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Comparing Neuroplasticity Changes Between High and Low Frequency Gait Training in Subacute Stroke: Protocol for a

Fatimah Ahmedy1, Natiara Mohamad Hashim2, Herwansyah Lago3

  • 1Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia.

JMIR Research Protocols
|January 28, 2022
PubMed
Summary

Higher frequency stroke rehabilitation may enhance neuroplasticity. This study investigates electroencephalogram (EEG) signal changes and functional outcomes, hypothesizing greater improvements with more frequent therapy.

Keywords:
electroencephalogram signalsgait trainingneuroplasticitystroke rehabilitation

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Biomedical Engineering

Background:

  • Stroke recovery is often slow and incomplete, necessitating effective rehabilitation strategies.
  • Assessing neuroplasticity changes is crucial for determining optimal stroke rehabilitation frequency.
  • Electroencephalogram (EEG) signals offer a method to measure neuroplasticity through incremental changes post-rehabilitation.

Purpose of the Study:

  • To identify changes in EEG neurobiological signals during gait rehabilitation for subacute stroke.
  • To associate these EEG changes with functional outcome measures.
  • To compare the associations between EEG signals and functional outcomes across different therapy frequencies.

Main Methods:

  • A randomized, single-blinded, controlled study involving two groups: high-frequency (3x/week) and low-frequency (1x/week) intervention.
  • 12 weeks of 1-hour sessions including strengthening, balance, and gait training.
  • Assessment of 6-Minute Walk Test (6MWT), Motor Assessment Scale (MAS), Berg Balance Scale (BBS), Modified Barthel Index (MBI), and quantitative EEG indices (DAR, DTABR) pre- and post-intervention.

Main Results:

  • Recruitment of 18 participants is complete.
  • Analysis will focus on changes in functional and EEG measures between pre- and post-intervention.
  • Associations between EEG changes (DAR, DTABR) and functional outcomes (6MWT, MAS, BBS, MBI) will be examined.

Conclusions:

  • Positive associations between EEG changes and functional outcomes are expected in both groups.
  • A higher correlation is anticipated in the high-frequency intervention group, indicating enhanced neuroplasticity.
  • The study aims to provide an objective evaluation of the dose-response relationship in stroke rehabilitation frequency.