Perturbation Training for Fall-risk Reduction Among Stroke Survivors

Recruiting

Phase N/A Results N/A

Eligibility Criteria

Inclusion Criteria

- Subjects will have to be ambulatory (with or without assistive device) with self-reported chronic (> 6 months) stroke-induced hemiparesis confirmed by participants' physician and medically cleared. Evidence of unilateral brain lesion confirmed by an imaging study (e.g. CT or MRI).
- Subjects with no other acute and significant neurological, cardiopulmonary, musculoskeletal or systemic diagnosis or have undergone a recent major surgery (<6 months) or hospitalization (<3 months) and not on any sedative drugs
- Ability to walk at least 10m with or without assistive device which includes use of ankle orthosis or functional electrical stimulation devices (which is equivalent to having a score of> 4, dependent supervision on Functional Ambulatory category scale)

Exclusion Criteria

- Severe osteoporosis (Ultrasound score < -2)
- Cognitive impairment (Mini Mental State Exam score<25)
- Aphasia (<71% on Mississippi Aphasia Screening Test)
- Severe depression ( > 15 on Geriatric Depression Scale)
- Severe obesity (BMI >35Kilogram/m2)
- Complains of shortness of breath, or uncontrolled pain (> 3/10 on VAS), or if pulse oxygen drops <92% on the 6 minute walk test (for endurance)
- Uncontrolled hypertension (resting systolic blood pressure > 165 mmHg and/or diastolic blood pressure > 110mmHg)
- Resting heart rate > 85% of age-predicted maximal heart rate
- Resting oxygen saturation <95%