Effects of a Cognitive Gait Dual Task With Smartglasses in Stroke Patients
NCT Number: NCT06476431
Acronym: stroke
Status: ENROLLING_BY_INVITATION
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Stroke
Interventions: OTHER: dual task|OTHER: non dual task
Sponsor: Sahmyook University
Sex: ALL
Age: ADULT, OLDER_ADULT
Enrollment: 34
Study Design: Allocation: RANDOMIZED|Intervention Model: PARALLEL|Masking: SINGLE (PARTICIPANT)|Primary Purpose: TREATMENT
Start Date: 2024-07-01
Completion Date: 2024-09-01
Locations: Rochester hospital, Uijeongbu-si, Gyeonggi-do, 11753, Korea, Republic of

Summary:
The aim of this study is to find out to determine changes in gait, dual-task interference, cognition, and fall scores during a cognitive walking dual task on a treadmill while wearing augmented reality-based smartglasses in stroke patients.

Before the experiment, the investigators measure the subjects general characteristics, gait, cognition, dual-task interference, and fall risk. This will be done 3 times a week for 30 minutes for 4 weeks.

Group 1 will perform a cognitive task with smart glasses and a gait task on a treadmill at the same time. The training will consist of 10 minutes of treadmill walking without incline, followed by 5 minutes of rest, followed by 10 minutes of treadmill walking with incline, followed by 5 minutes of rest.

Group 2 will perform only treadmill walking without the cognitive task. Same as the experimental group: 10 minutes without treadmill incline, followed by 5 minutes rest, followed by 10 minutes treadmill incline, followed by 5 minutes rest.

At the end of the 4-week training program, the investigators will measure walking ability, cognitive performance, dual-task interference, and fall risk as assessed before the experiment.

Primary Outcome Measures: 6 minutes walk test, The 6-minute walk test is a method for assessing functional performance and walking endurance in stroke patients. A straight line of 30 meters is drawn on the floor for the subject to recognize, and cones are placed at each end. During the test, the patient is asked to walk as much distance as possible as quickly as possible while walking to and from the 30-meter section, but the walking speed and rest periods are self-regulated according to the patient's ability. After starting on cue, to eliminate motivational errors during the walk, the therapist speaks only to the subjects about the remaining time and instructions, and asks them to sit in a chair after the end of the walk. The therapist records the distance walked and the number and duration of breaks during the 6-minute walk., From enrollment to the end of treatment at 4 weeks|Dual task Interference, The 10-meter walk test will be calculated by substituting 100-7-7-7... into the formula. The single task gait speed will be calculated by measuring the gait time, finding the speed, and substituting it into the formula while walking a distance of 10 meters. The dual task gait speed will be calculated by measuring the gait time, finding the speed, and substituting it into the formula while walking a distance of 10 meters and having the therapist calculate 100-7-7 next to participants., From enrollment to the end of treatment at 4 weeks
Secondary Outcome Measures: Trail Making Test type A/B, It assesses working memory, visual processing, visuospatial skills, selective and divided attention, processing speed, and psychomotor coordination. Pick up a pencil and draw a line, starting at one, moving to two, three, and so on. Start timing as soon as participants are told to start. Stop timing when the trail is complete, or when participants reach the maximum time of 2 minutes 30 seconds for Type A and 5 minutes for Type B. This test is scored on the total number of seconds required to complete the connection correctly. The examiner will point out and correct mistakes as they occur, and the effect of mistakes is to increase the time required to complete the test., From enrollment to the end of treatment at 4 weeks|10m walk test, For the 10-meter walk test, mark a 14-meter straight line and make marking lines 2 meters inward from both ends of the straight line. The 2 meters at the beginning and end are set as the distance for acceleration and deceleration, and the walking time for the middle 10 meters of the walking distance is measured with a second watch to measure the walking time, find the speed, and use it as a measurement variable for functional walking., From enrollment to the end of treatment at 4 weeks|Digit Span, The recall test requires the subject to listen to a series of numbers called out and immediately repeat them in the order in which they were heard. The first trial starts with three numbers, with one more number added at each stage, until the seventh stage requires the subject to recall a total of nine numbers. Scoring is based on the number of digits in the number of steps that the test subject performed correctly. The backward recall test is administered and scored in the same way as the straight recall test, with the test taker hearing a series of numbers similar to those presented in the straight recall test and then retelling the numbers in reverse order., From enrollment to the end of treatment at 4 weeks|Korea version of Falls Efficacy Scale-International, The investigators developed the Korean version of the KFES-I as a subjective assessment questionnaire to predict the risk of falling among the elderly in Korea using the 16 items of the FES-I as an efficient tool to assess and measure fear of falling. The KFES-I consists of 16 items and is scored from 1 to 4 points., From enrollment to the end of treatment at 4 weeks|Timed Up and Go test, Measure the time it takes to get up from a seated position in a chair with 46 cm high armrests, walk 3 meters to and from the chair, return, and sit down again. Allow people to use their usual shoes and walking aids during the test., From enrollment to the end of treatment at 4 weeks