A Novel Strategy to Decrease Fall Incidence Post-Stroke

Recruiting

Phase 1/2 Results N/A

Eligibility Criteria

Inclusion Criteria

- Berg Balance Scale < 42
- Self-selected 10 meter gait speed < 0.8 m/s
- Diagnosis of unilateral stroke
- > 2 months < 4 months post-stroke
- Able to ambulate at least 10 feet with maximum 1 person assist
- Medically stable
- 18-85 years of age
- Physician approval for patient participation

Exclusion Criteria

- Presence of neurological condition other than stroke
- Serious cardiac conditions
- hospitalization for myocardial infarction or heart surgery within 3 months
- history of congestive heart failure
- documented serious and unstable cardiac arrhythmias
- hypertrophic cardiomyopathy
- severe aortic stenosis
- angina or dyspnea at rest or during activities of daily living
- Anyone meeting New York Heart Association criteria for Class 3 or Class 4 heart disease will be excluded
- Severe arthritis or orthopedic problems that limit passive ranges of motion of lower extremity
- knee flexion contracture of -10
- knee flexion ROM < 90
- hip flexion contracture > 25
- ankle plantar flexion contracture > 15
- Severe hypertension with systolic greater than 200 mmHg and diastolic greater than 110 mmHg at rest, that cannot be medically controlled into the resting range of 180/100 mmHg
- Pain upon ambulation
- Receiving physical therapy services for mobility and/or gait
- Living in a skilled nursing facility
- Unable to ambulate at least 150 feet prior to stroke, or experienced intermittent claudication while walking less than 200 meters
- History of serious chronic obstructive pulmonary disease or oxygen independence
- Non-healing ulcers on the lower extremity
- Uncontrollable diabetes with recent weight loss, diabetic coma or frequent insulin reactions
- On renal dialysis or presence of end stage liver disease
- Pulmonary embolism within previous 6 months
- History of major head trauma
- History of sustained alcoholism or drug abuse in the last six months
- Intracranial hemorrhage related to aneurysmal rupture or an arteriovenous malformation
- Current enrollment in a clinical trial to enhance stroke motor recovery