Lateral Stair Walking Training After Chronic Stroke

Kaohsiung Veterans General Hospital

Status: Completed

Conditions: Chronic Stroke Patients

Treatments: Device: traditional physiotherapy; Device: lateral stair walking exercise

Study type: Interventional

Funder types: Other

Identifiers

NCT03702517

VGHKS15-CT8-23

Details and patient eligibility

About

The experimental group received 15 minutes of lateral stair walking exercise and 30 minutes of traditional physiotherapy (strengthening exercise, balance training and gait training) each time.

The measures were done by one experience physical therapist (not involve in the intervention) before receiving the intervention and at weeks four, eight, and twelve. It took 45 minutes for each subject to complete all measures each time.

Full description

For lateral stair walking training, the dynamic stair trainer features four steps. The height can be adjusted from 0 to 16.5 centimeters, the stair was 0.74 m in width, with each step being 16 cm deep and 10 cm long. The experimental group received different heights of lateral stair walking training according to the patients' ability. The patients went up the stairs with the affected leg up first and they went down stairs with the sound leg leading first. For safety, the subjects held a handrail during the lateral stair walking exercise. The control group received traditional physiotherapy (strengthening exercise, balance training and gait training) for 30 minutes. Both the experimental group and control group received the intervention once a week for 12 weeks. All the interventions were done by the same physical therapist.

Enrollment: 30 patients

Sex: All

Ages: 50+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• subjects who were diagnosed with stroke within 6 months to 6 years by a neurologist or physiatrists,
• computerized tomography scan or magnetic resonance imaging scan showed unilateral brain damage,
• no obvious cognitive impairment,
• no serious bone and joint problems
• could follow the instructions and steps of the experiment
• walked 15 meters independently.

Exclusion criteria

• cognitively impaired,
• visually impairedor
• unable to receive training due to other diseases (lung, heart, gastrointestinal tract, bone and muscle, nervous system etc.)

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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30 participants in 2 patient groups

lateral stair walking exercise

Experimental group

Description:

The experimental group received 15 minutes of lateral stair walking exercise

Treatment:

Device: lateral stair walking exercise

Device: traditional physiotherapy

traditional physiotherapy

Active Comparator group

Description:

strengthening exercise, balance training and gait training

Treatment:

Device: lateral stair walking exercise

Device: traditional physiotherapy