would interfere with their participation in regular sustained exercise (such as a severe pulmonary and/or cardiovascular condition)
- For Aim 2: currently participating in a gait training intervention (PT or research)
- Adults with impaired decision-making capacity
- Women who are pregnant
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Aim 2: Efficacy of the GaitBetter to improve motor-cognitive function of chronic stroke survivors
The investigators propose a single-arm, non-randomized study to test the hypothesis that the GaitBetter training is effective in improving gait and cognition in individuals with chronic stroke.
This design was chosen given the expected stability of functional recovery in this population.
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Participants will receive gait training with the GaitBetter solution for a total of 15 sessions (3 days a week for 5 weeks) each lasting approximately 45 minutes.
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Experimental: Aim 3: Efficacy of the GaitBetter to improve rehabilitation outcomes in sub-acute stroke survivors
The investigators propose a randomized, controlled study to evaluate the effects of using the GaitBetter system in patients with subacute stroke on recovery trajectory.
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Participants will receive gait training with the GaitBetter solution for a total of 15 sessions (3 days a week for 5 weeks) each lasting approximately 45 minutes.
In addition, the investigators will record the number and duration of therapy sessions followed by the participant during standard of care.
Participants will follow their standard of care.
The investigators will record the number and duration of therapy sessions followed during standard of care.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
10 meter walk test (in chronic stroke survivors, Aim 2)
Time Frame: Change from baseline scores at post-intervention (after 5 weeks)
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Evaluation of gait speed of chronic stroke survivors, in meters per second
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Change from baseline scores at post-intervention (after 5 weeks)
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10 meter walk test (in subacute stroke survivors, Aim 3)
Time Frame: Change from baseline scores at post-intervention (after 5 weeks)
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Evaluation of gait speed of subacute stroke survivors, in meters per second
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Change from baseline scores at post-intervention (after 5 weeks)
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Trail making test (in chronic stroke survivors, Aim 2)
Time Frame: Change from baseline scores at post-intervention (after 5 weeks)
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Evaluation of cognition status, in chronic stroke survivors.
The test record the time to accomplish the task (higher values indicate slower performance)
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Change from baseline scores at post-intervention (after 5 weeks)
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Trail making test (in subacute stroke survivors, Aim 3)
Time Frame: Change from baseline scores at post-intervention (after 5 weeks)
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Evaluation of cognition status, in subacute stroke survivors.
The test record the time to accomplish the task (higher values indicate slower performance)
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Change from baseline scores at post-intervention (after 5 weeks)
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Balance Evaluation Systems Test (mini-BESTest, in chronic stroke survivors, Aim 2)
Time Frame: Change from baseline scores at post-intervention (after 5 weeks)
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Comprehensive evaluation of balance and falls risks in chronic stroke survivors.
Score from 0 to 108.
Higher scores are reflecting better balance
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Change from baseline scores at post-intervention (after 5 weeks)
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Aim 3: Balance Evaluation Systems Test (mini-BESTest, in subacute stroke survivors, Aim 3)
Time Frame: Change from baseline scores at post-intervention (after 5 weeks)
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Comprehensive evaluation of balance and falls risks in subacute stroke survivors.
Score from 0 to108.
Higher scores are reflecting better balance
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Change from baseline scores at post-intervention (after 5 weeks)
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Step length (in chronic stroke survivors, Aim 2)
Time Frame: Change from baseline scores at post-intervention (after 5 weeks)
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Evaluation of gait step length in chronic stroke survivors with an 3D motion capture system (in meters)
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Change from baseline scores at post-intervention (after 5 weeks)
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Step length (in subacute stroke survivors, Aim 3)
Time Frame: Change from baseline scores at post-intervention (after 5 weeks)
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Evaluation of gait step length in subacute stroke survivors with an 3D motion capture system (in meters)
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Change from baseline scores at post-intervention (after 5 weeks)
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Step width (in chronic stroke survivors, Aim 2)
Time Frame: Change from baseline scores at post-intervention (after 5 weeks)
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Evaluation of gait step width in chronic stroke survivors with an 3D motion capture system (in meters)
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Change from baseline scores at post-intervention (after 5 weeks)
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Step width (in subacute stroke survivors, Aim 3)
Time Frame: Change from baseline scores at post-intervention (after 5 weeks)
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Evaluation of gait step width in subacute stroke survivors with an 3D motion capture system (in meters)
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Change from baseline scores at post-intervention (after 5 weeks)
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Step symmetry (in chronic stroke survivors, Aim 2)
Time Frame: Change from baseline scores at post-intervention (after 5 weeks)
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Evaluation of gait step symmetry in chronic stroke survivors with an 3D motion capture system (ratio between paretic and non-paretic leg)
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Change from baseline scores at post-intervention (after 5 weeks)
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Step symmetry (in subacute stroke survivors, Aim 3)
Time Frame: Change from baseline scores at post-intervention (after 5 weeks)
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Evaluation of gait step symmetry in subacute stroke survivors with an 3D motion capture system (ratio between paretic and non-paretic leg)
