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To determine changes in power symmetry, gait symmetry, and functional outcomes for participants' poststroke (Inpatient Rehabilitation Facility) after participating in an intervention using a recumbent cycle with power biofeedback (BFB). To determine how this intervention can impact gait asymmetry, a common disorder poststroke secondary to hemiparesis. Gait asymmetry is a difficult impairment to treat because it is difficult for both therapists and patients to perceive. Training with BFB allows for quantitative data about the power production or lack of that directly impacts safety in walking, increased energy expenditure, and decreased gait speed.
Specific Aim 1 will determine the change in cycling power using BFB on a group of participants with stroke in an Inpatient Rehabilitation Facility. Specific Aim 2 will determine the effect size of the change in gait symmetry with cycling training with power BFB pre- to post-cycle intervention. Specific Aim 3 will determine the effect size of the change in functional mobility with cycling training with power BFB pre- to post-cycle intervention. Understanding the impact of cycle training with power BFB is an important step in improving stroke rehabilitation. This study is significant because it will provide data about power asymmetries in participants' early post-acute stroke and the transfer of training with power BFB to gait impairments.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Traditional rehabilitation | Active Comparator | Participants will undergo traditional rehabilitation therapies in the inpatient rehabilitation facility. |
|
| cycle with biofeedback | Experimental | Participants will undergo traditional rehabilitation therapies in the inpatient rehabilitation facility. They will also participate in the cycle intervention with biofeedback. This will take place as an additional rehabilitation session. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Traditional | Other | Traditional rehabilitation course will occur. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Change in cycling power | Determine the change in cycling power using Biofeedback (BFB) on a group of participants with stroke in an Inpatient Rehabilitation Facility | pre- (admission day 2) and post- (day 14) |
| Change in gait symmetry | Determine the effect size of the change in gait symmetry pre- to post-intervention after cycling with Biofeedback (BFB). Participants will be assessed on gait symmetry patterns (magnitude and timing of propulsion), using an instrumented treadmill (Bertec). | pre- (admission day 2) and post- (day 14) |
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Inclusion Criteria:
they have a confirmed MCA or ACA ischemic or intracerebral hemorrhagic stroke, confirmed by CT/MRI or clinical documentation
-AND demonstrating lower extremity hemiparesis [< 100 on lower limb Motricity Index24]
18 to 70 years of age
a Functional Ambulation Category of 2 (Dependent Level II) through 5 (Independent Level surfaces only)
medical clearance to participate
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Heather A Hayes, PhD | Contact | 801-587-9249 | heather.hayes@hsc.utah.edu | |
| Tamara Garff | Contact | 8015853122 | tamara.garff@hsc.utah.edu |
| Name | Affiliation | Role |
|---|---|---|
| Heather A Hayes, PhD | University of Utah | Principal Investigator |
| James C Martin, PhD | University of Utah | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Health, Neilsen Rehabilitation Hospital | Recruiting | Salt Lake City | Utah | 84108 | United States |
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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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pilot randomized controlled trial
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| cycle with biofeedback |
| Other |
Individuals will receive biofeedback about their power production and power symmetry while participating in a 32 minute recumbent cycling session in inpatient rehabilitation facility. |
|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D011613 |
| Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
| D030141 | Feedback, Psychological |