UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000056854
Receipt number R000064988
Scientific Title Comparative Observational Study of Different Complex Walking Tasks in Patients with Subacute Stroke
Date of disclosure of the study information 2025/03/01
Last modified on 2026/05/08 11:58:48

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Comparative Observational Study of Different Complex Walking Tasks in Patients with Subacute Stroke

Acronym

Comparative Observational Study of Different Complex Walking Tasks in Patients with Subacute Stroke

Scientific Title

Comparative Observational Study of Different Complex Walking Tasks in Patients with Subacute Stroke

Scientific Title:Acronym

Comparative Observational Study of Different Complex Walking Tasks in Patients with Subacute Stroke

Region

Japan


Condition

Condition

Stroke

Classification by specialty

Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

By comparing complex gait tasks with an additional visuospatial task and those incorporating a visuospatial task in subacute stroke patients, this study aims to explore patient characteristics that are more responsive to each task. Additionally, it seeks to determine which approach is more optimal for predicting fall risk during hospitalization.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Dual Task Effect
Number of falls
Incidence of falls

Key secondary outcomes

Age
Sex
Years of Education
Body Mass Index
Past Medical history:diabetes, heart disease)
Types of Walking Aids
Presence or Absence of Aphasia
Lesion Location, Type, and Number of Brain Injuries
Days Since Onset
Fugl-Meyer Assessment
Mini-Balance Evaluation Systems Test
Stroke Impairment Assessment Set-Sensory Function
10-Meter Walk Test(Maximum Effort, Walking Speed, and Step Count)
3m Timed Up and Go test
Trail Making Test A & B
Catherine Bergego Scale
Mini-Mental State Examination
Functional Independence Measure
Falls Efficacy Scale-International
Acceleration and Angular Velocity During Walking
Visual Analog Scale
Temporal Experience Tracing


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

(1)Individuals with Functional Ambulation Category score of 4 or higher(use of a cane or lower-limb orthosis is permitted).
(2)Individuals capable of independently walking at least 90 meters continuously .
(3)Individuals engaged in dual-task walking or walking training with an additional or incorporated cognitive task

Key exclusion criteria

(1)Individuals with severe higher brain dysfunction, cognitive impairment, or visual impairment that prevents them from understanding or completing the experimental tasks.
(2)Individuals experiencing pain that interferes with walking.
(3)Individuals who cannot walk without using walking aids other than a cane or lower-limb orthosis (e.g., a walker or rollator).

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Tatsuya
Middle name
Last name Wada

Organization

Aijinkai Rehabilitation Hospital

Division name

Rehabilitation Technology Division

Zip code

569-1116

Address

5-7, Hakubai-Cho, Takatsuki-Shi, Osaka

TEL

072-683-1212

Email

wada.tatsuya.x1@aijinkai-group.com


Public contact

Name of contact person

1st name Tatsuya
Middle name
Last name Wada

Organization

Aijinkai Rehabilitation Hospital

Division name

Rehabilitation Technology Division

Zip code

569-1116

Address

5-7, Hakubai-Cho, Takatsuki-Shi, Osaka

TEL

072-683-1212

Homepage URL


Email

wada.tatsuya.x1@aijinkai-group.com


Sponsor or person

Institute

Aijinkai Rehabilitation Hospital

Institute

Department

Personal name

Tatsuya Wada


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

Aijinkai Rehabilitation Hospital

Address

5-7, Hakubai-Cho, Takatsuki-Shi, Osaka

Tel

072-683-1212

Email

wada.tatsuya.x1@aijinkai-group.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 03 Month 01 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

2025 Year 01 Month 29 Day

Date of IRB

2025 Year 05 Month 02 Day

Anticipated trial start date

2025 Year 05 Month 11 Day

Last follow-up date

2028 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

(1) Study design
An internal-pilot, sequential Bayes-factor design will be employed. Feasibility (completion rate, data-capture success, adverse events) will be assessed after the first 5 participants; if no protocol amendment is required, the main study proceeds. The first Bayesian analysis will be carried out at n = 25. Data collection will stop when BF10 >= 10 (supporting the alternative) or BF10 <= 0.1 (supporting the null). When BF10 is between 0.1 and 10, additional cohorts of 20 participants will be enrolled until either boundary is reached or the cap of 100 participants is met.
(2) Target sample size and rationale
G*Power 3.1 (alpha = 0.05; power = 0.80; assumed fall rate = 20%) indicated that 25, 70, and 308 participants are required in logistic regression to detect odds ratios (OR) of 5.0, 2.5, and 1.5, respectively. The study therefore begins with 25 participants and sets an upper limit of 100 to provide sufficient power to detect a moderate effect (OR about 2.5) while minimizing unnecessary enrollment.
(3) Statistical analyses
(3-1) To identify patient characteristics associated with greater responsiveness to each walking task, Dual-Task Cost (DTC) will be modeled as the dependent variable in Bayesian hierarchical models and decision-tree analysis with secondary outcomes such as gait speed as predictors.
(3-2) In-hospital fall occurrence and count will be the dependent variables. Bayesian logistic or Poisson regression with DTC from each walking task as independent variables will evaluate their association with falls.
(4) Software
Analyses will be performed with R (v 4.3.1), JASP (v 0.19.3), and Python (Jupyter Notebook).


Management information

Registered date

2025 Year 01 Month 29 Day

Last modified on

2026 Year 05 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000064988