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Measuring the Energy Cost of Walking in People After Stroke

Tests a new walking-effort measure in people with long-term stroke walking problems.

Plain-language title generated from the registry record
Registry title: Measurement Properties of Mechanical Cost of Walking for Individuals With Walking Impairment

Key facts

Where
Cincinnati, United StatesSee the site

Could this be for you?

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

  • Are you between 30 and 80 years old?

Source: NCT07494890, who can take part

Where in United States

  • University of Cincinnati - Digital FuturesCincinnati, United StatesTaking people

Questions to ask the study team

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  2. Are travel costs paid?
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  4. What happens if I want to stop?
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Trial details

Who runs it
University of Cincinnati
Trial code
NCT07494890
Record updated
6 July 2026
Original description
Walking impairment following neurologic injury can increase the energy cost of walking threefold, acting as a functional barrier to independence. The goal of this cross-sectional study is to determine the measurement properties of a novel biomechanical cost of walking measure in chronic stroke capable of pinpointing the origins of movement inefficiencies. This research aims to:Read full original descriptionShow less

Measurement Properties of Mechanical Cost of Walking for Individuals With Walking Impairment

Walking impairment following neurologic injury can increase the energy cost of walking threefold, acting as a functional barrier to independence. The goal of this cross-sectional study is to determine the measurement properties of a novel biomechanical cost of walking measure in chronic stroke capable of pinpointing the origins of movement inefficiencies. This research aims to:

1. determine the convergent validity of biomechanical cost of walking with functional measures in relation to metabolic cost of walking, 2. determine the reliability of biomechanical cost of walking in relation to metabolic cost of walking, 3. determine the responsiveness of biomechanical cost of walking in relation to metabolic cost of walking.

Individuals with walking impairment from stroke will complete three 5-minute comfortable speed treadmill walking trials. The 3rd walking trial will be against resistance to increase cost of walking. This single session study will compare the metric properties of biomechanical cost of walking in relation to metabolic cost of walking.

Inclusion: Age 30-80 years at the time of consent; Hemiparesis from ischemic and/or hemorrhagic strokes; Most recent stroke for which participant sought treatment, at least 3 months prior to study consent; Walking speed <1.0 m/s on the 10-meter walk test; Able to walk 10m over ground with assistive devices as needed; Able to walk at least 5 minutes continuously on the treadmill ≥ 0.1 mile per hour; No contraindications to exercise according to ACSM guidelines; Able to communicate with investigators, follow a 2-step command and correctly answer consent comprehension questions.

Exclusion: Hospitalization for cardiac or pulmonary disease within past 3 months; Clinically significant neurologic disorder other than stroke; Other significant medical condition likely to jeopardize safety (e.g. joint contracture, gait limited by pain); Implanted pacemaker or defibrillator; Severe lower limb hypertonia (Ashworth >2); Foot drop or lower limb joint instability without adequate stabilizing device; Pregnancy.

ClinicalTrials.gov NCT07494890