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

Primary Purpose

Chronic Stroke

Status
Unknown status
Phase
Not Applicable
Locations
Saudi Arabia
Study Type
Interventional
Intervention
Backward walking on sand
Sponsored by
Majmaah University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Stroke focused on measuring Backward walking, stroke, gait training

Eligibility Criteria

45 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

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.

Sites / Locations

  • King Khalid HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Active Comparator

Experimental

Active Comparator

Arm Label

Group 1

Group 2

Group 3

Group 4

Arm Description

forward walking on leveled surface

forward walking on sand.

Backward walking on leveled surface

Backward walking on sand.

Outcomes

Primary Outcome Measures

Gait velocity (m/s)
Measured by Stride Analyser
Cadence (Number of steps per min)
Measured by stride Analyser
Stride length in meters
Measured by stride Analyser
Gait cycle in seconds
Measured by stride Analyser

Secondary Outcome Measures

Barthel index
ADL

Full Information

First Posted
April 9, 2018
Last Updated
May 31, 2018
Sponsor
Majmaah University
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1. Study Identification

Unique Protocol Identification Number
NCT03501186
Brief Title
Effects of Backward Gait on Sand on Improving the Gait Parameters of Patients With Chronic Stroke.
Official Title
Effects of Backward Gait on Sand on Improving the Gait Parameters of Patients With Chronic Stroke: a Randomized Controlled Trial
Study Type
Interventional

2. Study Status

Record Verification Date
May 2018
Overall Recruitment Status
Unknown status
Study Start Date
January 12, 2017 (Actual)
Primary Completion Date
June 20, 2018 (Anticipated)
Study Completion Date
July 21, 2018 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Majmaah University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Stroke
Keywords
Backward walking, stroke, gait training

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
The treatment given by investigator unaware of allocation of patients and outcome variables measured by different investigator
Allocation
Randomized
Enrollment
20 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Group 1
Arm Type
Experimental
Arm Description
forward walking on leveled surface
Arm Title
Group 2
Arm Type
Active Comparator
Arm Description
forward walking on sand.
Arm Title
Group 3
Arm Type
Experimental
Arm Description
Backward walking on leveled surface
Arm Title
Group 4
Arm Type
Active Comparator
Arm Description
Backward walking on sand.
Intervention Type
Other
Intervention Name(s)
Backward walking on sand
Other Intervention Name(s)
forward walking on sand
Intervention Description
the patient will be walking backwards on sand with therapist standing close to support in case of fall.
Primary Outcome Measure Information:
Title
Gait velocity (m/s)
Description
Measured by Stride Analyser
Time Frame
10-15 mins
Title
Cadence (Number of steps per min)
Description
Measured by stride Analyser
Time Frame
10-15 mins
Title
Stride length in meters
Description
Measured by stride Analyser
Time Frame
10-15 mins
Title
Gait cycle in seconds
Description
Measured by stride Analyser
Time Frame
10-15 mins
Secondary Outcome Measure Information:
Title
Barthel index
Description
ADL
Time Frame
45 Mins

10. Eligibility

Sex
All
Minimum Age & Unit of Time
45 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
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.
Facility Information:
Facility Name
King Khalid Hospital
City
Al Majma'ah
State/Province
Riyadh
ZIP/Postal Code
11952
Country
Saudi Arabia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
faizan Z kashoo, Masters
Phone
00966538149226
Email
f.kashoo@mu.edu.sa
First Name & Middle Initial & Last Name & Degree
shaik A Rahim, PhD
Phone
00966534504703
Email
s.abdulrahim@mu.edu.sa
First Name & Middle Initial & Last Name & Degree
Faizan Z Kashoo, Masters
First Name & Middle Initial & Last Name & Degree
Mazen M Alqahtani, PhD
First Name & Middle Initial & Last Name & Degree
Shaik A Rahim, PhD
First Name & Middle Initial & Last Name & Degree
Dana A Yahya, PhD
First Name & Middle Initial & Last Name & Degree
Abdulaziz Alkathiry, PhD

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Stroke Patients
IPD Sharing Time Frame
3 months
Citations:
PubMed Identifier
28265136
Citation
Makino M, Takami A, Oda A. Comparison of forward walking and backward walking in stroke hemiplegia patients focusing on the paretic side. J Phys Ther Sci. 2017 Feb;29(2):187-190. doi: 10.1589/jpts.29.187. Epub 2017 Feb 24.
Results Reference
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PubMed Identifier
27323323
Citation
Kim CY, Lee JS, Kim HD. Comparison of the Effect of Lateral and Backward Walking Training on Walking Function in Patients with Poststroke Hemiplegia: A Pilot Randomized Controlled Trial. Am J Phys Med Rehabil. 2017 Feb;96(2):61-67. doi: 10.1097/PHM.0000000000000541.
Results Reference
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Effects of Backward Gait on Sand on Improving the Gait Parameters of Patients With Chronic Stroke.

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