Gait training with visual feedback of joint kinematics for Stroke

Phase-Based Estimates
1
Effectiveness
1
Safety
Motion Analysis Lab in the Kennedy Krieger Institute, Baltimore, MD
Stroke+2 More
Gait training with visual feedback of joint kinematics - Behavioral
Eligibility
18+
All Sexes
Eligible conditions
Stroke

Study Summary

This study is evaluating whether visual feedback can help improve gait for individuals who have had a stroke.

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Eligible Conditions

  • Stroke
  • Paresis
  • Hemiparesis

Treatment Effectiveness

Effectiveness Estimate

1 of 3

Study Objectives

This trial is evaluating whether Gait training with visual feedback of joint kinematics will improve 1 primary outcome and 2 secondary outcomes in patients with Stroke. Measurement will happen over the course of Assessed before and after the gait training provided in each Arm of the study to assess a change following each intervention. This measure will be collected during the first and last sessions of Arms 1 and 2, occurring within two weeks for each Arm..

Assessed before and after the gait training provided in each Arm of the study to assess a change following each intervention. This measure will be collected during the first and last sessions of Arms 1 and 2, occurring within two weeks for each Arm.
1. Change in hip and knee joint movements while walking
1. Change in walking speed
2. Change in subjective assessment of balance confidence

Trial Safety

Safety Estimate

1 of 3

Trial Design

2 Treatment Groups

No Control Group
Multichannel Visual Feedback

This trial requires 50 total participants across 2 different treatment groups

This trial involves 2 different treatments. Gait Training With Visual Feedback Of Joint Kinematics is the primary treatment being studied. Participants will be divided into 2 treatment groups. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Multichannel Visual Feedback
Behavioral
Gait training with visual feedback of joint kinematics. The visual feedback will contain information about the lower limb joint angles. We will instruct subjects to use the feedback to reach a target walking pattern. In this arm, subjects will receive 4 channels of visual information, each of which represents a joint angle (right and left hips, right and left knees).
Single Channel Visual Feedback
Behavioral
Gait training with visual feedback of joint kinematics. The visual feedback will contain information about the lower limb joint angles. We will instruct subjects to use the feedback to reach a target walking pattern. In this arm, subjects will receive 1 channel of visual information that encompasses information from 4 lower limb joint angles (right and left hips, right and left knees).

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: assessed before and after the gait training provided in each arm of the study to assess a change following each intervention. this measure will be collected during the first and last sessions of arms 1 and 2, occurring within two weeks for each arm.
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly assessed before and after the gait training provided in each arm of the study to assess a change following each intervention. this measure will be collected during the first and last sessions of arms 1 and 2, occurring within two weeks for each arm. for reporting.

Who is running the study

Principal Investigator
A. J. B. P.
Prof. Amy J. Bastian Ph.D., Professor of Neuroscience
Hugo W. Moser Research Institute at Kennedy Krieger, Inc.

Closest Location

Motion Analysis Lab in the Kennedy Krieger Institute - Baltimore, MD

Eligibility Criteria

This trial is for patients born any sex aged 18 and older. There are 4 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
Adults age 20-80
paralysis or weakness on one side of the body that lasts more than six months after a stroke. show original
They can walk, but it's not as easy as it once was show original
, the participants completed the test The participants were able to walk for 5 minutes at their own pace show original

Patient Q&A Section

Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What are common treatments for stroke?

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The most common treatments are anti-psychotic medication for cognitive dysfunction and antidepressant medication for neuropsychiatric and mood-related conditions. The most common treatment that is administered after the initial treatment is rehabilitation.

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What is stroke?

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Stroke is a condition in which the brain, as a result of injury or brain dysfunction, is not able to function normally. Stroke affects millions of people worldwide. Every year, a new form of stroke seems to develop. Stroke is a brain disorder that damages the brain by creating lesions, or damage, to the brain tissue. Most types of stroke result in temporary, temporary problems, including weakness, loss of sensation, or problems with speech. Stroke has a variety of signs and symptoms. It takes 24 hours after the stroke to determine the extent and severity of a stroke. The extent and severity of a stroke may remain the same, improving, getting worse or remaining the same during the first day.

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What are the signs of stroke?

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Stroke can affect a person's motor abilities, language impairments, cognitive functions, self-care and social isolation. Stroke can also induce many behavioural and emotional changes to patients. The diagnostic criteria of stroke must be defined in a more specific way. As the diagnosis and differential diagnosis of stroke are complex and depend highly on an accurate understanding of the signs, the clinical evaluation of stroke patients must be enhanced at all levels.

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What causes stroke?

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Stroke and its prevention are an important health issue in many countries. This paper explores the causal pathways of stroke and provides a rational approach in developing and implementing interventions. There are four categories of interventions that are discussed and demonstrated as potentially valuable. The paper also describes the difficulties associated with these interventions. The paper is intended as a practical resource for health planners and policy makers as well as clinical psychologists.

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Can stroke be cured?

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Considering the current therapies it seems that it should be possible to cure stroke. We believe it would be extremely beneficial and advantageous if it would be possible and possible to improve the outcome of stroke patients through different therapeutic interventions, in particular through more effective and better known therapies for brain cell damage and in order to prevent its occurrence.

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How many people get stroke a year in the United States?

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Approximately 70,000 strokes occur in the United States each year, more than any other disease except cardiovascular disease. An estimated 2.4 million American adults have had a stroke in their lifetimes.

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What is the primary cause of stroke?

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Cerebrovascular disease (disease of the blood vessels of the brain) and arterial disease (disease of the blood vessels of the body) are both serious clinical problems that can cause premature cardiovascular death. The pathogenesis of cerebral atherosclerosis is complicated and has several possible contributors. The majority are hereditary and related to family histories of atherosclerotic disease (e.g., stroke) Considerable efforts at diagnosis and treatment of other heart and vascular disease conditions are likely to reduce premature cardiovascular death. It may be easier and less costly to stop the development of stroke than to treat it.

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What is the average age someone gets stroke?

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In a recent study, findings imply it is a long history of stroke in the population; a similar pattern seen in the population as with cancer. These factors indicate that stroke should be a high risk group for targeted therapies.

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Has gait training with visual feedback of joint kinematics proven to be more effective than a placebo?

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Visual feedback did not increase the rate or the magnitude of motor learning. Although visual feedback may help participants to identify improved foot placement, the positive impact of visual-only training on gait is questionable. This is a relatively small study and more research with larger patient populations on this subject is warranted.

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Does stroke run in families?

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Stroke runs in families, but not in families with a history of premature stroke or myocardial infarction, suggesting that stroke runs in families may be genetically determined and that stroke risk in relatives depends on environmental influences, presumably environmental exposure, unrelated to inherited risk factors; and may contribute to genetic variance in stroke phenotype.

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What does gait training with visual feedback of joint kinematics usually treat?

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In a recent study, findings indicate that walking exercises performed with a mobile treadmill in conjunction to conventional gait training improves lower-extremity function in patients with chronic stroke.

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Is gait training with visual feedback of joint kinematics typically used in combination with any other treatments?

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This small pilot study provides preliminary evidence that gait training using visual feedback of joint kinematics + gait training + movement planning does not change gait speed or walking speed of stroke survivors.

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