The aim of this study is to compare the effects of body weight-supported gait training that includes virtual reality-assisted dual-task applications with body weight-supported forward and backward gait training on functional capacity, gait parameters (such as step length, gait speed, and balance), cognitive functions and psychological status in patients with stroke. The findings of this study are expected to contribute to the development of more effective rehabilitation strategies for improving mobility in patients with stroke
Who can participate
Age range45 Years – 75 Years
SexALL
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Inclusion Criteria:
* Patients experiencing their first-ever stroke
* Patients with a post-stroke duration of more than 2 weeks
* Patients with plantar flexor muscle spasticity of the lower extremity less than grade 3 according to the Modified Ashworth Scale (MAS)
* Patients with a Brunnstrom stage of the lower extremity greater than 2
* Patients who are able to stand independently or under supervision for at least 2 minutes for standing assessments
* Patients who are able to walk at least 10 meters independently or under supervision, with or without an assistive device, for walking assessments
* Patients with sufficient cognitive function to understand study instructions (Mini-Mental State Examination \[MMSE\] score \> 23)
* Patients with stable medical and psychological conditions
* Patients who are willing to participate in the study
Exclusion Criteria:
* Patients with bilateral hemispheric lesions
* Patients with severe cardiovascular or musculoskeletal conditions that prevent walking (e.g., fixed ankle contracture)
* Patients using a permanent urinary catheter, or those with pressure ulcers or urinary and/or fecal incontinence
* Patients with unilateral neglect
* Patients with neurological conditions other than stroke that may affect balance performance (e.g., Parkinson's disease, epilepsy, meningitis, cerebellar disorders, vertigo, dizziness, polyneuropathy) or musculoskeletal disorders (e.g., severe low back pain, knee disorders)
* Patients with severe visual, heari…
What they're measuring
1
10-Meter Walk Test
Timeframe: At baseline and after 6 weeks of intervention.
Trial details
NCT IDNCT07550270
SponsorGaziler Physical Medicine and Rehabilitation Education and Research Hospital