The overall objective of this subproject is to evaluate the individual and paired contributions of intensity and variability of stepping training on lower extremity (LE) function, health and community participation in patients with chronic hemiparesis post-stroke.
The overall objective of this subproject is to evaluate the individual and paired contributions of intensity and variability of stepping training on lower extremity (LE) function, health and community participation in patients with chronic hemiparesis post-stroke. Using a RCT design/Intervention Efficacy paradigm, Aim 1 will investigate the independent and combined (paired) contributions of intensity and variability of stepping training on locomotor function, with secondary measures of health and community mobility. For Aim 2, we will evaluate the independent and combined effects of intensity and variability of stepping training on non-walking LE tasks. In Aim 3, we will evaluate the cost effectiveness of providing these interventions to accelerate motor recovery and health. Our central hypothesis is that results of this study will provide a theoretical foundation for implementation of physical therapy interventions which can facilitate short-term gains in locomotor function, and contribute to long-term improvements in health, function and participation through increased community mobility.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
90
Variable conditions of stepping practice
Rehabilitation Institute of Chicago
Chicago, Illinois, United States
Change in peak walking speed
fastest comfortable walking speed overground
Time frame: At baseline, following 8 weeks of training and a 2 month follow-up
Change in Functional Gait Assessment
dynamic balance activities
Time frame: At baseline, following 8 weeks of training and a 2 month follow-up
Change in 5X sit-to-stand transfer time
non-walking functional mobility task
Time frame: At baseline, following 8 weeks of training and a 2 month follow-up
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