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Responses to Backward Walking Training Post-Stroke

RecruitingNAAges 18 Years - 90 YearsAllVA Office of Research and Development
NCT04928482 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Approximately 15,000 Veterans are hospitalized for stroke each year with new cases costing an estimated $111 million for acute inpatient, $75 million for post-acute inpatient, and $88 million for follow-up care over 6 months post-stroke. The investigators have previously established the effectiveness of a backward walking training program to improve gait and balance in post-stroke Veterans. To best serve Veterans in this era of personalized medicine, there is a current need to determine the appropriate training dose as well as which post-stroke Veterans would most benefit. This study addresses both needs as it will 1) test responses to two different doses (18 vs. 27 sessions) of backward walking training and 2) assess brain activity, measured by magnetic resonance imaging, before and after training intervention to determine its ability to predict rehabilitation response as well as brain

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📋 Eligibility rules (as published)
Inclusion Criteria: * Berg Balance Scale \< 45 * Self-selected 10 meter gait speed \< 0.8 m/s * Diagnosis of unilateral stroke * \> 2 months \< 4 months post-stroke * Able to ambulate at least 10 feet with maximum 1 person assist * Medically stable Exclusion Criteria: * Presence of neurological condition other than stroke * Serious cardiac conditions (hospitalization for myocardial infarction or heart surgery within 3 months, history of congestive heart failure, documented serious and unstable cardiac arrhythmias, hypertrophic cardiomyopathy, severe aortic stenosis, angina or dyspnea at rest or during activities of daily living) * Anyone meeting New York Heart Association criteria for Class 3 or Class 4 heart disease will be excluded * Severe arthritis or orthopedic problems that limit passive ranges of motion of lower extremity (knee flexion contracture of -10 degrees, knee flexion ROM \< 90 degrees, hip flexion contracture \> 25 degrees, and ankle plantar flexion contracture \> 15 degrees) * Severe hypertension with systolic greater than 200 mmHg and diastolic greater than 110 mmHg at rest * Pain upon ambulation * Receiving physical therapy services for mobility and/or gait * Living in a skilled nursing facility * Any MRI contraindication, including but not limited to the presence of metal, MR sensitive implanted medical devices, or claustrophobia
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What it tests

  • Backward Walking Training
  • Backward Walking Training
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Where

2 sites
North Florida/South Georgia Veterans Health System, Gainesville, FL
Gainesville, United States
Brooks Rehabilitation
Jacksonville, United States
🤝 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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