Effects of Backward Gait Training in Chronic Stroke Patients

Bandırma Onyedi Eylül University

Status: Unknown

Conditions: Chronic Stroke Patients

Treatments: Other: Forward Walking Training; Other: Backward Walking Training

Study type: Interventional

Funder types: Other

Identifiers

NCT04903392

BAkcay

Details and patient eligibility

About

Loss of motor control after stroke, muscle weakness, abnormal movement patterns, spasticity, range of motion limitations and sensory dysfunction, resulting in a decrease in the load transferred to the affected limb, changes in gait pattern and balance skills. Post-stroke muscle weakness has been shown to occur not only in the lower and upper extremity muscles but also in the respiratory muscles. It was found that the plantar pressure distribution in the affected side feet was decreased in individuals with stroke and this situation negatively affected the walking function. A systematic review of treadmill training revealed that treadmill training significantly increased walking speed and walking distance. Learning to walk backwards is also recommended to improve the movement components required for walking forward. As a result of the investigations, although there are studies about the effects of back-walking training on walking and balance function in chronic stroke patients, there is no study investigating the effects on plantar pressure distribution and respiratory parameters. Therefore, this study, which planned to investigate the effects of treadmill retching training on balance, plantar pressure distribution and respiratory parameters in chronic stroke patients, will contribute to the literature.

Enrollment: 28 estimated patients

Sex: All

Ages: 40 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Volunteering to participate in the study
• More than 6 months have passed since the onset of stroke
• First time stroke diagnosis
• Being between the ages of 40-65
• Spasticity severity in lower extremity less than 3 according to Modified Ashworth Scale,
• Being medically stable
• Ability to walk 10 meters and above without assistance

Exclusion criteria

• Presence of other neurological or orthopedic diseases that affect standing and walking involving the lower limbs
• Uncontrollable Hypertension
• Having been diagnosed with any pulmonary disease
• Severe cardiac conditions
• Uncontrollable DM
• Lack of cooperation

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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28 participants in 2 patient groups

Backward Walking Group

Experimental group

Description:

Conventional therapy + Backward Walking Training

Treatment:

Other: Backward Walking Training

Forward Walking Group

Other group

Description:

Conventional therapy + Forward Walking Training

Treatment:

Other: Forward Walking Training