Effects of Backward Gait on Sand on Improving the Gait Parameters of Patients With Chronic Stroke.

Study Overview
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Brief Summary
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Gait training in stroke is a complex process of motor learning although restoring patients ability to walk would not prepare the individual with the challenges faced in the real environment. The aim is not simply walking in controlled environment, but to achieve dynamic walking. Dynamic walking is the ability of an individual to adjust to the changing surfaces and terrains. thereby returning to achieve active participation in the community. Hence, recovery of walking ability is the primary goal when planning treatment for patients with stroke.

Official Title
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Effects of Backward Gait on Sand on Improving the Gait Parameters of Patients With Chronic Stroke: a Randomized Controlled Trial

Conditions
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Chronic Stroke

Intervention / Treatment
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* Other: Backward walking on sand


Participation Criteria
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Eligibility Criteria
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Inclusion criteria: Had experienced stroke for the first time. Unilateral involvement. Demonstrate motor stage 3 or 4 on Brunnstrom motor recovery. Able to walk 12 m with or without assistive devices. Medically stable. Able to follow simple commands. Exclusion criteria: Patient exhibits comorbid disease other than stroke that may affect gait. Any conditions contra indicated to exercises Any other cardio-pulmonary or orthopedic disorders that affects walking ability of the participant.

Ages Eligible for Study
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Minimum Age: 45 Years
Maximum Age: 80 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: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Group 1<br>forward walking on leveled surface | Other: Backward walking on sand<br>* the patient will be walking backwards on sand with therapist standing close to support in case of fall.<br>* Other names: forward walking on sand;|
| Active Comparator: Group 2<br>forward walking on sand. | Other: Backward walking on sand<br>* the patient will be walking backwards on sand with therapist standing close to support in case of fall.<br>* Other names: forward walking on sand;|
| Experimental: Group 3<br>Backward walking on leveled surface | Other: Backward walking on sand<br>* the patient will be walking backwards on sand with therapist standing close to support in case of fall.<br>* Other names: forward walking on sand;|
| Active Comparator: Group 4<br>Backward walking on sand. | Other: Backward walking on sand<br>* the patient will be walking backwards on sand with therapist standing close to support in case of fall.<br>* Other names: forward walking on sand;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Gait velocity (m/s) | Measured by Stride Analyser | 10-15 mins | 
| Cadence (Number of steps per min) | Measured by stride Analyser | 10-15 mins | 
| Stride length in meters | Measured by stride Analyser | 10-15 mins | 
| Gait cycle in seconds | Measured by stride Analyser | 10-15 mins | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Barthel index | ADL | 45 Mins | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Backward walking, stroke, gait training