| Unique ID issued by UMIN | UMIN000056697 |
|---|---|
| Receipt number | R000064811 |
| Scientific Title | The Effect of Gait Training with Rhythmic Vibrotactile Cueing on Walking Function in Post-Stroke Patients During the Recovery Phase: A Pilot Study Toward a Randomized Controlled Trial |
| Date of disclosure of the study information | 2025/01/13 |
| Last modified on | 2026/05/28 21:19:53 |
The Effect of Gait Training with Rhythmic Vibrotactile Cueing on Walking Function in Post-Stroke Patients During the Recovery Phase: A Pilot Study Toward a Randomized Controlled Trial
The Effect of Gait Training with Rhythmic Vibrotactile Cueing on Walking Function in Post-Stroke Patients During the Recovery Phase: A Pilot Study Toward a Randomized Controlled Trial
The Effect of Gait Training with Rhythmic Vibrotactile Cueing on Walking Function in Post-Stroke Patients During the Recovery Phase: A Pilot Study Toward a Randomized Controlled Trial
The Effect of Gait Training with Rhythmic Vibrotactile Cueing on Walking Function in Post-Stroke Patients During the Recovery Phase: A Pilot Study Toward a Randomized Controlled Trial
| Japan |
Cerebrovascular Disease
| Rehabilitation medicine |
Others
NO
This study aims to investigate the effectiveness of gait training using rhythmic vibrotactile cueing in improving walking function in patients with cerebrovascular disease. Additionally, as a pilot study preceding the implementation of a randomized controlled trial, this study seeks to calculate the effect size required to determine the sample size for the randomized controlled trial.
Efficacy
Walking speed(pre and post intervention)
Cadence(pre and post intervention)
Stride Length(pre and post intervention)
Gait Cycle Percentage(pre and post intervention)
Japanese Version of the Revised Gait Efficacy Scale(pre and post intervention)
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
1
Treatment
| Device,equipment |
Gait training is conducted with rhythmic cueing provided by a vibrotactile stimulation device. The rhythmic stimulation is set to a value 10% higher than the cadence calculated during the initial assessment. The intervention period consists of 30-minute sessions (6 sets of 5 minutes each) performed daily, 7 days a week, for 2 weeks. Rehabilitation during the remaining time follows standard physical therapy practices.
| Not applicable |
| Not applicable |
Male and Female
Inpatients at our hospital
Patients with a first onset of the condition, at least one month post-onset
Patients with a Brunnstrom Stage of lower extremity Stage III or higher
Patients classified as Level 3 or higher on the Functional Ambulation Categories (able to walk independently without assistance)
Patients capable of walking without the use of walking aids other than a cane (use of lower limb orthoses is permitted)
Patients with cognitive impairment (Mini-Mental State Examination score below 24)
Patients with higher brain dysfunction
Patients with difficulty perceiving vibrotactile stimulation
10
| 1st name | Kota |
| Middle name | |
| Last name | Nakamura |
Sonodakai Neuro Rehabilitation Hospital
Department of Rehabilitation
120-0012
Aoi 1-10-10 Adachi-ku, Tokyo
03-5845-0126
ko.ta1994.01.27@gmail.com
| 1st name | Kota |
| Middle name | |
| Last name | Nakamura |
Sonodakai Neuro Rehabilitation Hospital
Department of Rehabilitation
120-0012
Aoi 1-10-10 Adachi-ku, Tokyo
03-5845-0126
ko.ta1994.01.27@gmail.com
Sonodakai Neuro Rehabilitation Hospital
Nakamura Kota
None
Self funding
Sonodakai Neuro Rehabilitation Hospital
Aoi 1-10-10 Adachi-ku, Tokyo
03-5845-0126
ko.ta1994.01.27@gmail.com
NO
| 2025 | Year | 01 | Month | 13 | Day |
Unpublished
10
Ten subacute stroke patients underwent RVS-guided gait training for 2 weeks (30 min/day, 7 days/week). Post-intervention, the 10m maximal gait test showed significant improvements in gait speed (p=0.00126), cadence (p=0.00213), and stride length (p=0.0015). The mGES (p=0.0615) and Symmetry Ratio (p=0.398) showed positive trends but no significant differences. RVS gait training may effectively improve spatiotemporal parameters in this population.
| 2026 | Year | 05 | Month | 28 | Day |
Ten stroke patients admitted to Sonodakai Neurorehabilitation Hospital who met the predefined eligibility criteria were enrolled in this study (n = 10). The baseline demographic and clinical characteristics of the study cohort included a mean age of 71.9 +/- 11.5 years, comprising 5 males and 5 females. Regarding stroke etiology, 8 participants had a cerebral infarction and 2 had an intracerebral hemorrhage, with a mean time since stroke onset of 92.1 +/- 30.5 days. The neurological and functional statuses evaluated at baseline were as follows: Brunnstrom Recovery Stage for the lower extremity was Stage III in 1 participant, Stage IV in 3, Stage V in 4, and Stage VI in 2; Functional Ambulation Categories (FAC) was Category 4 in 6 participants and Category 5 in 4; the mean Mini-Mental State Examination (MMSE) score for cognitive function was 27.0 +/- 2.1; and lower-limb orthosis utilization was present in 2 participants. The inclusion criteria required individuals to have a stroke, a Brunnstrom Recovery Stage for the lower extremity of >= III, a Functional Ambulation Categories of >= 3, and the ability to ambulate without assistive devices other than a cane, though the use of a lower-limb orthosis was permitted. Individuals were excluded if they presented with cognitive impairment (Mini-Mental State Examination score < 24), higher brain dysfunction, or sensory deficits that rendered the perception of vibrotactile stimulation difficult.
A total of 10 participants were screened and provided written informed consent for enrollment in this single-center, single-arm study, and all 10 participants were subsequently allocated to the rhythmic vibrotactile stimulation (RVS) intervention group (n = 10). All 10 participants successfully completed the designated 2-week intervention program without any dropouts or withdrawals. Consequently, data from all 10 allocated participants (n = 10) were included in the final statistical analysis, with no missing data or exclusions.
No serious adverse events or device-related complications associated with the application of the vibrotactile device or the gait training protocol were reported or documented during the study period.
The primary outcome measures were the spatiotemporal gait parameters derived from the 10-meter maximal gait test assessed at baseline and post-intervention, which included maximal gait speed (m/sec), cadence (steps/min), and stride length (cm). The secondary outcome measures consisted of the Symmetry Ratio (SR), calculated based on the stance phase percentage of the gait cycle using a three-dimensional motion analysis system (myoMOTION; Sakai Med Co., Ltd.), and psychological gait efficacy, evaluated using the total score of the Japanese version of the modified Gait Efficacy Scale (mGES).
Completed
| 2025 | Year | 01 | Month | 13 | Day |
| 2025 | Year | 04 | Month | 27 | Day |
| 2025 | Year | 04 | Month | 27 | Day |
| 2026 | Year | 01 | Month | 31 | Day |
| 2025 | Year | 01 | Month | 13 | Day |
| 2026 | Year | 05 | Month | 28 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000064811