CLINICAL TRIAL

Backward Walking Training for Stroke

Recruiting · 18+ · All Sexes · Jacksonville, FL

This study is evaluating whether a backward walking training program can improve gait and balance in post-stroke Veterans.

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About the trial for Stroke

Treatment Groups

This trial involves 2 different treatments. Backward Walking Training is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Main TreatmentA portion of participants receive this new treatment to see if it outperforms the control.
Backward Walking Training
BEHAVIORAL
Control TreatmentAnother portion of participants receive the standard treatment to act as a baseline.
Backward Walking Training
BEHAVIORAL

About The Treatment

Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Backward Walking Training
2017
Completed Phase 2
~70

Eligibility

This trial is for patients born any sex aged 18 and older. There are 6 eligibility criteria to participate in this trial as listed below.

Inclusion & Exclusion Checklist
Mark “yes” if the following statements are true for you:
Diagnosis of unilateral stroke
> 2 months < 4 months post-stroke
Berg Balance Scale < 42
Self-selected 10 meter gait speed < 0.8 m/s
Able to ambulate at least 10 feet with maximum 1 person assist
Medically stable
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Odds of Eligibility
Unknown<50%
Be sure to apply to 2-3 other trials, as you have a low likelihood of qualifying for this one.Apply To This Trial
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Approximate Timelines

Please note that timelines for treatment and screening will vary by patient
Screening: ~3 weeks
Treatment: varies
Reporting: Change from baseline through study completion, an average of 7 months.
Screening: ~3 weeks
Treatment: Varies
Reporting: Change from baseline through study completion, an average of 7 months.
This trial has approximate timelines as follows: 3 weeks for initial screening, variable treatment timelines, and reporting: Change from baseline through study completion, an average of 7 months..
View detailed reporting requirements
Trial Expert
Connect with the researchersHop on a 15 minute call & ask questions about:
- What options you have available- The pros & cons of this trial
- Whether you're likely to qualify- What the enrollment process looks like

Measurement Requirements

This trial is evaluating whether Backward Walking Training will improve 5 secondary outcomes in patients with Stroke. Measurement will happen over the course of Change from baseline through study completion, an average of 7 months..

Change in the Activity-Specific Balance Confidence Scale
CHANGE FROM BASELINE THROUGH STUDY COMPLETION, AN AVERAGE OF 7 MONTHS.
This 16-item self-report measure is used to assess perceived efficacy (self-reported confidence) in maintaining balance while performing a number of activities common in community-dwelling older adults. This scale is reported as an average of the 16 items from 0% to 100% with a larger number representing a better score.
CHANGE FROM BASELINE THROUGH STUDY COMPLETION, AN AVERAGE OF 7 MONTHS.
Change in the Functional Gait Assessment
CHANGE FROM BASELINE THROUGH STUDY COMPLETION, AN AVERAGE OF 7 MONTHS.
A 10-item clinical gait and balance test of dynamic activities. Reported scores range from 0 to 30 with a larger number representing a better score.
CHANGE FROM BASELINE THROUGH STUDY COMPLETION, AN AVERAGE OF 7 MONTHS.
Change in the Berg Balance Scale
CHANGE FROM BASELINE THROUGH STUDY COMPLETION, AN AVERAGE OF 7 MONTHS.
This tool consists of 14 items that assesses static and dynamic standing balance, ability to sit, stand up and transfer. The range of this scale is 0-56 with a larger number representing a better score.
CHANGE FROM BASELINE THROUGH STUDY COMPLETION, AN AVERAGE OF 7 MONTHS.
Change in the time to complete the 10 Meter walk Test
CHANGE FROM BASELINE THROUGH STUDY COMPLETION, AN AVERAGE OF 7 MONTHS.
Gait speed will be measured with the 10-Meter Walk Test. Individuals will be given a 3 meter warm-up distance for walking, preceding the 10 meter distance and 3 meters beyond the 10 meters to continue walking. The time that it takes to traverse the 10 meters at the subject's usual pace will be recorded.
CHANGE FROM BASELINE THROUGH STUDY COMPLETION, AN AVERAGE OF 7 MONTHS.
Change in the time to complete the Three-Meter Backward Walk Test
CHANGE FROM BASELINE THROUGH STUDY COMPLETION, AN AVERAGE OF 7 MONTHS.
BW Speed will be assessed with the 3-Meter Backward Walk test (3MBWT). The test consists of a 1 meter warm-up distance, a timed 3 meter distance, followed by an additional 1 meter to continue walking. An average of two trials will be recorded.
CHANGE FROM BASELINE THROUGH STUDY COMPLETION, AN AVERAGE OF 7 MONTHS.

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 the signs of stroke?

The time interval between symptom onset and diagnosis, delay in presenting to medical staff for evaluation, presence of a stroke prior to presentation, and previous history of stroke are associated with an increased risk of cerebral infarction. Stroke symptoms frequently mimic those of migraine and tension-type headache.

