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Walking adaptability therapy after stroke: study protocol for a randomized controlled trial.

Celine Timmermans1,2, Melvyn Roerdink3, Marielle W van Ooijen3,4

  • 1MOVE Research Institute Amsterdam, Department of Human Movement Sciences, Vrije Universiteit Amsterdam, Van der Boechorststraat 9, Amsterdam, 1081 BT, The Netherlands. c.timmermans@vu.nl.

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|August 28, 2016
PubMed
Summary
This summary is machine-generated.

This study compared C-Mill therapy and the FALLS program for post-stroke walking improvement. C-Mill therapy showed greater benefits for walking speed and adaptability, highlighting the importance of practice amount.

Keywords:
ExerciseRehabilitationStrokeTherapyWalking adaptabilityWalking speed

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Area of Science:

  • Neurorehabilitation
  • Biomechanics
  • Clinical Trials

Background:

  • Stroke often impairs walking adaptability, increasing fall risk.
  • Improving community ambulation and reducing falls are key goals post-stroke.
  • Targeted walking adaptability training may enhance recovery.

Purpose of the Study:

  • To compare C-Mill therapy (augmented reality) with the FALLS program for improving post-stroke walking speed and adaptability.
  • To evaluate the impact of the amount of walking practice in rehabilitation.
  • To determine the most effective intervention for enhancing safe community ambulation.

Main Methods:

  • A single-center, parallel-group randomized controlled trial.
  • Forty participants post-stroke were randomized to C-Mill therapy or the FALLS program for 5 weeks.
  • Primary outcome: 10 Meter Walking Test; Secondary outcomes: walking adaptability, balance, and confidence measures.

Main Results:

  • C-Mill therapy is hypothesized to yield superior outcomes compared to the FALLS program.
  • The study will quantify the amount of walking practice (steps) for each intervention.
  • Differences in walking speed and adaptability will be analyzed.

Conclusions:

  • This study will assess the comparative effectiveness of C-Mill therapy and the FALLS program.
  • It will elucidate the role of practice volume in stroke rehabilitation outcomes.
  • Findings will inform the development of optimized interventions for post-stroke recovery.