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Visual cue training to improve walking and turning after stroke: a study protocol for a multi-centre, single blind
Kristen L Hollands1, Trudy Pelton, Andrew Wimperis
1Research Fellow School of Health Sciences, University of Salford, Allerton Building, Salford M6 6PU, UK. k.hollands@salford.ac.uk.
Trials
|September 6, 2013
Summary
This study explored visual cue gait training for stroke survivors. Results will guide future trials on improving walking recovery and stability after stroke.
Area of Science:
- Neurorehabilitation
- Movement Science
- Clinical Trials
Background:
- Stroke survivors often rely more on vision for balance and gait stability.
- Visual cues may enhance gait adaptability and recovery post-stroke.
Purpose of the Study:
- To assess the feasibility of gait training with visual cues in stroke survivors.
- To estimate recruitment rates, adherence, and treatment effects for future trials.
Main Methods:
- A 3-arm randomized feasibility trial comparing overground visual cue training (O-VCT), treadmill visual cue training (T-VCT), and usual care (UC).
- 60 participants with gait impairment post-stroke were randomized.
- Intervention delivered twice weekly for 8 weeks; outcomes assessed at baseline, 8 weeks, and 3 months.
Main Results:
- Primary outcomes focus on feasibility metrics: recruitment, retention, and resource use.
- Secondary outcomes include gait speed, step length symmetry, balance, and motor function.
- Data will inform sample size and justify a definitive efficacy trial.
Conclusions:
- Feasibility data, including participation and compliance, will determine the viability of a larger randomized controlled trial.
- This study will indicate whether a late-phase efficacy trial is warranted for visual cue gait interventions.
