Rapid Movement Therapy for Stroke Rehabilitation

Chinese University of Hong Kong30 enrolled

Overview

Stroke survivors have higher risks of falling compared to other healthy non-stroke adults. Stroke patients' balance can be trained by Kinect-based training that enable user friendly and interactive training.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Stroke

Interventions

Balance trainingPROCEDURE

Improvement of balance ability in stroke patients

Eligibility

Sex: ALLMin age: 50 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. have single stroke with onset \>1 year, 2. have unilateral paresis, 3. are 50 years of age or older, 4. able to stand without aid for at least 15min, 5. have moderate level of motor impairment in the affective upper limb, i.e. 15≤ Fugl-Meyer Assessment for upper-extremity(FMA-UE) ≤ 45, 6. have some level of deficit in balance control, i.e. Berg Balance Scale(BBS)\< 52/56, 7. have a minimum Snellen visual acuity of 20/40 with/without spectacles, 8. have a minimum Mini-Mental-Status-Examination score of 22/30, and 9. have to be able to follow the training procedures. Exclusion Criteria: 1. enrolled in other rehabilitation program in the study duration, 2. have other neurological conditions in addition to stroke (e.g. Parkinson's disease), 3. have unstable cardiovascular disease (e.g. history of heart disease, or poorly controlled hypertension, i.e. blood pressure \>160mmHg/100mmHg), or 4. have other serious diseases or conditions (e.g. osteoporosis, recent joint replacement surgery, amputation) that preclude them from participating in the study.

Locations (1)

Department of Biomedical Engineering, The Chinese University of Hong Kong

Hong Kong, Hong Kong

Outcomes

Primary Outcomes

Berg Balance Scale (BBS)

A 14-item objective measure designed to assess static balance and fall risk in adult populations

Time frame: 3-month follow-up

Timed Up and Go (TUG)

It is used to assess mobility, balance, walking ability, and fall risk in older adults

Time frame: 3-month follow-up

Secondary Outcomes

Fugl-Meyer Assessment (FMA) of Motor Recovery after Stroke

It is used to evaluate and measure recovery in post-stroke hemiplegic patients

Time frame: 3-month follow-up

Activities-specific Balance Confidence (ABC) Scale

Subjective measure of confidence in performing various ambulatory activities without falling or experiencing a sense of unsteadiness

Time frame: 3-month follow-up

Barthel Index of Activities of Daily Living

It is used to assess the ability of an individual with a neuromuscular or musculoskeletal disorder to care for him/herself

Time frame: 3-month follow-up

Electromyography (EMG)

It is used to detect the muscle activity

Time frame: 3-month follow-up

"lean-and-release" postural system

It is used to evaluate balance-recovery in chronic stroke patients. Participants will wear a safety harness designed to prevent impact between body and floor, and they will be asked to stand on two force plates in standardized stance and lean forward with around 10% body weight supported by a cable attached to a release mechanism. Compensatory balance-recovery reactions will be evoked by the sudden release of the support cable, inducing a forward fall. Participants will be evaluated under three different conditions: no handrail, handrail on the unaffected side, and handrail on the affected side.

Data from ClinicalTrials.gov

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