Dual-task Obstacle Crossing Training in Ambulatory Subjects With Spinal Cord Injury

Study Overview
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Brief Summary
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Is dual-task obstacle crossing training more efficiently than single-task obstacle crossing training on the improvement of walking ability, balance ability, and lower extremity muscle strength in ambulatory subjects with spinal cord injury

Detailed Description
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To compare immediate effects of dual-task and single-task obstacle crossing training in ambulatory subjects with spinal cord injury

Official Title
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Dual Task Obstacle Crossing: Effects on Walking and Balance Ability, and Relationship With Falls in Independent Ambulatory Patients With Spinal Cord Injury

Conditions
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Injuries, Spinal Cord

Intervention / Treatment
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* Other: Dual-task obstacle crossing training
* Other: Single-task obstacle crossing training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: independent ambulatory subjects with traumatic causes or non-progressive diseases sub-acute and chronic stage of injury (at least 3 month after injury) body mass index (BMI) between 18.5-29.9 kg/m2 walk independently for at least 17 meters with or without assistive devices (Functional Independence Measure Locomotor (FIM-L) scores 5-7) able to read Thai Exclusion Criteria: pain in the musculoskeletal system with a pain scale more than 5 out of 10 on a the visual analog scale (VAS) deformity in the joints that affect ambulatory ability unable to understand the commands and tests used in the study

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 75 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: Crossover Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Dual-task obstacle crossing training<br>The four obstacles in the sizes of 4cm wide, 8cm wide, 4cm high, and 8cm high are randomly placed along a 10-meter walkway in 2-meter intervals. Subjects are instructed to walk continuously over obstacles at their comfortable speed, as good as they can without contact the obstacles by their leg or device. During walk over obstacles, subjects asked to perform simultaneously with a color word stroop task which requires subjects to see and answer the color of the name of a color words in the monitor (ignore the meaning) as quickly as possible, and loudly. | Other: Dual-task obstacle crossing training<br>* Obstacle crossing simultaneously a color word stroop task training<br>|
| Sham Comparator: Single-task obstacle crossing training<br>The four obstacles in the sizes of 4cm wide, 8cm wide, 4cm high, and 8cm high are randomly placed along a 10-meter walkway in 2-meter intervals. Subjects are asked to walk continuously over obstacles at their comfortable speed, as good as they can without contact the obstacles by their leg or device. | Other: Single-task obstacle crossing training<br>* Obstacle crossing training<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 10MWT (Single-task) | Walking speed in single-task condition | 1 day | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 10MWT (Dual-task) | Walking speed in dual-task condition | 1 day | 
| TUGT | Balance ability | 1 day | 
| FTSST | Lower extremity muscle strength | 1 day | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Spinal cord injury, dual-task obstacle crossing