Effect of RAS on Balance and Gait After Stroke

Study Overview
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Brief Summary
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A rhythmic auditory stimulation intervention may be beneficial in order to improve movement parameters after stroke. Reviews argue that more randomized controlled trials with a control group are needed. Main objective: Evaluate the effect of a rhythmic auditory stimulation on the quality of balance and gait parameters in people with stroke. Methodology: quasi-experimental study. The study has been approved by the hospital ethics committee.

Detailed Description
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A rhythmic auditory stimulation (RAS) intervention may be beneficial in order to improve the parameters of the post-stroke movement: increase of the speed of the walk, improvement in the width of the step with the affected side, improvement of the walking index dynamics (Dynamic Gait Index), improvement in cadence and improvement in the static balance. Current systematic reviews argue that more randomized controlled trials with a control group are needed. Main objective: To evaluate the effect of a rhythmic auditory stimulation on the quality of progress and balance in people with stroke. Methodology: experimental group will be done between 2019 and 2020 and historical control group of the years 2017 and 2018. Experimental group will do 3 sessions in a week of RAS, and daily 2 hours of physiotherapy except of Sundays. Control group received 2 hours daily of physiotherapy, except Sundays. The study has been approved by the hospital ethics committee.

Official Title
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Effect of Rhythmic Auditory Stimulation on Balance and Gait Parameters in Stroke Patients

Conditions
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Stroke, Gait, Hemiplegic, Gait Disorders, Neurologic

Intervention / Treatment
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* Other: Rhythmic auditory stimulation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Had a stroke in the last 3 weeks Rankin 3-4 Barthel before stroke: >85 Tinetti < 23 Exclusion Criteria: Patient can walk independently (Functional Ambulation Category >3) Global and/or mixed aphasia Glasgow < 10 Mini-Mental State Examination < 24 Posterior cerebral artery stroke Gait and/or balance disorders before stroke (parkinsons disease, neurodegenerative diseases)

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 90 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention Group<br>2 hours from Monday to Saturday, conventional physiotherapy: strengthening, stretching, dual task training. 3 Times a week, intervention: Start with global body warming, 15 minutes, following the rhythm marked by the metronome. Central part of the session, 60 minutes, with rhythmic auditory stimulation exercises and music. Closure of the session, 15 minutes, round of impressions. | Other: Rhythmic auditory stimulation<br>* Rhythmic auditory stimulation 3 times in a week, and 2 hours of physiotherapy 6 days in a week.<br>|
| No Intervention: Historical control group<br>2 hours from Monday to Saturday, conventional physiotherapy: strengthening, stretching, dual task training. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Balance | Change in balance using the Mini Best Test | At baseline, 20 days after baseline and 40 days after baseline | 
| Balance | Change in balance using the Tinetti Test | At baseline, 20 days and 40 days after baseline | 
| Gait | Change in gait using the Tinetti Test | At baseline, 20 days after baseline and 40 days after baseline | 
| Gait | Change in gait using the Timed Up&Go Test | At baseline, 20 days and 40 days after baseline | 
| Gait parameters | Change in step length using a measure tape | At baseline, 20 days after baseline and 40 days after baseline | 
| Gait parameters | Change in stride length using a measure tape | At baseline, 20 days and 40 days after baseline | 
| Gait parameters | Change in cadence using a stopwatch | At baseline, 20 days after baseline and 40 days after baseline | 
| Gait Functionality | Change in gait functionality using the Functional Ambulatory Category | At baseline and 40 days after baseline | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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rhythm, musicotherapy, balance, gait, stroke, physiotherapy