Effect of Anterioposterior Weight Shifting Training With Visual Biofeedback in Subacute Stroke
Asymmetric gait patterns of stroke is one of the most important functional activities to enable community participation, it is major goal for stroke patients. Reported that the stroke patients had asymmetry at stance time, single stance, double support time, and swing time compared to normal people, and claimed that the most important factor was step length. According to Albert et al., patients with an asymmetric gait pattern have a long double support phase and a healthy side single support phase, and less weight shift to the affected side. Recent studies have shown that visual feedback for weight shift may be helpful to obtain a symmetrical posture after stroke. However, no study has been conducted on the therapeutic effect on gait asymmetry and patterns. We aimed to investigate the effect of Anterioposterior Weight Shifting Training with Visual Biofeedback in subacute post-stroke patients on gait asymmetry and pattern.
40 subacute post-stroke patients with Step Length Asymmetry were enrolled in this study. The subjects were randomly assigned into two groups. The training group received an additional anterioposterior weight shifting training with visual Biofeedback 5 times per week for 4weeks. The control group received the usual gait training. The spatiotemporal and kinematic data were obtained during walking through 3D motion analysis. Functional Ambulation Category, Self-selected walking speed, Maximum safe walking speed, Berg balance Test (BBT), Fugl-Meyer Assessment (FMA), Medical Research Council Score (MRC), Functional Independent Measure-mobility, Timed Up and Go test (TUG) were assessed at pre, during, post- training, and 4week follow-up. Those were compared between two groups by repeated measures ANOVA.
調査の概要
状態
条件
研究の種類
入学 (予想される)
段階
- 適用できない
連絡先と場所
研究場所
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Seoul、大韓民国
- 募集
- Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine
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コンタクト:
- Deog Young Kim
- 電話番号:+82-2-2228-3714
- メール:KIMDY@yuhs.ac
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- less than 6 months after onset of the stroke
- can stand and walk independently 10m
- K-MMSE score of at least 15
- have asymmetrical gait pattern with Step length asymmetric ratio greater than 1.1
- over 20 years of age.
Exclusion Criteria:
- quadriplegia
- past history of stroke
- past history of Musculoskeletal disease or history of Neurological diseases
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
- 割り当て:ランダム化
- 介入モデル:並列代入
- マスキング:なし(オープンラベル)
武器と介入
参加者グループ / アーム |
介入・治療 |
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他の:対照群
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The control group received the usual gait training.
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実験的:研修グループ
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The training group received an additional anterioposterior weight shifting training with visual Biofeedback 5 times per week for 4weeks. AP training is made to instantly know your training status during training by measuring and processing the foot pressure in real time using the F-Scan (Tekscan) hardware system and Software Development Kit (SDK). Before training, all patients are instructed to place both feet at shoulder width, place the inverted foot approximately 30 cm in front of the unaffected side foot, move the body forward with the chest straight in an upright position, and be instructed to put the weight on the affected side. On the screen shown, measure the maximum weight distribution during the first 10 times and set the value added by 5% as the target value. It is designed to induce the maximum weight shift through the archery game. |
この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
---|---|---|
Step Length Asymmetric Ratio
時間枠:before training(0week)
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Step Length Asymmetric Ratio = paretic step length/non paretic step length
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before training(0week)
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Step Length Asymmetric Ratio
時間枠:during training(2week)
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Step Length Asymmetric Ratio = paretic step length/non paretic step length
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during training(2week)
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Step Length Asymmetric Ratio
時間枠:after training(4week)
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Step Length Asymmetric Ratio = paretic step length/non paretic step length
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after training(4week)
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Step Length Asymmetric Ratio
時間枠:Follow up(8week)
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Step Length Asymmetric Ratio = paretic step length/non paretic step length
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Follow up(8week)
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Step Length Asymmetric Index
時間枠:before training(0week)
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Step Length Asymmetric Index = paretic step length-non paretic step length/0.5[paretic
step length +non paretic step length]
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before training(0week)
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Step Length Asymmetric Index
時間枠:during training(2week)
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Step Length Asymmetric Index = paretic step length-non paretic step length/0.5[paretic
step length +non paretic step length]
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during training(2week)
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Step Length Asymmetric Index
時間枠:after training(4week)
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Step Length Asymmetric Index = paretic step length-non paretic step length/0.5[paretic
step length +non paretic step length]
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after training(4week)
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Step Length Asymmetric Index
時間枠:Follow up(8week)
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Step Length Asymmetric Index = paretic step length-non paretic step length/0.5[paretic
step length +non paretic step length]
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Follow up(8week)
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協力者と研究者
スポンサー
研究記録日
主要日程の研究
研究開始
一次修了 (予想される)
研究の完了 (予想される)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
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