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Efficacy of Split Gait in the Treatment of Dynamic Asymmetries in Subjects With Pathologic Claudication

RecruitingNAAges 18 Years - 70 YearsAllIstituto Auxologico Italiano
NCT04635436 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Walking on a split-belt treadmill (each of the two belts running at a different speed) imposes an asymmetrical gait, mimicking limping that has been observed in various pathologic conditions. This walking modality has been proposed as an experimental paradigm to investigate the flexibility of the neural control of gait and as a form of therapeutic exercise for hemi-paretic patients. However, the scarcity of dynamic investigations both for segmental aspects and for the entire body system, represented by the centre of mass, challenges the validity of the available findings on split gait. Compared with overground gait in hemiplegia, split gait entails an opposite spatial and dynamic asymmetry. The faster leg mimics the paretic limb temporally, but the unimpaired limb from the spatial and dynamic point of view. These differences suggest that a partial shift in perspective may help to clarif

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📋 Eligibility rules (as published)
Inclusion Criteria: * age between 18 and 70 years old; * ability to walk for at least 20 meters without support; * ability to wittingly sign the informed consent form; * ability to understand the instructions and to complete the motor task; * visual acuity \> 10/20 on the worse side, with optical correction; * unilateral motor impairments of one lower limb as a consequence of various pathologic conditions, such as (not exhausting list): post-stroke hemiparesis, Parkinson's disease with lateral asymmetry in the motor symptoms, multiple sclerosis with lateral asymmetry in the motor symptoms, unilateral amputation with prosthetic correction, surgical orthopedic interventions, unilateral lesions of peripheral nerves. Exclusion Criteria: * systemic neurologic pathologies; * orthopedic surgical interventions, other than those determining the inclusion criteria; * symptomatic pathologies of rachis; * other sensory or neurological pathologies with impact on balance and gait; * pregnancy.
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What it tests

  • Split-belt treadmill walking.
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Where

1 site
Istituto Auxologico Italiano
Milan, Italy
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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