UMIN-CTR Clinical Trial

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

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Basic information

Public 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

Acronym

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

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

Scientific Title:Acronym

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

Region

Japan


Condition

Condition

Cerebrovascular Disease

Classification by specialty

Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

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.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Walking speed(pre and post intervention)

Key secondary outcomes

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)


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

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.

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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

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)

Key exclusion criteria

Patients with cognitive impairment (Mini-Mental State Examination score below 24)
Patients with higher brain dysfunction
Patients with difficulty perceiving vibrotactile stimulation

Target sample size

10


Research contact person

Name of lead principal investigator

1st name Kota
Middle name
Last name Nakamura

Organization

Sonodakai Neuro Rehabilitation Hospital

Division name

Department of Rehabilitation

Zip code

120-0012

Address

Aoi 1-10-10 Adachi-ku, Tokyo

TEL

03-5845-0126

Email

ko.ta1994.01.27@gmail.com


Public contact

Name of contact person

1st name Kota
Middle name
Last name Nakamura

Organization

Sonodakai Neuro Rehabilitation Hospital

Division name

Department of Rehabilitation

Zip code

120-0012

Address

Aoi 1-10-10 Adachi-ku, Tokyo

TEL

03-5845-0126

Homepage URL


Email

ko.ta1994.01.27@gmail.com


Sponsor or person

Institute

Sonodakai Neuro Rehabilitation Hospital

Institute

Department

Personal name

Nakamura Kota


Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Sonodakai Neuro Rehabilitation Hospital

Address

Aoi 1-10-10 Adachi-ku, Tokyo

Tel

03-5845-0126

Email

ko.ta1994.01.27@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

2025 Year 01 Month 13 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

10

Results

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.

Results date posted

2026 Year 05 Month 28 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

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.

Participant flow

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.

Adverse events

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.

Outcome measures

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).

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2025 Year 01 Month 13 Day

Date of IRB

2025 Year 04 Month 27 Day

Anticipated trial start date

2025 Year 04 Month 27 Day

Last follow-up date

2026 Year 01 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

2025 Year 01 Month 13 Day

Last modified on

2026 Year 05 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000064811