Effects of robot-assisted gait training on cortical activity and gait function in hemiparetic stroke
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
30
intervention with robot-assisted gait training
intervention with treadmill gait training
National Rehabilitation Center
Seoul, South Korea
oxygenated hemoglobin levels
cortical activity of primary sensorimotor cortex, premotor cortex, supplementary motor areas, pre-supplementary motor areas, prefrontal cortex during gait
Time frame: 4 weeks from baseline
Range of motion of ankle, knee, and hip joint
ankle, knee, and hip joint motion of sagittal plane during gait
Time frame: 4 weeks from baseline
oxygenated hemoglobin levels
cortical activity of primary sensorimotor cortex, premotor cortex, supplementary motor areas, pre-supplementary motor areas, prefrontal cortex during gait
Time frame: baseline, 2 weeks after baseline, 4 weeks after baseline, 8 weeks after baseline
Range of motion of ankle, knee, and hip joint
ankle, knee, and hip joint motion of sagittal plane during gait
Time frame: baseline, 2 weeks after baseline, 4 weeks after baseline, 8 weeks after baseline
Berg Balance Scale
Berg Balance Scale assess the functional balance ability of participants with observation of 14 tasks, representing functional movements common in daily life. Each task is scored on a five-point scale (0-4) following the guidelines of the test developers, and the maximum score on this test is 56 which indicates balance ability within the normal range.
Time frame: baseline, 2 weeks after baseline, 4 weeks after baseline, 8 weeks after baseline
Fugl-Meyer Assessment
Fugl-Meyer Assessment uses to examine the motor function and coordination of affected lower extremity. It includes 17 items of a 3-point ordinal scale, ranging 0-34, with higher scores indicating lower impairment.
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Time frame: baseline, 2 weeks after baseline, 4 weeks after baseline, 8 weeks after baseline
10m walk test
10m walk test is used to examine gait speed, in which participant was asked to walk on a 14 meter of walkway wearing harness with two conditions; with the fastest speed or with self-selected comfortable speed.
Time frame: baseline, 2 weeks after baseline, 4 weeks after baseline, 8 weeks after baseline
Functional ambulation category
Functional Ambulation Category is used to assess gait ability with 6 levels ranging from 0 to 5 on the basis of the amount of physical support required, regardless of use of an assistive device
Time frame: baseline, 2 weeks after baseline, 4 weeks after baseline, 8 weeks after baseline
Falls efficacy scale
Korean version of Falls efficacy scale asks subjects to rank their confidence about their ability not to fall while performing a variety of activities of daily living with a maximum score of 100
Time frame: baseline, 2 weeks after baseline, 4 weeks after baseline, 8 weeks after baseline
Beck depression inventory
21-question multiple-choice self-report inventory, one of the most widely used psychometric tests
Time frame: baseline, 2 weeks after baseline, 4 weeks after baseline, 8 weeks after baseline
Stroke impact scale
health-related quality of life poststroke across 8 domains using a 5-point Likert scale, with the score ranging from 0 to 100 and a higher score indicating better health status
Time frame: baseline, 2 weeks after baseline, 4 weeks after baseline, 8 weeks after baseline
Dynamic gait index
a clinical tool to assess gait, balance and fall risk
Time frame: baseline, 2 weeks after baseline, 4 weeks after baseline, 8 weeks after baseline
Timed up and go test
a simple test used to assess a person's mobility and requires both static and dynamic balance
Time frame: baseline, 2 weeks after baseline, 4 weeks after baseline, 8 weeks after baseline
modified Barthel index
Measure of physical disability used widely to assess behaviour relating to activities of daily living for stroke patients
Time frame: baseline, 2 weeks after baseline, 4 weeks after baseline, 8 weeks after baseline
dual task - COWAT
Controlled Oral Word Association Test, abbreviated COWA or COWAT, is a verbal fluency test that measures spontaneous production of words belonging to the same category or beginning with some designated letter.
Time frame: baseline, 2 weeks after baseline, 4 weeks after baseline, 8 weeks after baseline
dual task - digit span test
The digit span test is a way of measuring the storage capacity of a person's working memory.
Time frame: baseline, 2 weeks after baseline, 4 weeks after baseline, 8 weeks after baseline
Electromyography of lower extremities
Muscle activity of tibialis anterior, medial gastrocnemius, vastus medialis, biceps femoris, gluteus medius during gait.
Time frame: baseline, 2 weeks after baseline, 4 weeks after baseline, 8 weeks after baseline
Plantar pressure
Plantar pressure (great toe, little toe, medial meta, lateral meta, medial arch, lateral arch, heel) during gait
Time frame: baseline, 2 weeks after baseline, 4 weeks after baseline, 8 weeks after baseline
Spatiotemporal gait parameter data
step length, step time, swing time, double limb support time during gait
Time frame: baseline, 2 weeks after baseline, 4 weeks after baseline, 8 weeks after baseline
deoxygenated hemoglobin levels
cortical activity of primary sensorimotor cortex, premotor cortex, supplementary motor areas, pre-supplementary motor areas, prefrontal cortex during gait
Time frame: baseline, 2 weeks after baseline, 4 weeks after baseline, 8 weeks after baseline
total hemoglobin levels
cortical activity of primary sensorimotor cortex, premotor cortex, supplementary motor areas, pre-supplementary motor areas, prefrontal cortex during gait
Time frame: baseline, 2 weeks after baseline, 4 weeks after baseline, 8 weeks after baseline
Balance test using force plate
Static standing balance as measured using a force plate: Changes in center-of-pressure velocity and area
Time frame: baseline, 2 weeks after baseline, 4 weeks after baseline, 8 weeks after baseline