Gait Parameters After Using the Tilt-table Exercise and Motor Imagery.

Anna Olczak

Status: Completed

Conditions: Gait Analysis; Visualization; Stroke

Treatments: Procedure: Conventional rehabilitation, the Erigo®Pro table, motor imagery on gait parameters.; Procedure: Conventional rehabilitation, the Erigo®Pro table, motor imagery on gait.

Study type: Interventional

Funder types: Other

Identifiers

NCT06748378

11/KRN/2020

Details and patient eligibility

About

Sixty-six stroke patients were randomly assigned to three groups (conventional, with the addition of the Erigo®Pro table, and enriched with motor imagery). The Trunk Stability Test, walking speed, step symmetry, and lower limb load symmetry on the Riablo device, as well as the superficial tension of the transverse abdominis and multifidus muscles, were assessed before and after completing therapy.

Full description

Sixty-six stroke patients were randomly assigned to three groups (conventional, with the addition of the Erigo®Pro table, and enriched with motor imagery). The Trunk Stability Test, walking speed, step symmetry, and lower limb load symmetry on the Riablo device, as well as the superficial tension of the transverse abdominis and multifidus muscles, were assessed before and after completing therapy.

Results: In each of the groups studied, the therapies used significantly improved the functional assessment of trunk stability (Trunk Control Test <0.001)). Additionally, after the intervention, the Erigo group showed a greater gait speed (p=0.003), while the Visualization group exhibited a higher level of tension in the multifidus (p=0.011) and transverse abdominal muscles (p=0.002).

Enrollment: 66 patients

Sex: All

Ages: 30 to 85 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 1) patients 6-8 weeks post-stroke,
• 2) aged 38-85 years, mean,
• 3) males and females,
• 4) walking with or without assistance (modified Rankin scale = 3),
• 5) with slight neurological deficits (NIHSS ≤7).

Exclusion criteria

• 1) stroke up to six weeks after the episode,
• 2) epilepsy,
• 3) no possibility to sit and stand,
• 4) persistent deficit of speech and cognitive functions, lack of attention,
• 5) visual disturbances,
• 6) depression,
• 7) high or very low blood pressure, dizziness, malaise.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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66 participants in 3 patient groups

Conventional rehabilitation

Experimental group

Description:

In conventional rehabilitation, patients performed daily physiotherapy, which included intensive preparatory training for standing and sitting positions, strengthening exercises, weight-bearing exercises, and balance and coordination exercises (from 40 to 60 minutes of therapy). Interventions: Procedure: Conventional rehabilitation, the Erigo®Pro table, motor imagery

Treatment:

Procedure: Conventional rehabilitation, the Erigo®Pro table, motor imagery on gait.

Procedure: Conventional rehabilitation, the Erigo®Pro table, motor imagery on gait parameters.

Erigo®Pro

Experimental group

Description:

Interventions: Effective therapy included 1 session on a tilting table at an angle of 42° for 20 minutes, 5 times a week (Monday to Friday) at a speed of 32 steps per minute, followed by a physiotherapy session for two weeks. Interventions: Procedure: Conventional rehabilitation, the Erigo®Pro table, motor imagery

Treatment:

Procedure: Conventional rehabilitation, the Erigo®Pro table, motor imagery on gait.

Procedure: Conventional rehabilitation, the Erigo®Pro table, motor imagery on gait parameters.

motor imagery (MI)

Experimental group

Description:

in addition to conventional physiotherapy, activity imagery during passive walking on the Erigo®Pro table was introduced. During the exercises on the table, the patients wore headphones that blocked out any external sounds, closed their eyes and their task was to imagine the sensation of their body moving (first-person imagination), differentiating the idea of walking in various real environments (park, forest, beach, snow, streets). in the city, walking at different speeds, going up and down stairs, running, etc.). Interventions: Procedure: Conventional rehabilitation, the Erigo®Pro table, motor imagery

Treatment:

Procedure: Conventional rehabilitation, the Erigo®Pro table, motor imagery on gait.

Procedure: Conventional rehabilitation, the Erigo®Pro table, motor imagery on gait parameters.