Constraint Induced Movement Therapy for Walking in Individuals Post Stroke

  • STATUS
    Recruiting
  • days left to enroll
    21
  • participants needed
    36
  • sponsor
    Shirley Ryan AbilityLab
Updated on 18 May 2022
hemorrhagic stroke
movement therapy

Summary

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.

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.

Details
Condition Stroke
Treatment Treadmill training, robotic training
Clinical Study IdentifierNCT03264261
SponsorShirley Ryan AbilityLab
Last Modified on18 May 2022

Eligibility

Yes No Not Sure

Inclusion Criteria

age between 21 and 75 years
history of unilateral, supratentorial, ischemic or hemorrhagic stroke
no prior stroke
demonstration of impaired walking function (self-selected walking speed ≤ 0.80 m/s)
able to stand and walk (>10 meters) without physical assistance

Exclusion Criteria

significant cardiorespiratory/metabolic disease
other neurological or orthopedic injury that impairs locomotion
scores on the Mini Mental Status examination < 24
stroke of the brainstem or cerebellar lesions
uncontrolled hypertension (systolic > 200 mm Hg, diastolic > 110 mm Hg)
botox injection within 6 months of starting the study
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