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Post-stroke gait dysfunction is characterized by reduced gait velocity and stride length, along with gait asymmetry and instability. Gait asymmetry and instability are considered as indicators for gait quality, which affect independence and quality of life in individual with stroke. Previous studies have suggested that gait biofeedback is a promising strategy for enhancing the efficacy of post-stroke gait training. However, there is insufficient evidence on the effects of kinematic biofeedback gait training on gait asymmetry and instability in individuals with stroke. Therefore, the purpose of this study is to investigate the effects of real-time kinematic gait biofeedback training on gait quality in individuals with stroke.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Gait training with biofeedback group | Experimental | The intervention is a 60-minute session and 3 sessions/week, totaling 4 weeks. |
|
| Gait training without biofeedback group | Active Comparator | The intervention is a 60-minute session and 3 sessions/week, totaling 4 weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Gait training with biofeedback | Other | Gait training include treadmill and overground walking. The biofeedback device system will provide real-time feedback on hip extension angles. |
| Measure | Description | Time Frame |
|---|---|---|
| Gait symmetry | Using GAITRite system to measure the symmetry of saptiotemporal parameters | Change from baseline at 4 weeks after training and 4 weeks follow-up |
| Gait variability | Using GAITRite system to measure the coefficient of variation of saptiotemporal parameters | Change from baseline at 4 weeks after training and 4 weeks follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Propulsive force | Using Force plate to measure the ground reaction force | Change from baseline at 4 weeks after training and 4 weeks follow-up |
| Gait performance | Using the GAITRite system to evaluate saptiotemporal parameters |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yea-Ru Yang, PhD | Contact | +886228267279 | yryang@nycu.edu.tw |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Physical Therapy and Assistive Technology, National Yang Ming Chiao Tung University | Recruiting | Taipei | 112 | Taiwan |
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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 |
|---|---|
| D001676 | Biofeedback, Psychology |
| ID | Term |
|---|---|
| D026441 | Mind-Body Therapies |
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D001521 | Behavior Therapy |
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| Gait training without biofeedback | Other | Gait training include treadmill and overground walking. |
|
| Change from baseline at 4 weeks after training and 4 weeks follow-up |
| Berg Balance Scale | Using Berg Balance Scale to evaluate balance ability | Change from baseline at 4 weeks after training and 4 weeks follow-up |
| Activities-specific Balance Confidence Scale | Using Activities-specific Balance Confidence Scale to evaluate individual's balance confidence in performing daily activities | Change from baseline at 4 weeks after training and 4 weeks follow-up |
| Taiwan Chinese version Falls Efficacy Scale | Using Taiwan Chinese version Falls Efficacy Scale to evaluate concerns about falling | Change from baseline at 4 weeks after training and 4 weeks follow-up |
| Frenchay Activities Index | Using Frenchay Activities Index to measure individual's capacity to perform instrumental activities of daily living | Change from baseline at 4 weeks after training and 4 weeks follow-up |
| Stroke Impact Scale | Using Stroke Impact Scale to evaluate disability and quality of life after stroke | Change from baseline at 4 weeks after training and 4 weeks follow-up |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D011613 |
| Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
| D030141 | Feedback, Psychological |