UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000054319
Receipt number R000061051
Scientific Title Effect of high-speed robot-assisted gait training for patients who have moderate to severe motor paralysis with stroke-a randomized cross-over trial-
Date of disclosure of the study information 2024/05/07
Last modified on 2024/05/06 12:08:56

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Basic information

Public title

Effect of high-speed robot-assisted gait training for patients with stroke

Acronym

Effect of high-speed robot-assisted gait training for patients with stroke

Scientific Title

Effect of high-speed robot-assisted gait training for patients who have moderate to severe motor paralysis with stroke-a randomized cross-over trial-

Scientific Title:Acronym

Effect of high-speed robot-assisted gait training for patients with stroke

Region

Japan


Condition

Condition

Stroke

Classification by specialty

Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To determine whether high-speed robot-assisted gait training using Welwalk is more effective than treadmill training in improving gait and balance ability in stroke patients with severe to moderate motor paralysis and reduced gait speed.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Comfortable and maximum gait speed

Key secondary outcomes

Fugl-Meyer Assessment, Trunk Impairment Scale, Composite Spasticity Index, Isometric knee extensor strength, Berg Balance Scale, 6-Minute Distance, Timed Up and Go test, Functional Ambulation Categories


Base

Study type

Interventional


Study design

Basic design

Cross-over

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration


Blocking

YES

Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

The duration of the intervention will be at least 5 minutes x 2-3sets (10 minutes total), depending on the subject's fatigue, for a period of 8 days (7 days/week). The walking assistance robot will be the WellWalk WW-1000. The swing assist of the paralyzed leg on the Well Walk will be set to 6/6, which is the maximum, and the timing of the start of knee flexion during the swing phase, which is an assist function of the knee joint, the knee flexion angle, and the flexion speed will be adjusted to increase the stride length of the paralyzed leg and to practice walking at a faster speed than walking on a level ground or normal treadmill walking practice. Practice walking at higher speeds than for level walking or normal treadmill walking exercises. The treadmill speed during practice should be increased by 0.05 km/h if the patient can safely walk for more than 1 minute without catching the paralyzed leg; if the paralyzed leg catches even once in 1 minute, the treadmill speed should be decreased immediately by 0.05 km/h. The treadmill speed should be decreased by 3.5 km/h during the 8-day practice period. If the treadmill speed reaches 3.0 km/h during the 8-day practice period, the swing assist is decreased by 1 in the same manner as the treadmill speed.

Interventions/Control_2

Intervention 2 will be a normal treadmill walking exercise. The intervention time will be set at the same time as the gait practice using the walking aid robot, at least 5 minutes x 2-3 sets, depending on the subject's fatigue, and the duration will be 8 days (7 days/week). The treadmill speed during the practice will be gradually increased by 0.05 km/h if the subject can safely walk for more than 1 minute without catching the paralyzed leg. 0.05 km/h treadmill speed will be immediately decreased if the paralyzed leg is caught even once in 1 minute.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

(1) Able to walk 10m on level ground with a cane or brace or both with minimal or no assistance
(2) Lower limb motor items of Fugl Meyer Assessment are 22/34 points or less (Moderate to Severe)
(3) Comfortable gait speed is less than 0.6 m/s
(4) Patients whose gait speed is judged to need improvement by the physician and physical therapist
(5) Patients who have obtained consent for the intervention

Key exclusion criteria

Difficulty in understanding instructions due to aphasia or cognitive dysfunction

Target sample size

20


Research contact person

Name of lead principal investigator

1st name Masanari
Middle name None
Last name Yamada

Organization

Ukai Rehabilitaion Hospital

Division name

Department of Rehabilitation

Zip code

453-0811

Address

4-1 Taikodori, Nakamura-ku, Nagoya 453-0811, Japan

TEL

0524613132

Email

masa-yamada@view.ocn.ne.jp


Public contact

Name of contact person

1st name Masanari
Middle name None
Last name Yamada

Organization

Ukai Rehabilitaion Hospital

Division name

Department of Rehabilitation

Zip code

453-0811

Address

4-1 Taikodori, Nakamura-ku, Nagoya 453-0811, Japan

TEL

0524613132

Homepage URL


Email

masa-yamada@view.ocn.ne.jp


Sponsor or person

Institute

Ukai Rehabilitaion Hospital

Institute

Department

Personal name



Funding Source

Organization

not applicable

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ukai Rehabilitaion Hospital

Address

4-1 Taikodori, Nakamura-ku, Nagoya 453-0811, Japan

Tel

0524613132

Email

masa-yamada@view.ocn.ne.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2024 Year 05 Month 07 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2024 Year 04 Month 01 Day

Date of IRB

2023 Year 11 Month 14 Day

Anticipated trial start date

2024 Year 04 Month 01 Day

Last follow-up date

2026 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2024 Year 05 Month 06 Day

Last modified on

2024 Year 05 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000061051