Weight-bearing Training in Stroke Patients.

Study Overview
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Brief Summary
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1. Are there differences in weight-bearing (WB) and WB symmetry immediately following STS and stepping training with or without using external feedback in ambulatory patients with stroke? 1. Are there differences in mobility immediately following STS and stepping training with or without using external feedback in ambulatory patients with stroke?

Detailed Description
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Subjects are patients with stroke, the age of over 40 years to 74 years, both males and females who are able to walk independently at least 10 meters. Most of them will be recruited from a tertiary rehabilitation center and communities. Subjects have to participate in STS and stepping training with and without using the external feedback for 1 time/condition with a wash-out period for 2 weeks (crossover design). The outcomes will be measured in terms of WB ability during STS and stepping, walking speed, and balance ability. The primary outcomes were WB ability on the affected limb and WB symmetry. Secondary outcomes were walking speed and balance ability.

Official Title
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Immediate Effects of Lower Limb Loading Training During Sit-to-stand and Stepping With and Without External Feedback in Ambulatory Individuals With Stroke

Conditions
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Stroke

Intervention / Treatment
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* Other: WB Training with external feedback
* Other: WB Training without external feedback


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Independent ambulatory patients with chronic stroke (post-stroke time more than 6 months) Age at least 40 years to 74 years Body mass index (BMI) between 18.5- 29.9 kg/m^2 Ability of independent walking over at least 10 meters with or without a walking device Ability to rise from a chair with or without using their arms Ability to follow a command used in the study Exclusion Criteria: any conditions that may affect ambulatory ability or ability to participate in the study, such as Auditory or visual deficits that are unable to be corrected by a hearing aid, glasses or contact lens Musculoskeletal pain with a pain scale more than 5 out of 10 on a visual analog scale (VAS) Deformity in the limbs or spine that affect ambulatory ability Modified Ashworth Scale (MAS) more 2 score Unstable cardiovascular, orthopedics, musculoskeletal, or neurological disease other than stroke.

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 74 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: WB Training with external feedback<br>WB during sit-to-stand with external feedback for 10 minute and then, WB during stepping training with external feedback for 10 minutes. After training, subjects will walk overground for 10 minutes. | Other: WB Training with external feedback<br>* WB during sit-to-stand and stepping with external feedback, follow by overground walking.<br>|
| Active Comparator: WB Training without external feedback<br>WB during sit-to-stand without external feedback for 10 minute and then, WB during stepping training without external feedback for 10 minutes. After training, subjects will walk overground for 10 minutes. | Other: WB Training without external feedback<br>* WB during sit-to-stand and stepping without external feedback, follow by overground walking.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Weight-bearing (WB) ability and WB symmetry |  | Prior to and immediately after complete training program in one session | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Walking speed using the 10 meter-walk test (10MWT) |  | Prior to and immediately after complete training program in one session | 
| Dynamic balance control using the Timed up and go test (TUGT) |  | Prior to and immediately after complete training program in one session | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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cerebrovascular disease, rehabilitation, walking, balance, mobility