Rhythmic Auditory Stimulation and Dual-task Gait Training in Chronic Stroke
Combined Rhythmic Auditory Stimulation and Dual-task Gait Training in Individuals With Chronic Stroke: a Pre-post Study With Exploratory Age-stratified Analyses
Studie Overzicht
Toestand
Toestand
Conditie
Conditie
Interventie / Behandeling
Interventie / Behandeling
Gedetailleerde beschrijving
Studietype
Studietype
Inschrijving (Werkelijk)
Inschrijving
Fase
Fase
- Niet toepasbaar
Contacten en locaties
Studie Locaties
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Rize, Turkije (Türkiye)
- Recep Tayyip Erdogan University
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Deelname Criteria
Geschiktheidscriteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Kind
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Beschrijving
Inclusion Criteria:
- age ≥45 years
- stroke ≥6 months previously
- ability to walk at least 10 m independently or with minimal assistance
- sufficient hearing to follow rhythmic auditory cues
Exclusion Criteria:
- advanced aphasia
- severe neglect, cognitive impairment,
- marked visual impairment,
- severe spasticity (Modified Ashworth Scale score15 ≥3)
- severe cardiopulmonary disease
- vestibular dysfunction
- an orthopaedic condition limiting walking
- progressive neurological disease
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Onderzoek naar gezondheidsdiensten
- Toewijzing: NVT
- Interventioneel model: Opdracht voor een enkele groep
- Masker: Geen (open label)
Aantal wapens
Wapens en interventies
Deelnemersgroep / ArmDeelnemersgroep / Arm |
Interventie / BehandelingInterventie / Behandeling |
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Experimenteel: Stroke Group
Participants completed a supervised six-week programme comprising three 30-minute sessions per week (18 sessions; planned dose, 540 minutes).
During each session, they synchronized their steps with a metronome while performing tandem walking with progressively demanding object-carrying tasks.
Participants maintained their usual walking speed and were instructed to give equal attention to gait and the concurrent motor task.
Progression was designed by the research team in accordance with general motor-learning principles and involved predefined weekly increases in metronome tempo and concurrent motor-task complexity.
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The intervention combined RAS with progressively intensified motor dual-task gait training.6
Participants completed a supervised six-week programme comprising three 30-minute sessions per week (18 sessions; planned dose, 540 minutes).
During each session, they synchronized their steps with a metronome while performing tandem walking with progressively demanding object-carrying tasks.
Participants maintained their usual walking speed and were instructed to give equal attention to gait and the concurrent motor task.
Progression was designed by the research team in accordance with general motor-learning principles and involved predefined weekly increases in metronome tempo and concurrent motor-task complexity.
provided that the preceding stage had been completed safely.
All sessions were delivered individually by the same licensed physiotherapist experienced in neurology.
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Wat meet het onderzoek?
Primaire uitkomstmaten
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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Motor dual-task performance
Tijdsspanne: at baseline and after the six-week programme
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Participants completed a 10-m walk at their comfortable speed under single-task and motor dual-task conditions.
In the dual-task condition, they carried a ball while walking and were instructed to give equal attention to both tasks.
Three trials were performed under each condition, and mean completion time was used in the analysis.
Positive values indicated greater dual-task interference.
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at baseline and after the six-week programme
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Functional mobility
Tijdsspanne: at baseline and after the six-week programme
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Functional mobility was assessed using the Timed Up and Go test, with shorter completion times indicating better performance.
One familiarization trial preceded the timed assessment.
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at baseline and after the six-week programme
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Balance
Tijdsspanne: at baseline and after the six-week programme
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Dynamic balance was assessed using the 14-item Mini-BESTest, which evaluates anticipatory postural adjustments, reactive postural control, sensory orientation, and dynamic gait.
Total scores range from 0 to 28, with higher scores indicating better balance.
Static balance was assessed bilaterally using the Single-Leg Stance Test.
Two trials were performed on each side, and the longest duration before foot contact, stance-foot movement, or loss of balance was recorded.
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at baseline and after the six-week programme
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Medewerkers en onderzoekers
Sponsor
Sponsor
Medewerkers
Medewerkers
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Studie start
Primaire voltooiing (Werkelijk)
Primaire voltooiing
Studie voltooiing (Werkelijk)
Studie voltooiing
Studieregistratiedata
Eerst ingediend
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Eerst geplaatst
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update geplaatst
Laatste update ingediend die voldeed aan QC-criteria
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
Andere studie-ID-nummers
- 2026/01-1781
Plan Individuele Deelnemersgegevens (IPD)
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Beschrijving IPD-plan
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
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