Chang Gung University
l i-Lin GC Yellow
The first objective of this study is to examine the superiority of the combined rhythmic auditory cueing with cognitive treadmill training (combined group) in people with stroke as compared with the cognitive treadmill walking training (cognitive group) or treadmill walking training alone (treadmill group) (Aim 1). The study's second aim is to investigate the factors affecting the improvement in community walking capacity after interventions and to explore whether changes in community walking capacity are associated with changes in participation after interventions (Aim 2).
Stroke
Cognitive Treadmill Walking Training with Rhythmic Auditory Cueing (CTW+RAC) group
Cognitive Treadmill Walking Training (CTW) group
Treadmill Walking Training (TW)
Not Applicable
A single-blind, randomized controlled trial is conducted at medical centers. Ninety stroke patients will be randomized to one of the three groups. All groups will receive interventions 30 minutes per time, 3 times a week, for 4 weeks. The combined group will undertake progressive treadmill walking speed while performing a cognitive task with rhythmic auditory cueing (i.e., 110% of baseline cadence). The cognitive group will receive cognitive training while walking at a progressive speed on the treadmill. The treadmill-alone group will train only in treadmill walking with progressive speed adjusted weekly. A blinded assessor will administer three assessments. All participants will be examined for gait and cognitive performance under single-task (walking only, Stroop task only) and dual-task conditions (walking while performing the Stroop task) at baseline, post-intervention, and one-month follow-up. The primary outcome measures are gait and cognition under single- and dual-task conditions. The secondary outcome measures are the 6-minute Walk Test, Mini-BESTest, Stroke Impact Scale, and Walking Ability Questionnaire.
| Study Type : | Interventional |
| Estimated Enrollment : | 90 participants |
| Masking : | Single |
| Primary Purpose : | Treatment |
| Official Title : | Effects of Rhythmic Auditory Cueing Augments Cognitive Treadmill Walking Training on Community Walking Capacity, Walking Automaticity, and Social Participation in Individuals With Chronic Stroke: a Randomized Controlled Trial |
| Actual Study Start Date : | May 2024 |
| Estimated Primary Completion Date : | July 31, 2027 |
| Estimated Study Completion Date : | July 31, 2027 |
| Arm | Intervention/treatment |
|---|---|
|
Experimental: Cognitive Treadmill Walking Training with Rhythmic Auditory Cueing (CTW+RAC) group The CTW+RAC group will undertake progressive treadmill walking speed while performing a cognitive task with rhythmic auditory cueing (i.e., 110% of baseline cadence). |
Device: Cognitive Treadmill Walking Training with Rhythmic Auditory Cueing (CTW+RAC) group |
|
Active Comparator: Cognitive Treadmill Walking Training (CTW) The CTW group will receive cognitive training while walking at a progressive speed on the treadmill. |
Device: Cognitive Treadmill Walking Training (CTW) group |
|
Active Comparator: Treadmill Walking Training (TW) The TW group will train only in treadmill walking with progressive speed adjusted weekly. |
Device: Treadmill Walking Training (TW) |
| Ages Eligible for Study: | 20 Years to 85 Years |
| Sexes Eligible for Study: | All |
| Accepts Healthy Volunteers: | No |
Want to participate in this study, select a site at your convenience, send yourself email to get contact details and prescreening steps.
Not yet recruiting
Mackay Memory Hospital
Taipei, Taiwan,