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| Name | Class |
|---|---|
| University Hospital, Ghent | OTHER |
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In daily clinic, the use of treadmills to analyze the gait quality of a patient increases. The advantages of using a treadmill are that a smaller space is needed compared to a 3D lab for motion analysis, more steps can be recorded in shorter time period and patients should not start, stop or rotate during the analyses. One of the systems which can be used to perform motion analysis on a treadmill is the GRAIL. This GRAIL (Gait Real-time Analysis Interactive Lab) consists of an advanced treadmill with force sensors. Patients can walk on this treadmill with an imposed speed (fixed-speed) or at a speed determined by the patient itself (self-paced). Because not everyone is used to walk on a treadmill it is important to know if a person's walking pattern is different when he walks over ground compared to walking on the treadmill. Based on these insights, decisions can be made regarding interventions including treadmill training or this findings can be taking into account during further analysis of walking patterns on a treadmill. For this study stroke patients would be invited for an assessment on the treadmill (1 assessment moment). The movement pattern of these patients would be compared in different conditions:
Hypotheses based on this study protocol:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| GaitRite | Experimental | Patients will walk on the GaitRite.
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| Treadmill walking self-paced | Experimental | Patients will walk on the treadmill in self-paced mode. They can control walking speed by themselves. Patient walks for 3 minutes for every condition = data will be recorded for 1 minute. |
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| Treadmill walking fixed speed - comfortable speed | Experimental | Patients will walk on the treadmill in fixed speed mode. They will walk at comfortable gait speed, which is determined in the familiarization period. Patient walks for 3 minutes for every condition = data will be recorded for 1 minute. |
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| Treadmill walking fixed speed - fast speed | Experimental | Patients will walk on the treadmill in fixed speed mode. They will walk at a gait speed, which is 1 minimal clinical difference faster than their comfortable gait speed. Patient walks for 3 minutes for every condition = data will be recorded for 1 minute. |
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| Treadmill walking fixed speed - backward walking | Experimental |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Walking | Other | Patients walk over ground on a mat with sensors and on a treadmill with sensors (in different conditions) to compare their movement pattern. Also the movement pattern will be compared between walking at comfortable walking speed en fast walking. Finally, the correlation between upper extremity impairment and arm swing will be investigated. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in kinematics | Change in full body 3D kinematic analyses during walking (°) | Single point of assessment in one day |
| Change in kinetics | Change in full body 3D kinetic analyses during walking | Single point of assessment in one day |
| Measure | Description | Time Frame |
|---|---|---|
| Speed variability during self-paced treadmill walking | Average walking speed (and standard deviation) during self-paced treadmill walking | Single point of assessment in one day |
| Postural stability test |
| Measure | Description | Time Frame |
|---|---|---|
| Demographic variables | gender, age, stroke type, stroke date, hemiparetic side, use of walking aids for outdoor walking | Before walking trials |
Inclusion Criteria:
Exclusion Criteria:
Traumatic brain lesions (car accident, fall with bike, …)
Other disorders such as neurologic, musculoskeletal, respiratory or severe cardiovascular disorders that affected gait performance
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ghent University Hospital | Ghent | 9000 | Belgium |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D016138 | Walking |
| ID | Term |
|---|---|
| D008124 | Locomotion |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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Patients will walk on the treadmill in fixed speed mode. Patient will walk backwards on the treadmill if they are able to. Patient walks for 3 minutes for every condition = data will be recorded for 1 minute. |
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Balance test
| Baseline assessment before walking trials |
| Fugl Meyer assessment UL | Impairment test for upper extremity in stroke patients: Fugl Meyer assessment - score between 0 and 66. Higher score reflects less impairment of the upper limb. | Baseline assessment before walking trials |
| Fugl Meyer assessment LL | Impairment test for lower extremity in stroke patients: Fugl Meyer assessment lower extremity. Scores between 0 - 34. Higher score reflects less impairment of the lower limb. | Baseline assessment before walking trials |
| Lateral rotation of the scapula | Lateral rotation of the scapula measured with an inclinometer (°) | Baseline assessment before walking trials |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D015444 | Exercise |
| D009043 | Motor Activity |