| Unique ID issued by UMIN | UMIN000054825 |
|---|---|
| Receipt number | R000062641 |
| Scientific Title | Effectiveness of Body weight supported overground training(BWSOT) for Hemiplegic Stroke Patients |
| Date of disclosure of the study information | 2024/06/29 |
| Last modified on | 2024/06/29 19:10:25 |
Effectiveness of Body weight supported overground training(BWSOT) for Hemiplegic Stroke Patients
Effectiveness of Body weight supported overground training(BWSOT) for Hemiplegic Stroke Patients
Effectiveness of Body weight supported overground training(BWSOT) for Hemiplegic Stroke Patients
Effectiveness of Body weight supported overground training(BWSOT) for Hemiplegic Stroke Patients
| Japan |
New stroke patients
| Rehabilitation medicine |
Others
NO
Gait reconstruction for stroke paraplegic patients involves gait practice using a suspended weight unloading device. Suspension devices are used on treadmills or on level ground and are called Body Weight Supported Treadmill Training (BWSTT) and Body Weight Supported Overground Training (BWSOT).
BWSOT uses suspended weight bearing to provide direct level walking practice in a safe condition. In other words, it allows for a repetitive, task oriented approach with difficulty adjustment while retaining the specificity of level walking. The amount of training and the specificity and difficulty of the task are considered important for improving the walking ability of stroke paraplegic patients, and BWSOT can provide walking practice that includes both factors. However, previous studies have not clarified the therapeutic effects of BWSOT on walking ability improvement, including indications based on the severity of paralysis, and the evidence for this has not been established. Therefore, demonstrating the therapeutic efficacy of BWSOT for stroke hemiplegia patients may allow us to propose safe and effective practice methods.
This study will analyze trends in BWSOT treatment efficacy on a case by case basis using a single case study design as a preliminary step in a larger intervention study. The purpose of this study is to identify trends in the treatment effects of BWSOT for stroke hemiplegia patients and to provide basic data for determining the indications of BWSOT according to the severity of paralysis.
Safety
Each evaluation will be conducted initially and every 2 weeks for a total of 2 months.
10m walking speed (maximum walking speed and comfortable walking speed) *Including number of steps and walking rate
Timed Up & Go test (TUG)
Berg Balance Scale (BBS)
Brunnstrom Recovery Stage (BRS)
Fugl Meyer assessment (FMA)
6-minute walk
Functional Independence Measure
Stroke Specific QOL Scale (SS QOL)
Walking style (unaided, T cane, four point cane, parallel bars assisted walking, unassisted walking)
Functional Ambulation Categories (FAC)
based on the amount of assistance
Total daily practice walking (m)
Total practice walking in each period (m)
Interventional
n-of-1
Non-randomized
Open -no one is blinded
Self control
1
Treatment
| Device,equipment |
The A-B-A-B method of single case study will be used, with Period A being standard physical therapy and Period B being standard physical therapy plus BWSOT intervention. Each period will be 2 weeks, for a total of 8 weeks of intervention study. The standard physical therapy will consist of approaches related to functional recovery, balance exercises, transfer and standing exercises, activities of daily living exercises, and gait exercises. The gait practice will be the usual gait practice in Period A and BWSOT intervention in Period B.
| 40 | years-old | <= |
| 90 | years-old | >= |
Male and Female
Patients must be new stroke patients admitted to the recovery unit. The inclusion criteria will be 5 new stroke patients with Brunnstrome stage (Brs) I or higher or Functional Independence Measure (FIM) 1 or higher.
Eligible patients will be those with severe (Brs1-2), moderate (Brs 3-4), and mild (Brs 5-6) stroke.
Exclusion criteria: patients with subarachnoid hemorrhage and submental lesions.
5
| 1st name | Katsuyuki |
| Middle name | |
| Last name | Morishita |
Josai International University
Graduate School of Health Sciences
283-0002
1 Gumyo, Tougane City, Chiba Prefecture
0475-55-8811
morishita@jiu.ac.jp
| 1st name | Sho |
| Middle name | |
| Last name | Toyoshima |
Seinin-kai Rakusai Shimizu Hospital
Department of Rehabilitation
610-1106
13-107 Kutsukake-cho, Oheda, Nishikyo-ku, Kyoto-shi, Kyoto
0753318778
sho.toyosima2@gmail.com
Department of Rehabilitation Medicine, Rakusai Shimizu Hospital
Sho Toyoshima
No
Other
Department of Rehabilitation Medicine, Rakusai Shimizu Hospital
13-107 Kutsukake-cho, Oheda, Nishikyo-ku, Kyoto-shi, Kyoto
075-331-8778
sho-toyosima2@gmail.com
NO
| 2024 | Year | 06 | Month | 29 | Day |
Unpublished
Enrolling by invitation
| 2023 | Year | 09 | Month | 01 | Day |
| 2023 | Year | 09 | Month | 01 | Day |
| 2023 | Year | 09 | Month | 01 | Day |
| 2028 | Year | 12 | Month | 31 | Day |
| 2024 | Year | 06 | Month | 29 | Day |
| 2024 | Year | 06 | Month | 29 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000062641