Perturbation Training for Stroke Survivors
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to help stroke survivors improve balance and reduce fall risk through a program called overground slip perturbation training. The program strengthens both the weaker and stronger sides of the body to make walking safer and more stable. Stroke survivors who had a stroke more than six months ago, have some mobility, and no recent major surgeries might be a good fit for this trial. The trial will test if this training can reduce falls and improve walking in real-life settings, not just in the lab. Wearable sensors will monitor participants to track improvements in everyday settings. As an unphased trial, this study offers a unique opportunity to contribute to innovative research that could enhance daily life for stroke survivors.
Do I need to stop my current medications for the trial?
The trial information does not specify if you need to stop taking your current medications. However, it mentions that participants should not be on any sedative drugs.
What prior data suggests that this training protocol is safe for stroke survivors?
Research shows that slip perturbation training is generally well-tolerated by stroke survivors. This training effectively reduces the risk of falls and improves balance. In one study, participants noticed better balance control after just one session, indicating its safety for stroke recovery. Another study found that this training helps lower the risk of falls in people with long-term stroke effects. While some research suggests that more evidence is needed, major negative effects have not been commonly reported. This suggests that slip perturbation training is a promising and safe way to help stroke survivors manage fall risks.12345
Why are researchers excited about this trial?
Researchers are excited about slip perturbation training for stroke survivors because it offers a novel approach to rehabilitation. Unlike traditional therapies that may focus mainly on strength and balance exercises, this method involves exposing patients to controlled slips while they walk. This technique is thought to help retrain the brain and improve balance responses, potentially reducing the risk of falls. By simulating real-life scenarios where slips might occur, it actively engages the nervous system in a way that traditional exercises don't, making it a promising addition to stroke recovery strategies.
What evidence suggests that this trial's slip perturbation training could be effective for stroke survivors?
Research has shown that overground slip perturbation training can reduce the risk of falling for people who have had a stroke. In this trial, researchers will divide participants into different groups. Some will receive slip perturbation training, either for sub-acute or chronic stroke, while others will be in control groups. Studies have found that patients experienced fewer falls and improved stability after slipping. These benefits were noticeable from the first training session and lasted for several months. For those living with the effects of a stroke for a long time, the training maintained these improvements for up to a year. While the strongest evidence supports those with long-term stroke effects, early results suggest that people who recently had a stroke might also benefit. This training focuses on strengthening both sides of the body, helping stroke survivors improve their balance and ability to walk.12367
Who Is on the Research Team?
Tanvi Bhatt, PhD PT
Principal Investigator
University of Illinois at Chicago
Are You a Good Fit for This Trial?
This trial is for stroke survivors who can walk at least 10 meters with or without help, have had a stroke over 6 months ago confirmed by their doctor and brain scans. They should not have other major health issues, recent surgeries, hospital stays, or be on sedatives.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Baseline Monitoring
Baseline activity monitoring using wearable sensors for chronic stroke subjects
Treatment
Slip perturbation training for stroke survivors, targeting both paretic and non-paretic limbs
Follow-up
Participants are monitored for stability and fall incidence post-training
What Are the Treatments Tested in This Trial?
Interventions
- Overground slip perturbation training
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Illinois at Chicago
Lead Sponsor
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Collaborator