Viewing Study NCT02270398



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Last Modification Date: 2024-10-26 @ 11:32 AM
Study NCT ID: NCT02270398
Status: UNKNOWN
Last Update Posted: 2014-11-11
First Post: 2014-10-17

Brief Title: Dual-task Training in Chronic Stroke
Sponsor: The Hong Kong Polytechnic University
Organization: The Hong Kong Polytechnic University

Study Overview

Official Title: Training Dual-task Balance and Walking in Community-dwelling Older Adults With Chronic Stroke a Randomized Controlled Trial
Status: UNKNOWN
Status Verified Date: 2014-11
Last Known Status: RECRUITING
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: Background Functional community ambulation not only requires a critical level of postural control and walking skills but also the ability to engage in cognitive tasks while walking ie dual-task walking and adapt to the constantly-changing environmental contexts There is evidence showed that dual-task balance and gait performance is significantly impaired after stroke Increasing evidence also suggests that dual-task balance and gait performance is useful for predicting falls among individuals with stroke Considering the high clinical relevance of dual-task balance and gait performance it is essential that stroke rehabilitation adequately addresses dual-task deficits Developing specific dual-task balance and gait training to enhance dual-task performance is thus necessary to promote community ambulation and reintegration

Study Aim The aim of this Introduction Many individuals after stroke continue to cope with residual physical impairments after discharge from hospital One of the major problems encountered by people after stroke is community reintegration Functional community ambulation not only requires a critical level of postural control and walking skills but also the ability to engage in cognitive tasks while walking ie dual-task walking and adapt to the constantly-changing environmental contexts There has been an increasing awareness of the importance of dual-task gait performance in community-dwelling individuals with stroke in the past few years

There is evidence showed that dual-task balance and gait performance is significantly impaired after stroke Increasing evidence also suggests that dual-task balance and gait performance is useful for predicting falls among individuals with stroke Considering the high clinical relevance of dual-task balance and gait performance it is essential that stroke rehabilitation adequately addresses dual-task deficits Developing specific dual-task balance and gait training to enhance dual-task performance is thus necessary to promote community ambulation and reintegration

Study Aim This will be a single-blinded randomized controlled trial RCTThe aim of this study is to examine the efficacy of a dual-task exercise program on cognitive-motor interference in balance and walking tasks balance self-efficacy participation in everyday activities community reintegration and incidence of falls among individuals with chronic stroke
Detailed Description: Introduction Many individuals after stroke continue to cope with residual physical impairments after discharge from hospital One of the major problems encountered by people after stroke is community reintegration Functional community ambulation not only requires a critical level of postural control and walking skills but also the ability to engage in cognitive tasks while walking ie dual-task walking and adapt to the constantly-changing environmental contexts There has been an increasing awareness of the importance of dual-task gait performance in community-dwelling individuals with stroke in the past few years

There is evidence showed that dual-task balance and gait performance is significantly impaired after stroke Increasing evidence also suggests that dual-task balance and gait performance is useful for predicting falls among individuals with stroke Considering the high clinical relevance of dual-task balance and gait performance it is essential that stroke rehabilitation adequately addresses dual-task deficits Developing specific dual-task balance and gait training to enhance dual-task performance is thus necessary to promote community ambulation and reintegration

Study Aim The aim of this study is to examine the efficacy of a dual-task exercise program on cognitive-motor interference in balance and walking tasks balance self-efficacy participation in everyday activities community reintegration and incidence of falls among individuals with chronic stroke

Study design

This will be a single-blinded randomized controlled trial RCT After baseline evaluation subjects will be randomly allocated to one of the three groups 1 dual-task training group 2 single-task training group 3 strengthening and flexibility exercise group controls using a 111 randomization sequence

Measurements Outcomes will be used to compare the therapeutic effects of the 3 treatment groups The outcome measurements except data on incidence of falls will take place at 3 time points 1 within one week before initiation of intervention baseline 2 within one week after completion of training 3 8 weeks after completion of training The fall data will be collected on a monthly basis until 6 months after termination of the intervention period All assessments will be performed by a researcher who is blinded to group allocation

Study Oversight

Has Oversight DMC: None
Is a FDA Regulated Drug?: None
Is a FDA Regulated Device?: None
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: None
Is an FDA AA801 Violation?: None