Treadmill Training With Thera-Band in Stroke Patients

Hacettepe University

Status: Completed

Conditions: Stroke Patients

Treatments: Other: Thera-band; Other: Conventional therapy; Other: treadmill training

Study type: Interventional

Funder types: Other

Identifiers

NCT07346352

B.08.6.YÖK.2.ÜS.0.05.0.06/2018

Details and patient eligibility

About

Background: The aim of our study was to investigate the effects of treadmill training with Thera-Band on depression, mobility, balance, and gait in stroke patients.

Methods: This single-blind randomized controlled trial included 40 patients with hemiparesis (53.57±4.3 years). After assessment, patients were randomly assigned in two groups as intervention (Treadmill training + Thera-Band) and controls (Treadmill training). Before the intervention, participants in both groups received 30 minutes of convansional therapy and 30 minute treadmill training three times a week for 8 weeks. Intervention group additionally received Thera Band on both lower extremities. Patients' mobility levels were assessed using the Rivermead Motor Assessment Index (RMD), balance using the Berg Balance Scale (BBS), lower extremity spasticity using the Modified Ashworth Scale (MAS), depression levels using the Back Depression Scale, and gait ability using the footprint method on powdered ground. Assessments were repeated before and after 8 weeks of treatment.

Key words: stroke, rehabilitation, balance, mobility, depression, treadmill, Thera-Band

Enrollment: 40 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. being 18 years of age or older,
2. being diagnosed with stroke for the first time,
3. being able to walk 10 meters independently,
4. having lower extremity spasticity below 3 according to the modified Ashword scale (MAS),
5. being between stages 3-4 according to Brunnstrom,
6. having a score of 22 or above on the mini mental test

Exclusion criteria

1. high blood pressure, heart disease,
2. agnosia or visual impairment,
3. limitation of joint movement in the lower extremity on the hemiplegic side,
4. any botulinum toxin application or surgical operation in the last 6 months

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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40 participants in 2 patient groups

Control Group

Active Comparator group

Description:

Participants in the control group received conventional physical therapy and treadmill walking training three days per week for eight weeks. Conventional therapy consisted of lower extremity weight-bearing and isolated joint exercises, bridge exercises, neuromuscular facilitation techniques, trunk rotation during reaching activities, standing training, spasticity-reducing exercises in sitting and lying positions, and activities of daily living training. Treadmill training was performed for 30 minutes per session at the participant's preferred walking speed, following an individualized familiarization protocol.

Treatment:

Other: treadmill training

Other: Conventional therapy

Experimental Group

Experimental group

Description:

Participants in the experimental group received Thera-Band-assisted resistance walking during treadmill training in addition to the same conventional therapy and treadmill protocol as the control group. A green Thera-Band providing approximately 2 pounds of resistance at 25% elongation was used for all participants. The band was applied to support the lower extremity during the swing phase and to facilitate foot placement, dorsiflexion, and eversion through elastic resistance and tactile stimulation.

Treatment:

Other: treadmill training

Other: Thera-band

Other: Conventional therapy