edoc

How to improve walking, balance and social participation following stroke : a comparison of the long term effects of two walking aids, canes and an orthosis TheraTogs, on the recovery of gait following acute stroke : a study protocol for a multi-centre, single blind, randomised control trial

Maguire, Clare and Sieben, Judith M. and Erzer, Florian and Goepfert, Beat and Frank, Matthias and Ferber, Georg and Jehn, Melissa and Schmidt-Trucksäss, Arno and de Bie, Robert A.. (2012) How to improve walking, balance and social participation following stroke : a comparison of the long term effects of two walking aids, canes and an orthosis TheraTogs, on the recovery of gait following acute stroke : a study protocol for a multi-centre, single blind, randomised control trial. BMC neurology, Vol. 12. p. 18.

Full text not available from this repository.

Official URL: http://edoc.unibas.ch/dok/A6348604

Downloads: Statistics Overview

Abstract

Annually, some 9000 people in Switzerland suffer a first time stroke. Of these 60% are left with moderate to severe walking disability. Evidence shows that rehabilitation techniques which emphasise activity of the hemiplegic side increase ipsilesional cortical plasticity and improve functional outcomes. Canes are commonly used in gait rehabilitation although they significantly reduce hemiplegic muscle activity. We have shown that an orthosis "TheraTogs" (a corset with elasticated strapping) significantly increases hemiplegic muscle activity during gait. The aim of the present study is to investigate the long term effects on the recovery of gait, balance and social participation of gait rehabilitation with TheraTogs compared to gait rehabilitation with a cane following first time acute stroke.; Multi-centre, single blind, randomised trial with 120 patients after first stroke. When subjects have reached Functional Ambulation Category 3 they will be randomly allocated into TheraTogs or cane group. TheraTogs will be applied to support hip extensor and abductor musculature according to a standardised procedure. Cane walking held at the level of the radial styloid of the sound wrist. Subjects will walk throughout the day with only the assigned walking aid. Standard therapy treatments and usual care will remain unchanged and documented. The intervention will continue for five weeks or until patients have reached Functional Ambulation category 5. Outcome measures will be assessed the day before begin of intervention, the day after completion, 3 months, 6 months and 2 years.; Timed "up and go" test, secondary outcomes: peak surface EMG of gluteus maximus and gluteus medius, activation patterns of hemiplegic leg musculature, temporo-spatial gait parameters, hemiplegic hip kinematics in the frontal and sagittal planes, dynamic balance, daily activity measured by accelerometry, Stroke Impact Scale. Significance levels will be 5% with 95% CI's. IntentionToTreat analyses w be performed. Descriptive statistics will be presented.; This study could have significant implications for the clinical practice of gait rehabilitation after stroke, particularly the effect and appropriate use of walking aids.The results could be important for the development of clinical guidelines and for the socio-economic costs of post-stroke care.; ClinicalTrials.gov NCT01366729.
Faculties and Departments:03 Faculty of Medicine
UniBasel Contributors:Göpfert, Beat
Item Type:Article, refereed
Article Subtype:Research Article
Bibsysno:Link to catalogue
Publisher:BioMed Central
ISSN:1471-2377
Note:Publication type according to Uni Basel Research Database: Journal article
Related URLs:
Identification Number:
Last Modified:10 Apr 2015 09:12
Deposited On:10 Apr 2015 09:12

Repository Staff Only: item control page