Constraint Induced Movement Therapy for Walking in Individuals Post Stroke

Recruiting

Phase N/A Results N/A

Trial Description

To compare the effect of constraint induced movement therapy (CIMT) vs. treadmill training only on walking function in individuals post-stroke, a 6 week, single-blind, randomized training study will be conducted with three assessments of gait to determine the training effect. Subjects will be randomized to either the CIMT or treadmill training only groups at the initial test. Following the initial test, individuals from the 2 groups will undergo intensive locomotor training. Training will be performed 3 times per week for 6 weeks with the training time for each visit set to 45 minutes as tolerated. Data collection will proceed until 36 subjects from 2 groups have been trained.

Detailed Description

To determine the effect of constraint induced movement therapy (CIMT) on locomotor function in individuals post stroke. In order to compare the effect of CIMT vs. treadmill training only on walking function in individuals post-stroke, a 6 week, single-blind, randomized training study will be conducted with three assessments of gait to determine the training effect. Subjects will be blocked by gait speed into slow (< 0.4 m/s) or fast (≥ 0.4 m/s) subgroups and randomized to either the CIMT or treadmill training only groups at the initial test. Following the initial test, individuals from the 2 groups will undergo intensive locomotor training. Training will be performed 3 times per week for 6 weeks with the training time for each visit set to 45 minutes as tolerated, excluding set up time. Data collection will proceed until 36 subjects from 2 groups have been trained.

Conditions

Interventions

  • Treadmill Training Device
    Intervention Desc: treadmill training only, 3 times/week for 6 weeks
    ARM 1: Kind: Experimental
    Label: treadmill training
    Description: For the treadmill training only group, a physical therapist will provide manual assistance to the affected leg at the knee and/or ankle joints as necessary during treadmill training.
  • Robotic training Device
    Intervention Desc: robotic training, 3 times/week for 6 weeks
    ARM 1: Kind: Experimental
    Label: robotic training
    Description: For the robotic training group, a controlled resistance load will be applied to the unaffected leg at the ankle and an assistance load will be applied to the pelvis.

Outcomes

Type Measure Time Frame Safety Issue
Primary Change in walking speed pre, post 6 weeks training, and 8 weeks after the end of training.
Primary Change in 6-minute walking distance pre, post 6 weeks training, and 8 weeks after the end of training.
Secondary Change in Berg Balance Scale pre, post 6 weeks training, and 8 weeks after the end of training.

Sponsors