Tests visual feedback leg training against standard exercise after stroke

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for adults with a first stroke and weakness on one side of the body who can walk. It compares two kinds of walking training.

Age

18 to 75 years

Sex

All sexes can join.

Disease stage

First stroke confirmed by head CT or MRI, with weakness on one side, disease course of 6 months or less and stable condition. Lower limb Brunnstrom stage 3-5, quadriceps strength grade 3 or more, modified Ashworth scale below grade 2, Hoffer walking scale grade 2 or more.

Main reasons for not taking part

• Tumors, tuberculosis, blood diseases, or heart or liver function problems
• Lower limb bone or joint problems, such as knee arthritis or leg fractures
• Severe abnormal muscle tone or joint contracture deformities
• Severe pain that prevents physical activity
• Mental illness, breastfeeding or pregnancy

The registry criteria, word for word

Check if you might fit

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

• Are you between 18 and 75 years old?YesNo

What the trial wants to find out

The objective of this clinical trial is to investigate whether intelligent visual feedback-based lower limb motor control training is more effective than conventional rehabilitation training in promoting walking ability recovery among stroke patients with hemiplegia. The trial aims to address the primary question of the impact of intelligent visual feedback motor control training on the walking function of stroke patients with hemiplegia, and uses three-dimensional gait analysis for precise quantitative evaluation of therapeutic effects. Functional near-infrared spectroscopy (fNIRS) will be employed to explore patients' cerebral functional connectivity and cortical activation, and to analyze the correlation between fNIRS data and walking function scores (such as those from three-dimensional gait analysis), providing effective methods and a reliable reference basis for rehabilitation training of post-stroke hemiplegic patients.

The 2 groups in the trial

• Intelligent Visual Feedback Motor Control TrainingTreatment being tested

  Patients receive motor control training using the Intelligent Visual Feedback Motor Control Training System (Monitored Rehab Systems B.V., 2031 CW Haarlem, The Netherlands), with the Monitored Rehab Systems-Functional Squat selected for training. The patient is in a supine position, with both feet fixed at the correct position on the pushing training board. The relative position of the patient is displayed on the computer screen. The system uses the height, length, and size of images to represent the degree of joint flexion/extension and the duration of muscle contraction, while the speed of moving images reflects the speed of joint movement and muscle contraction during exercise. Patients complete various simulated actions through interactive video games. The load of exercise training can be adjusted according to the patient's functional status and tolerance. The training is conducted once a day, 20 minutes each time, 5 times a week, for a total of 4 weeks.

• Bobath Ball TrainingExisting treatment, for comparison

  Bobath Ball Training Specific operations include: ① In the supine position, the heel controls the ball to move back and forth; ② In the supine position, both feet step on the ball to perform stepping movements, etc. The training is conducted 1 session daily, 20 minutes per session, 5 days per week, for a total of 4 weeks.