| 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 |
Effect of high-speed robot-assisted gait training for patients with stroke
Effect of high-speed robot-assisted gait training for patients with stroke
Effect of high-speed robot-assisted gait training for patients who have moderate to severe motor paralysis with stroke-a randomized cross-over trial-
Effect of high-speed robot-assisted gait training for patients with stroke
| Japan |
Stroke
| Rehabilitation medicine |
Others
NO
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.
Efficacy
Comfortable and maximum gait speed
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
Interventional
Cross-over
Randomized
Individual
Open -no one is blinded
Active
YES
YES
YES
2
Treatment
| Device,equipment |
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.
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.
| 18 | years-old | <= |
| Not applicable |
Male and Female
(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
Difficulty in understanding instructions due to aphasia or cognitive dysfunction
20
| 1st name | Masanari |
| Middle name | None |
| Last name | Yamada |
Ukai Rehabilitaion Hospital
Department of Rehabilitation
453-0811
4-1 Taikodori, Nakamura-ku, Nagoya 453-0811, Japan
0524613132
masa-yamada@view.ocn.ne.jp
| 1st name | Masanari |
| Middle name | None |
| Last name | Yamada |
Ukai Rehabilitaion Hospital
Department of Rehabilitation
453-0811
4-1 Taikodori, Nakamura-ku, Nagoya 453-0811, Japan
0524613132
masa-yamada@view.ocn.ne.jp
Ukai Rehabilitaion Hospital
not applicable
Other
Ukai Rehabilitaion Hospital
4-1 Taikodori, Nakamura-ku, Nagoya 453-0811, Japan
0524613132
masa-yamada@view.ocn.ne.jp
NO
| 2024 | Year | 05 | Month | 07 | Day |
Unpublished
Enrolling by invitation
| 2024 | Year | 04 | Month | 01 | Day |
| 2023 | Year | 11 | Month | 14 | Day |
| 2024 | Year | 04 | Month | 01 | Day |
| 2026 | Year | 03 | Month | 31 | Day |
| 2024 | Year | 05 | Month | 06 | Day |
| 2024 | Year | 05 | Month | 06 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000061051