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| Name | Class |
|---|---|
| Shirley Ryan AbilityLab | OTHER |
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Using a randomized controlled research design, compare walking outcomes resulting from gait and balance training with standard physical therapist interaction versus training with the addition of a KineAssist® robotic system that provides for safety and freedom of movement.
Several studies have investigated the use of balance and gait training and have demonstrated significant improvements in walking speed with trained stroke survivors. The inherent risks associated with balance and gait training requires the therapist to be vigilant with providing safety and support during challenging tasks. As a result, consumers are not challenged to their furthest limits and therapists put an inordinate amount of physical effort into safety control. KineAssist® Design, LLC in collaboration with Rehabilitation Institute of Chicago, developed the KineAssist® Balance and Gait Training System (KineAssist®). The KineAssist® is a novel device that allows full freedom of motion for the trunk and pelvis during gait and balance tasks, with additional postural control to enhance balance stability. These functions are available while the device follows the individual overground with minimal interference. The availability of postural control during complex and omnidirectional movement tasks allows the clinician to guarantee consumer safety and body weight support while at the same time provide graded task challenges to the fullest limits of the consumers capabilities. This KineAssist® is revolutionary in that it is the first device that is fully interactive and responsive to the movements and intentions of both the consumer and the therapist during overground challenging balance and gait activities.
Accordingly, the long-term objective of this research is to test the efficacy of robotically enhanced, progressive gait and balance training for improving walking outcomes post-stroke. The following two aims are designed to test whether the KineAssist® provides a more challenging training environment than is typical with physical therapy, and then compares walking outcomes as a result of long-term (6 weeks) training.
Aim: Using a randomized controlled research design, compare walking outcomes resulting from gait and balance training with standard physical therapist interaction versus training with the addition of a KineAssist®t.
Overall, these studies are an important advance for the development of effective clinical interventions for individuals with impaired locomotor ability post-stroke. This study will provide critical information on physiological effects and clinical outcomes and provide important evidence for the use of this new class of robotic technology that accommodates both the clinician and the consumer in stroke rehabilitation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard physical therapist | Active Comparator | A combination of nine balance training tasks where the physical therapist provides guarding against loss of balance |
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| standard robotic guarding | Experimental | A combination of nine balance training tasks where the robotic system provides guarding against loss of balance |
|
| challenge based robotic guarding | Experimental | A combination of nine balance training tasks where the robotic system provides guarding against loss of balance while the participant works at a level greater than their current balance capability |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Balance Task Training with therapist guarding support | Behavioral | Nine balance tasks:
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| Measure | Description | Time Frame |
|---|---|---|
| Mean time of 10 meter walk test at baseline | baseline | |
| Mean time of 10 meter walk test at 3 weeks post baseline | 3 weeks post baseline | |
| Mean time of 10 meter walk test at 6 weeks at end of training | 6 weeks post baseline | |
| Mean time of 10 meter walk test at 6 months post training | 6 months post end of training | |
| Mean time of 6 minute walk test at baseline | baseline | |
| Mean time of 6 minute walk test at 3 weeks post baseline | 3 weeks post baseline | |
| Mean time of 6 minute walk test at 6 weeks post baseline (end of training) | 6 weeks post baseline (end of training) | |
| Mean time of 6 minute walk test at 6 months post training | 6 months post end of training (7.5 months post baseline) | |
| Mean Berg Balance Scale score at baseline | The Berg Balance Scale has a range of 56 (best) to 14 (worst). There are 14 different balance tasks each with a an assigned rank of 1 - 4 (1, 2, 3, 4). 1 is the worst performance and 4 is the best. | baseline |
| Mean Berg Balance Scale score at 3 weeks post baseline |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Locomotor Control Lab | Birmingham | Alabama | 35210 | United States |
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| Balance task training with robotic guarding support | Behavioral | Nine balance tasks:
|
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| Challneged balance task training with robotic guarding support | Behavioral | Nine balance tasks where the subject is challenged to perform at a harder level of difficulty:
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The Berg Balance Scale has a range of 56 (best) to 14 (worst). There are 14 different balance tasks each with a an assigned rank of 1 - 4 (1, 2, 3, 4). 1 is the worst performance and 4 is the best. |
| 3 weeks post baseline |
| Mean Berg Balance Scale score at 6 weeks post baseline (end of training) | The Berg Balance Scale has a range of 56 (best) to 14 (worst). There are 14 different balance tasks each with a an assigned rank of 1 - 4 (1, 2, 3, 4). 1 is the worst performance and 4 is the best. | 6 weeks post baseline |
| Mean Berg Balance Scale score at 6 months post end of training | The Berg Balance Scale has a range of 56 (best) to 14 (worst). There are 14 different balance tasks each with a an assigned rank of 1 - 4 (1, 2, 3, 4). 1 is the worst performance and 4 is the best. | 6 months post end of training (7.5 months post baseline) |
| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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