Advanced Technology-based Rehabilitation Post-stroke Gait Re-learning

Launched by NATIONAL INSTITUTE FOR MEDICAL REHABILITATION, HUNGARY · Jul 9, 2024

Keywords

ClinConnect Summary

The main objective of this research is to investigate the effectiveness of rehabilitation programmes in post-stroke rehabilitation using advanced technology-based therapy to assist in relearning walking. This will be measured in two variations: the patient will be randomly assigned (in addition to a complex rehabilitation programme of traditional physiotherapy, occupational therapy, hydrotherapy, etc.) to receive either treadmill treatment or no treadmill treatment. In both cases, the therapies are carried out using advanced technological equipment.

The investigators will enrol 80 people i...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Hemiparetic patient who has had a stroke;
• • ischaemic or haemorrhagic stroke confirmed by CT or MRI;
• • female or male between 40 and 75 years of age;
• • subgroup 1: less than 3 months since stroke,
• • subgroup 2: more than 3 months but less than 1 year since stroke;
• • physical fitness adequate for the exertion of the treatment;
• • right or left lower limb involvement;
• • score 3 on the Functional Ambulation Categories (FAC) scale, i.e. Indicates a patient who can ambulate on a level surface without manual contact of another person but requires standby guarding of one person either for safety or verbal cueing;
• • or score 4 on the Functional Ambulation Categories (FAC) scale, i.e. Indicates a patient who can ambulate independently on a level surface but requires supervision to negotiate (e.g. stairs, inclines, non-flat surfaces);
• • be able to participate in therapy and cooperate based on cognitive function;
• • signed informed consent.
• Exclusion Criteria:
• • More than 1 year has passed since the stroke;
• • scores less than or equal to 3 on the Functional Ambulation Categories (FAC) scale;
• • patients who were unable to walk independently before the stroke;
• • patients treated with botulinum toxin in the lower limb in the last 3 months;
• • use of other lower limb advanced technology treatments during the study;
• • a person with limited capacity;
• • not physically able to bear weight;
• • severe aphasia (impairment of understanding or expression that severely impedes communication);
• * other condition that precludes the use of C-Mill or Andago:
• • severe emotional disturbance;
• • mentally incapacitated patient;
• • severe contracture or spasticity preventing the patient from being placed in the machine;
• • pregnancy;
• • skin disease in the area of contact with the straps;
• • fever;
• • unhealed fracture fracture;
• • inability to use the device due to weight and height limitations of the device;
• • epilepsy if you have had a seizure within a year;
• • severe visual impairment.