Visual Cues for Gait Training Post-stroke (VCTpilot)
Stroke
About this trial
This is an interventional treatment trial for Stroke focused on measuring Stroke, Visual cues, Gait rehabilitation, Walking adaptability, Turning, Overground walking, Treadmill training
Eligibility Criteria
Inclusion Criteria:
- Diagnosis of stroke
- Able to walk 10 metres with or without assistance
- Residual paresis in the lower limb (Fugl-Meyer Lower Limb score less than 34)
- Informed written consent.
Exclusion Criteria:
- Gait speed more than 0.8 m/s
- Patients with a premorbid (retrospective) modified Rankin Scale score of greater than 3
- Gait deficits attributable to non-stroke pathology
- Visual impairments preventing use of visual cue training (as assessed by Apple Cancellation test
- Concurrent progressive neurologic disorder, acute coronary syndrome, severe heart failure, confirmed or suspected lower-limb fracture preventing mobilization, and those requiring palliative care
- Inability to follow a three step command (as assessed by Modified mini-mental status exam).
Sites / Locations
- Birmingham Community Health Care NHS Trust
- Sandwell and West Birmingham Hopsitals NHS Trust
- Heart of England NHS Foundation Trust
- South Warickshire NHS Foundation Trust
Arms of the Study
Arm 1
Arm 2
Arm 3
Active Comparator
Experimental
Experimental
Usual Care
Overground visual cue training
Treadmill visual cue training
A task specific-based intervention that does not include use of visual cues to influence quality or adaptability of gait.
Overground visual cue training will involve stepping to targets which are positioned to improve gait symmetry and speed. Training will include turning practice and the avoidance of obstacles for adaptability during straight walking.
Treadmill training with visual cues will be delivered using a force-instrumented treadmill (CMill, Forcelink, NL). Walking training will involve stepping to targets which are positioned to improve gait symmetry and speed. Training will include turning practice and the avoidance of obstacles for adaptability during straight walking.