Effect of RAS on Balance and Gait After Stroke

Hospital Sociosanitari Mutuam Girona

Status: Completed

Conditions: Stroke; Gait Disorders, Neurologic; Gait, Hemiplegic

Treatments: Other: Rhythmic auditory stimulation

Study type: Interventional

Funder types: Other

Identifiers

NCT03974490

Mutuam_Girona_04_19

Details and patient eligibility

About

A rhythmic auditory stimulation intervention may be beneficial in order to improve movement parameters after stroke. Reviews argue that more randomized controlled trials with a control group are needed. Main objective: Evaluate the effect of a rhythmic auditory stimulation on the quality of balance and gait parameters in people with stroke. Methodology: quasi-experimental study. The study has been approved by the hospital ethics committee.

Full description

A rhythmic auditory stimulation (RAS) intervention may be beneficial in order to improve the parameters of the post-stroke movement: increase of the speed of the walk, improvement in the width of the step with the affected side, improvement of the walking index dynamics (Dynamic Gait Index), improvement in cadence and improvement in the static balance.

Current systematic reviews argue that more randomized controlled trials with a control group are needed.

Main objective: To evaluate the effect of a rhythmic auditory stimulation on the quality of progress and balance in people with stroke.

Methodology: experimental group will be done between 2019 and 2020 and historical control group of the years 2017 and 2018. Experimental group will do 3 sessions in a week of RAS, and daily 2 hours of physiotherapy except of Sundays. Control group received 2 hours daily of physiotherapy, except Sundays.

The study has been approved by the hospital ethics committee.

Enrollment: 55 patients

Sex: All

Ages: 18 to 90 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Had a stroke in the last 3 weeks
• Rankin 3-4
• Barthel before stroke: >85
• Tinetti < 23

Exclusion criteria

• Patient can walk independently (Functional Ambulation Category >3)
• Global and/or mixed aphasia
• Glasgow < 10
• Mini-Mental State Examination < 24
• Posterior cerebral artery stroke
• Gait and/or balance disorders before stroke (parkinsons disease, neurodegenerative diseases)

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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55 participants in 2 patient groups

Intervention Group

Experimental group

Description:

2 hours from Monday to Saturday, conventional physiotherapy: strengthening, stretching, dual task training. 3 Times a week, intervention: Start with global body warming, 15 minutes, following the rhythm marked by the metronome. Central part of the session, 60 minutes, with rhythmic auditory stimulation exercises and music. Closure of the session, 15 minutes, round of impressions.

Treatment:

Other: Rhythmic auditory stimulation

Historical control group

No Intervention group

Description:

2 hours from Monday to Saturday, conventional physiotherapy: strengthening, stretching, dual task training.