Anonymous Patient Answer

What causes stroke?

This article describes the pathophysiologic processes associated with stroke. It highlights the importance of a thorough evaluation in order to determine the cause of a stroke. Treatment options depend on the cause of the stroke and include physical therapies, speech-language therapy and rehabilitation therapy.

Anonymous Patient Answer

What is stroke?

The American Stroke Association estimates that about 1 in 3 adults are affected by stroke. The disease presents itself differently in males and females. A major risk factor is the combination of high blood pressure and tobacco use. Most strokes result from high blood pressure or coronary artery disease. Complications of stroke may include paralysis, loss of vision, and blindness. Stroke can cause a stroke. In most cases, a stroke is the result of the interruption of blood flow to a particular part of the brain and interruption of communication between brain cells, causing the damage. The brain is made of many sections, which contain different functions and are independent from each other.

Anonymous Patient Answer

What are common treatments for stroke?

There are a variety of treatments, including lifestyle modifications, behavioural therapy, medication, and occupational therapy. The type of treatment is highly dependent on what type of stroke the patient has experienced.

Anonymous Patient Answer

Can stroke be cured?

Strokes are not necessarily a cure for their underlying cause; therefore, treatment efforts should be directed at relieving the consequences of the stroke, particularly in case of acute stroke. The majority of patients can be treated adequately and safely using a multifactorial approach that includes antiplatelet and lipid-lowering therapy. The use of antiplatelet has been shown to improve the risk-to-benefit ratio in acute stroke. The use of statins has shown effectiveness in lipid management after stroke, but the benefits of this medication in comparison with placebo remain uncertain. The anti-inflammatory medications were not found to be beneficial in acute stroke and should not be used as first-line treatment options.

Anonymous Patient Answer

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

  1. Approximately 9.6 million cases of stroke occur each year in the United States.\n2. More strokes are fatal when the cause of the ischemic stroke is undetermined. This is particularly true of strokes due to stroke of undetermined source (NIN I), in which there is not yet enough information to determine if the patient is having an embolic stroke or a lacunar infarction. The most-fatal stroke (death within 90 days of admission) occurs in about 4.3% of all strokes.\n3. Age, gender, history of stroke, type of admission to the hospital, and coexisting condition such as hypertension significantly influence the rate of fatal strokes.
Anonymous Patient Answer

What is the latest research for stroke?

The last time I read about the latest stroke information, several years ago, was a major breakthrough in the understanding of stroke in two areas. A lot of people who have had strokes are paralyzed, and a lot are getting very sick. There was a breakthrough about how the mind works. The left side of the brain needs to communicate with the left side of the body to do everything. If someone has a stroke and doesn’t realize what he did. Doctors can tell his weakness with his arm. He should know to use the arm on the same side. He should know to use it on the same side. He should also know to use his feet and not his elbows. It’s a real new way to treat stroke.

Anonymous Patient Answer

How serious can stroke be?

The information about this serious health condition on websites and medical books is often seriously flawed, with the exception of the NHS Stroke Information Service https://www.nhs.uk/. I think any information related to stroke can be an educative tool in medical education.

Anonymous Patient Answer

What are the common side effects of backward walking training?

Based on the study results, the common side effects of the BWD program include the subjects' self-reported discomfort and discomfort caused by use of the machine, [knee pain](https://www.withpower.com/clinical-trials/knee-pain), and shoulder pain. Although most side effects were alleviated by decreasing exercises and increasing breaks, more research is needed to better define the optimum exercise duration. Because of the common and severe side effects of BWD, patients should be strictly informed of the possible adverse effects of BWD before initiation.

Anonymous Patient Answer

What does backward walking training usually treat?

Recent findings demonstrated significant improvement in walking in persons with chronic stroke, who had experienced multiple falls and were at risk for recurrent falls. Recent findings of this study suggest that BWDT may be an efficacious technique for postural stability rehabilitation in persons who fall on their own.

Anonymous Patient Answer

What are the latest developments in backward walking training for therapeutic use?

A majority of the studies have shown that inpatient treadmill training is effective in improving gait speed. Compared with control groups, the number of participants who improved was larger in experimental groups during treadmill therapy. The rehabilitation programs are effective in improving stroke rehabilitation, enhancing gait velocity, gait endurance, and mobility. In a recent study, findings of this training may help to reduce disability in stroke patients.

Anonymous Patient Answer

Is backward walking training typically used in combination with any other treatments?

We could only find a few studies in literature that investigated WTA. It is more likely to use it in combination with another intervention, such as an ankle foot orthosis, balance training, gait training, or orthotropic devices. Nevertheless, we conclude that backward walking training helps reduce back pain and hip flexion moment in people with low back pain, but no conclusive evidence has been found that indicates it improves walking ability after long-term use, and the benefits do not justify the cost of treatment. Data from a recent study, which are contrary to recommendations in the literature, should be further investigated.

Anonymous Patient Answer
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