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Change from baseline scores at post-intervention (after 5 weeks)
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Stance time (in chronic stroke survivors, Aim 2)
Time Frame: Change from baseline scores at post-intervention (after 5 weeks)
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Evaluation of gait stance time in chronic stroke survivors with an 3D motion capture system (in seconds)
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Change from baseline scores at post-intervention (after 5 weeks)
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Stance time (in subacute stroke survivors, Aim 3)
Time Frame: Change from baseline scores at post-intervention (after 5 weeks)
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Evaluation of gait stance time in subacute stroke survivors with an 3D motion capture system (in seconds)
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Change from baseline scores at post-intervention (after 5 weeks)
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Swing time (in chronic stroke survivors, Aim 2)
Time Frame: Change from baseline scores at post-intervention (after 5 weeks)
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Evaluation of gait swing time in chronic stroke survivors with an 3D motion capture system (in seconds)
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Change from baseline scores at post-intervention (after 5 weeks)
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Swing time (in subacute stroke survivors, Aim 3)
Time Frame: Change from baseline scores at post-intervention (after 5 weeks)
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Evaluation of gait swing time in subacute stroke survivors with an 3D motion capture system (in seconds)
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Change from baseline scores at post-intervention (after 5 weeks)
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Montreal Cognitive Assessment (MoCA) (in chronic stroke survivors, Aim 2)
Time Frame: Change from baseline scores at post-intervention (after 5 weeks)
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Measure of the cognitive status in chronic stroke survivors
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Change from baseline scores at post-intervention (after 5 weeks)
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Montreal Cognitive Assessment (MoCA) (in subacute stroke survivors, Aim 3)
Time Frame: Change from baseline scores at post-intervention (after 5 weeks)
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Measure of the cognitive status in subacute stroke survivors
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Change from baseline scores at post-intervention (after 5 weeks)
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Symbol-Digit Modalities Test (SDMT) (in subacute stroke survivors, Aim 2)
Time Frame: Change from baseline scores at post-intervention (after 5 weeks)
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Measure of the cognitive status in chronic stroke survivors
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Change from baseline scores at post-intervention (after 5 weeks)
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Symbol-Digit Modalities Test (SDMT) (in subacute stroke survivors, Aim 3)
Time Frame: Change from baseline scores at post-intervention (after 5 weeks)
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Measure of the cognitive status in subacute stroke survivors
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Change from baseline scores at post-intervention (after 5 weeks)
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Hopkins Verbal Learning Test (Revised) (in chronic stroke survivors, Aim 2)
Time Frame: Change from baseline scores at post-intervention (after 5 weeks)
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Measure of the cognitive status in chronic stroke survivors
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Change from baseline scores at post-intervention (after 5 weeks)
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Hopkins Verbal Learning Test (Revised) (in subacute stroke survivors, Aim 3)
Time Frame: Change from baseline scores at post-intervention (after 5 weeks)
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Measure of the cognitive status in subacute stroke survivors
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Change from baseline scores at post-intervention (after 5 weeks)
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2-minutes walk test (2mwt) (in chronic stroke survivors, Aim 2)
Time Frame: Change from baseline scores at post-intervention (after 5 weeks)
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Measure of the gait endurance in chronic stroke survivors
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Change from baseline scores at post-intervention (after 5 weeks)
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2-minutes walk test (2mwt) (in subacute stroke survivors, Aim 3)
Time Frame: Change from baseline scores at post-intervention (after 5 weeks)
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Measure of the gait endurance in subacute stroke survivors
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Change from baseline scores at post-intervention (after 5 weeks)
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Functional Gait Assessment (FGA) (in chronic stroke survivors, Aim 2)
Time Frame: Change from baseline scores at post-intervention (after 5 weeks)
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Measure of the gait mobility, balance and falls risks in chronic stroke survivors
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Change from baseline scores at post-intervention (after 5 weeks)
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Functional Gait Assessment (FGA) (in subacute stroke survivors, Aim 3)
Time Frame: Change from baseline scores at post-intervention (after 5 weeks)
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Measure of the gait mobility, balance and falls risks in subacute stroke survivors
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Change from baseline scores at post-intervention (after 5 weeks)
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12-Item Short Form Health Survey (SF-12) (in chronic stroke survivors, Aim 2)
Time Frame: Change from baseline scores at post-intervention (after 5 weeks)
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Self-reported measure of quality of life
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Change from baseline scores at post-intervention (after 5 weeks)
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12-Item Short Form Health Survey (SF-12) (in subacute stroke survivors, Aim 3)
Time Frame: Change from baseline scores at post-intervention (after 5 weeks)
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Self-reported measure of quality of life
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Change from baseline scores at post-intervention (after 5 weeks)
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Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Paolo Bonato, PhD, Harvard Medical School (HMS and HSDM)
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2020P002544
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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