Gait Parameters After Using the Tilt-table Exercise and Motor Imagery.

Analysis of Gait Parameters After Therapy Using the Tilt-table Exercise and Motor Imagery - a Randomized Observational Study on Stroke Patients.

Sixty-six stroke patients were randomly assigned to three groups (conventional, with the addition of the Erigo®Pro table, and enriched with motor imagery). The Trunk Stability Test, walking speed, step symmetry, and lower limb load symmetry on the Riablo device, as well as the superficial tension of the transverse abdominis and multifidus muscles, were assessed before and after completing therapy.

Study Overview

• Status: Completed
• Conditions: Stroke; Gait Analysis; Visualization
• Intervention / Treatment: Procedure: Conventional rehabilitation, the Erigo®Pro table, motor imagery on gait.; Procedure: Conventional rehabilitation, the Erigo®Pro table, motor imagery on gait parameters.

Detailed Description

Sixty-six stroke patients were randomly assigned to three groups (conventional, with the addition of the Erigo®Pro table, and enriched with motor imagery). The Trunk Stability Test, walking speed, step symmetry, and lower limb load symmetry on the Riablo device, as well as the superficial tension of the transverse abdominis and multifidus muscles, were assessed before and after completing therapy.

Results: In each of the groups studied, the therapies used significantly improved the functional assessment of trunk stability (Trunk Control Test <0.001)). Additionally, after the intervention, the Erigo group showed a greater gait speed (p=0.003), while the Visualization group exhibited a higher level of tension in the multifidus (p=0.011) and transverse abdominal muscles (p=0.002).

• Study Type: Interventional
• Enrollment (Actual): 66
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Poland
  • Masovian District
    • Warsaw, Masovian District, Poland, 04-141
      • Military Institute of Medicine National Research Institute

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• 1) patients 6-8 weeks post-stroke,
• 2) aged 38-85 years, mean,
• 3) males and females,
• 4) walking with or without assistance (modified Rankin scale = 3),
• 5) with slight neurological deficits (NIHSS ≤7).

Exclusion Criteria:

• 1) stroke up to six weeks after the episode,
• 2) epilepsy,
• 3) no possibility to sit and stand,
• 4) persistent deficit of speech and cognitive functions, lack of attention,
• 5) visual disturbances,
• 6) depression,
• 7) high or very low blood pressure, dizziness, malaise.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Conventional rehabilitation; In conventional rehabilitation, patients performed daily physiotherapy, which included intensive preparatory training for standing and sitting positions, strengthening exercises, weight-bearing exercises, and balance and coordination exercises (from 40 to 60 minutes of therapy). Interventions: Procedure: Conventional rehabilitation, the Erigo®Pro table, motor imagery	Procedure: Conventional rehabilitation, the Erigo®Pro table, motor imagery on gait.; 66 stroke patients were randomly assigned to three groups (22 people each) with different therapies (conventional, with the addition of Erigo®Pro and enriched with motor imagery). The therapy duration was two weeks. Patients underwent assessment before and after completion of therapy. The study used the Trunk Stability Test, and the Riablo device to measure gate parameters. Additionally, an evaluation of the superficial tension of the transverse abdominis and multifidus muscles was conducted.; Procedure: Conventional rehabilitation, the Erigo®Pro table, motor imagery on gait parameters.; 66 stroke patients were randomly assigned to three groups (22 people each) with different therapies (conventional, with the addition of Erigo®Pro and enriched with motor imagery). The therapy duration was two weeks. Patients underwent assessment before and after completion of therapy. The study used the Trunk Stability Test, and the Riablo device to measure the gate parameters. Additionally, an evaluation of the superficial tension of the transverse abdominis and multifidus muscles was conducted.
Experimental: Erigo®Pro; Interventions: Effective therapy included 1 session on a tilting table at an angle of 42° for 20 minutes, 5 times a week (Monday to Friday) at a speed of 32 steps per minute, followed by a physiotherapy session for two weeks. Interventions: Procedure: Conventional rehabilitation, the Erigo®Pro table, motor imagery	Procedure: Conventional rehabilitation, the Erigo®Pro table, motor imagery on gait.; 66 stroke patients were randomly assigned to three groups (22 people each) with different therapies (conventional, with the addition of Erigo®Pro and enriched with motor imagery). The therapy duration was two weeks. Patients underwent assessment before and after completion of therapy. The study used the Trunk Stability Test, and the Riablo device to measure gate parameters. Additionally, an evaluation of the superficial tension of the transverse abdominis and multifidus muscles was conducted.; Procedure: Conventional rehabilitation, the Erigo®Pro table, motor imagery on gait parameters.; 66 stroke patients were randomly assigned to three groups (22 people each) with different therapies (conventional, with the addition of Erigo®Pro and enriched with motor imagery). The therapy duration was two weeks. Patients underwent assessment before and after completion of therapy. The study used the Trunk Stability Test, and the Riablo device to measure the gate parameters. Additionally, an evaluation of the superficial tension of the transverse abdominis and multifidus muscles was conducted.
Experimental: motor imagery (MI); in addition to conventional physiotherapy, activity imagery during passive walking on the Erigo®Pro table was introduced. During the exercises on the table, the patients wore headphones that blocked out any external sounds, closed their eyes and their task was to imagine the sensation of their body moving (first-person imagination), differentiating the idea of walking in various real environments (park, forest, beach, snow, streets). in the city, walking at different speeds, going up and down stairs, running, etc.). Interventions: Procedure: Conventional rehabilitation, the Erigo®Pro table, motor imagery	Procedure: Conventional rehabilitation, the Erigo®Pro table, motor imagery on gait.; 66 stroke patients were randomly assigned to three groups (22 people each) with different therapies (conventional, with the addition of Erigo®Pro and enriched with motor imagery). The therapy duration was two weeks. Patients underwent assessment before and after completion of therapy. The study used the Trunk Stability Test, and the Riablo device to measure gate parameters. Additionally, an evaluation of the superficial tension of the transverse abdominis and multifidus muscles was conducted.; Procedure: Conventional rehabilitation, the Erigo®Pro table, motor imagery on gait parameters.; 66 stroke patients were randomly assigned to three groups (22 people each) with different therapies (conventional, with the addition of Erigo®Pro and enriched with motor imagery). The therapy duration was two weeks. Patients underwent assessment before and after completion of therapy. The study used the Trunk Stability Test, and the Riablo device to measure the gate parameters. Additionally, an evaluation of the superficial tension of the transverse abdominis and multifidus muscles was conducted.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Trunk Control Test	Assessment of trunk stability before and after therapy	two weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
RiabloTM device	Assessment of gate parameters before and after therapy	two weeks
Luna EMG	Assessment of the surface tension of the transverse abdominis muscle and the tension of the multifidus muscle	two weeks

Collaborators and Investigators

• Sponsor: Anna Olczak

Study record dates

Study Major Dates

• Study Start (Actual): December 1, 2024
• Primary Completion (Actual): July 15, 2025
• Study Completion (Actual): August 15, 2025

Study Registration Dates

• First Submitted: December 16, 2024
• First Submitted That Met QC Criteria: December 21, 2024
• First Posted (Actual): December 27, 2024

Study Record Updates

• Last Update Posted (Actual): February 5, 2026
• Last Update Submitted That Met QC Criteria: February 3, 2026
• Last Verified: December 1, 2024

More Information

Terms related to this study

• Keywords: stroke; motor imagery; gait analysis; Erigo Pro
• Additional Relevant MeSH Terms: Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases; Stroke
• Other Study ID Numbers: 11/KRN/2020

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No