UMIN-CTR Clinical Trial

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

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Basic information

Public title

Effectiveness of Body weight supported overground training(BWSOT) for Hemiplegic Stroke Patients

Acronym

Effectiveness of Body weight supported overground training(BWSOT) for Hemiplegic Stroke Patients

Scientific Title

Effectiveness of Body weight supported overground training(BWSOT) for Hemiplegic Stroke Patients

Scientific Title:Acronym

Effectiveness of Body weight supported overground training(BWSOT) for Hemiplegic Stroke Patients

Region

Japan


Condition

Condition

New stroke patients

Classification by specialty

Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

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.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

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)

Key secondary outcomes

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)


Base

Study type

Interventional


Study design

Basic design

n-of-1

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Self control

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

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.

Interventions/Control_2


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

40 years-old <=

Age-upper limit

90 years-old >=

Gender

Male and Female

Key inclusion criteria

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.

Key exclusion criteria

Exclusion criteria: patients with subarachnoid hemorrhage and submental lesions.

Target sample size

5


Research contact person

Name of lead principal investigator

1st name Katsuyuki
Middle name
Last name Morishita

Organization

Josai International University

Division name

Graduate School of Health Sciences

Zip code

283-0002

Address

1 Gumyo, Tougane City, Chiba Prefecture

TEL

0475-55-8811

Email

morishita@jiu.ac.jp


Public contact

Name of contact person

1st name Sho
Middle name
Last name Toyoshima

Organization

Seinin-kai Rakusai Shimizu Hospital

Division name

Department of Rehabilitation

Zip code

610-1106

Address

13-107 Kutsukake-cho, Oheda, Nishikyo-ku, Kyoto-shi, Kyoto

TEL

0753318778

Homepage URL


Email

sho.toyosima2@gmail.com


Sponsor or person

Institute

Department of Rehabilitation Medicine, Rakusai Shimizu Hospital
Sho Toyoshima

Institute

Department

Personal name



Funding Source

Organization

No

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

Department of Rehabilitation Medicine, Rakusai Shimizu Hospital

Address

13-107 Kutsukake-cho, Oheda, Nishikyo-ku, Kyoto-shi, Kyoto

Tel

075-331-8778

Email

sho-toyosima2@gmail.com


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 06 Month 29 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

2023 Year 09 Month 01 Day

Date of IRB

2023 Year 09 Month 01 Day

Anticipated trial start date

2023 Year 09 Month 01 Day

Last follow-up date

2028 Year 12 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 06 Month 29 Day

Last modified on

2024 Year 06 Month 29 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000062641