Chronic Stroke Patients Clinical Trial
Official title:
a Water Training Program to Improve Balance in Chronic Stroke Patients: Cross- Sectional Pre-Post Study Design
The proposed project is a case control study design. Subject's suffer from stroke willing to
participate in the study will be shortly interviewed to assess eligibility according to the
inclusion-exclusion criteria. Subjects suffer from chronic hemiplegia that upon questioning
was judged to meet the following inclusion criteria: (a) able to stand independently 90
seconds; (b) able to walk 10 meters (with cane if necessary); (c) able to understand verbal
instructions. The exclusion criteria will be: (a) Serious visual impairment; (b) Inability
to ambulate independently (cane acceptable, walker not). (c) Severely impaired cognitive
status (score less then 24 in Mini Mental State Examination). (d) Persons with impaired
communication capabilities.
The whole project will be conducted over a period of 3 months. A total of 36 subjects will
be assigned to water based exercise program. The exercise group will meet on 24 occasions
over a period of 12 weeks (2 times/week). The subjects of the exercise group will be
recruited from Sha'ar Ha'negev Swimming pool and from patients that get a Physical Therapy
treatment Kupat Holim Clalit.
Gait and balance function will be tested in both groups with well established measuring
techniques before and after the training period. The measuring techniques 1) Medical
background variables. 2) Berg Balance Scale. 3) Late life Function and Disability
Instrument. 4) Get up and go test - stand up and walk 3 meters turn around and walk back to
the chair. 5) step execution test under single and dual task; 5) stability tests. 6) also
fall will be monitored a year after the completion of the study. The water training
intervention is performed on different levels where each level reflects different increasing
demands on the postural control system. For example, the instructor can increase the
difficulty of a certain water-exercise by instructing a participant to use less external
support, close the eyes, decrease the support area (stand on one leg or narrow the stance,
or on unstable surface). These "tools" allow the instructor to implement step exercises on a
group level that are still challenging for each individual even if the skill level in the
group varies. The water exercises also include perturbation exercises that trigger specific
reflex-like balance responses. On each level the instructor can instantly modify an exercise
to be more or less challenging for each participant.
n/a
Observational Model: Cohort, Time Perspective: Prospective
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
NCT03702517 -
Lateral Stair Walking Training After Chronic Stroke
|
N/A | |
| Recruiting |
NCT04903392 -
Effects of Backward Gait Training in Chronic Stroke Patients
|
N/A |