The aim of the biomedical research is to evaluate the changes of body position management during standing and walking for stroke patients, using innovative training methods during the rehabilitation.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
120
Neuromuscular exercise program with standard physiotherapy with no visual feedback
Neuromuscular exercise program with physiotherapy with visual feedback using Biodex platform
Toma Steponkienė
Kaunas, Lithuania
RECRUITINGMuscle strength by Oxford scale
Testing key muscles from the lower and upper extremities against the examiner's resistance and grading the patient's strength on a 0 (No contraction) to 5 (Movement against gravity with full resistance) scale.
Time frame: Baseline
Gait and Balance testing by Berg Scale
The Berg balance scale is used to objectively determine a patient's ability (or inability) to safely balance during a series of predetermined tasks. It consists of 14 items scored on an ordinal scale of 0 to 4 for a total of 56 points (a higher score indicates lower fall risk).
Time frame: Baseline
Timed Stand Up and Go Test
subjects are asked to rise from a standard armchair, walk to a marker 3 m away, turn, walk back, and sit down again. 314. The test is a reliable and valid test for quantifying functional mobility that may also be useful in following clinical change over time.
Time frame: Baseline
Recovery Locus of Control Scale
This scale contains 9 statements that are designed to evaluate the internal and external beliefs regarding the traumatic events that the patient has experienced.
Time frame: Baseline
Limits of Stability Testing with Biodex SD (score)
During test, patients must shift their weight to move the cursor from the center target to a colored target and back as quickly and with as little deviation as possible. Platform Setting- static. Direction control - overall. Faster and accurately- better.
Time frame: Baseline - before enrolling 4 week training program and after 4 week training
Risk of Fall Testing with Biodex SD (score)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Test results are compared to age dependent normative data. Platform Setting - static. Test Trial Time 30 seconds in four positions: eyes opened narrow stance, eyes closed narrow stance, eyes opened closed feet stance, eyes closed stance. Patient's aged 54-71 years' normative scores are 0.9-3.7 scores, 72-89 years' normative scores are 2-4 scores, 36-53 years' normative scores are 0.7-3.1 scores, 17-35 years' normative scores are 0.7-2.1 scores. Change from baseline indicates a fall risk by scores.
Time frame: Baseline - before enrolling 4 week training program and after the whole training
Stance analysis with zebris FDM (score)
Stance phase analysis (stance parameters and forces) - average load distribution under the feet is displayed in color. The color scale enables the load distribution to be quantified. The central point's show the centers of pressure (COP) over the time. The left and right points are the respective centers of pressure of the left and right contact areas. The area of the displayed confidence ellipse contains 95% of the COP's measuring points.
Time frame: Baseline - before enrolling 4 week training program and after 4 week training
Gait analysis with zebris FDM (score)
Analysis of gait geometry: Foot rotation(degree)
Time frame: Baseline - before enrolling 4 week training program and after 4 week training
Gait analysis with zebris FDM (score)
Analysis of gait geometry: Step length(cm)
Time frame: Baseline - before enrolling 4 week training program and after 4 week training
Gait analysis with zebris FDM (score)
Analysis of gait geometry:Stride length(cm)
Time frame: Baseline - before enrolling 4 week training program and after 4 week training
Gait analysis with zebris FDM (score)
Analysis of gait geometry: Step width(cm)
Time frame: Baseline - before enrolling 4 week training program and after 4 week training
Gait analysis with zebris FDM (score)
Analysis of gait phases: Stance phase(%)
Time frame: Baseline - before enrolling 4 week training program and after 4 week training
Gait analysis with zebris FDM (score)
Analysis of gait phases: Load response(%)
Time frame: Baseline - before enrolling 4 week training program and after 4 week training
Gait analysis with zebris FDM (score)
Analysis of gait phases: Single limb support(%)
Time frame: Baseline - before enrolling 4 week training program and after 4 week training
Gait analysis with zebris FDM (score)
Analysis of gait phases: Pre-Swing(%)
Time frame: Baseline - before enrolling 4 week training program and after 4 week training
Gait analysis with zebris FDM (score)
Analysis of gait phases: Swing phase(%)
Time frame: Baseline - before enrolling 4 week training program and after 4 week training
Gait analysis with zebris FDM (score)
Analysis of gait phases: Double stance phase(%)
Time frame: Baseline - before enrolling 4 week training program and after 4 week training
Gait analysis with zebris FDM (score)
Analysis of gait timing: Step time(sec)
Time frame: Baseline - before enrolling 4 week training program and after 4 week training
Gait analysis with zebris FDM (score)
Analysis of gait timing: Stride time(sec)
Time frame: Baseline - before enrolling 4 week training program and after 4 week training
Gait analysis with zebris FDM (score)
Analysis of gait timing: Cadence(steps/min)
Time frame: Baseline - before enrolling 4 week training program and after 4 week training
Gait analysis with zebris FDM (score)
Analysis of gait timing: Velocity(km/h)
Time frame: Baseline - before enrolling 4 week training program and after 4 week training
Center of Pressure analysis during step cycles with zebris FDM (score)
COP analysis (Butterfly parameters): Length of gait line(mm)
Time frame: Baseline - before enrolling 4 week training program and after 4 week training
Center of Pressure analysis during step cycles with zebris FDM (score)
COP analysis (Butterfly parameters): Single limb support line(mm)
Time frame: Baseline - before enrolling 4 week training program and after 4 week training
Center of Pressure analysis during step cycles with zebris FDM (score)
COP analysis (Butterfly parameters): Anterior/posterior position(mm)
Time frame: Baseline - before enrolling 4 week training program and after 4 week training
Center of Pressure analysis during step cycles with zebris FDM (score)
COP analysis (Butterfly parameters): Lateral symmetry(mm)
Time frame: Baseline - before enrolling 4 week training program and after 4 week training
Center of Pressure analysis during step cycles with zebris FDM (score)
COP analysis (Butterfly parameters): Max gait line velocity(cm/sec)
Time frame: Baseline - before enrolling 4 week training program and after 4 week training
Center of Pressure analysis during step cycles with zebris FDM (score)
COP analysis (Load change parameters): Time change heel to forefoot(sec)
Time frame: Baseline - before enrolling 4 week training program and after 4 week training
Center of Pressure analysis during step cycles with zebris FDM (score)
COP analysis (Load change parameters): Time change heel to forefoot(%)
Time frame: Baseline - before enrolling 4 week training program and after 4 week training
Center of Pressure analysis during step cycles with zebris FDM (score)
COP analysis (Load change parameters): Maximum force (Forefoot, Midfoot, Heel) (N)
Time frame: Baseline - before enrolling 4 week training program and after 4 week training
Center of Pressure analysis during step cycles with zebris FDM (score)
COP analysis (Load change parameters): Maximum pressure (Forefoot, Midfoot, Heel) (N/cm²)
Time frame: Baseline - before enrolling 4 week training program and after 4 week training
Center of Pressure analysis during step cycles with zebris FDM (score)
COP analysis (Load change parameters): Time maximum force (Forefoot, Midfoot, Heel)(% of stance)
Time frame: Baseline - before enrolling 4 week training program and after 4 week training