Stroke Clinical Trial
Official title:
Biomechanical Gait Analysis in Patients Post-Stroke
Randomized trial of patients with cerebrovascular accident (CVA) receiving traditional and body weight supported (BWS) gait training. Participants are enrolled and randomized upon entry into acute care and gait is evaluated within 48 hours of discharge from the rehabilitation hospital. Gait analysis is used to determine which of the two groups achieved gait parameters most similar to the normal gait of an age-matched population.
Potential participants are identified upon admission to acute care post cerebrovascular
accident (CVA) and screened for inclusion. Informed consent is obtained from the patient
and/or designee. Demographic information is obtained from the medical record, the patient
and/or designee by the clinical coordinator. The participant is randomized into traditional
gait training group or body weight support (BWS) group. The participant receives the required
amount of physical therapy as directed by clinicians at the acute care facility and
accrediting agencies.
The traditional gait training group will receive gait training as presently performed without
additional modalities. The BWS group will received BWS gait training in lieu of traditional
gait training. Participants will be treated in in-patient rehabilitation for a duration as
determined by the clinical team; thus, the overall duration of care may be variable between
participants. Time spent in gait training activities for both groups will be tracked by both
service unit and by time (minutes).
Within 48 hours of discharge from the acute care facility, the participant will be
transported to a separate site for kinematic gait analysis using a marker based motion
capture system.
The procedure for gait analysis is as follows:
1. Investigators will place reflective markers on the following areas using non-latex
adhesive tape: top of the shoulders, bony part of the pelvis on the front and back,
hips, front of the thighs, outside of the knees, front of the shins, outside of the
ankles, first and fifth toes, and back of each heel.
2. The participant will walk across the room in the gait analysis lab no more than 20 times
at his/her choice of pace while the camera system records gait parameters and
kinematics. He/she will be allowed to rest as needed during the data collection.
3. The reflective markers and adhesive tape will be removed and the participant thanked for
his/her participation.
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