Effectiveness of an 8-week overground walking with paretic lower limb loading on spatiotemporal gait parameters and motor function among chronic stroke survivors: a study protocol for a randomised controlled trial

Abstract Background Post-stroke gait deviations contribute to significant functional disability, impaired walking ability and poor quality of life. Prior studies suggest that gait training with paretic lower limb loading may improve gait parameters and walking ability in post-stroke. However, most g...

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Main Authors: Abdulhamid U. Maje, Aminu A. Ibrahim
Format: Article
Language:English
Published: BMC 2023-02-01
Series:Trials
Subjects:
Online Access:https://doi.org/10.1186/s13063-022-07057-3
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author Abdulhamid U. Maje
Aminu A. Ibrahim
author_facet Abdulhamid U. Maje
Aminu A. Ibrahim
author_sort Abdulhamid U. Maje
collection DOAJ
description Abstract Background Post-stroke gait deviations contribute to significant functional disability, impaired walking ability and poor quality of life. Prior studies suggest that gait training with paretic lower limb loading may improve gait parameters and walking ability in post-stroke. However, most gait training methods used in these studies are not readily available, and studies using cheaper methods are limited. Objective The purpose of this study is to describe a protocol for a randomised controlled trial on the effectiveness of an 8-week overground walking with paretic lower limb loading on spatiotemporal gait parameters and motor function among chronic stroke survivors. Methods This is a two-center, single-blind, two-arm parallel randomised controlled trial. Forty-eight stroke survivors with mild to moderate disability will be recruited from two tertiary facilities and randomly assigned into two intervention arms; overground walking with paretic lower limb loading or overground walking without paretic lower limb loading in a 1:1 ratio. All interventions will be administered thrice weekly for 8 weeks. Primary outcomes will be step length and gait speed whereas the secondary outcomes will include step length symmetry ratio, stride length, stride length symmetry ratio, stride width, cadence and motor function. All outcomes will be assessed at baseline, 4, 8 and 20 weeks after the start of intervention. Discussion This will be the first randomised controlled trial to report the effects of overground walking with paretic lower limb loading on spatiotemporal gait parameters and motor function among chronic stroke survivors from low-resource setting. Trial registration ClinicalTrials.gov NCT05097391. Registered on 27 October 2021.
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spelling doaj.art-0472444a3c214fbfb5bfa091b9698c622023-03-22T12:17:22ZengBMCTrials1745-62152023-02-0124111210.1186/s13063-022-07057-3Effectiveness of an 8-week overground walking with paretic lower limb loading on spatiotemporal gait parameters and motor function among chronic stroke survivors: a study protocol for a randomised controlled trialAbdulhamid U. Maje0Aminu A. Ibrahim1Department of Physiotherapy, Muhammadu Abdullahi Wase Teaching Hospital, Hospitals Management BoardDepartment of Physiotherapy, School of Basic Medical Sciences, Skyline University NigeriaAbstract Background Post-stroke gait deviations contribute to significant functional disability, impaired walking ability and poor quality of life. Prior studies suggest that gait training with paretic lower limb loading may improve gait parameters and walking ability in post-stroke. However, most gait training methods used in these studies are not readily available, and studies using cheaper methods are limited. Objective The purpose of this study is to describe a protocol for a randomised controlled trial on the effectiveness of an 8-week overground walking with paretic lower limb loading on spatiotemporal gait parameters and motor function among chronic stroke survivors. Methods This is a two-center, single-blind, two-arm parallel randomised controlled trial. Forty-eight stroke survivors with mild to moderate disability will be recruited from two tertiary facilities and randomly assigned into two intervention arms; overground walking with paretic lower limb loading or overground walking without paretic lower limb loading in a 1:1 ratio. All interventions will be administered thrice weekly for 8 weeks. Primary outcomes will be step length and gait speed whereas the secondary outcomes will include step length symmetry ratio, stride length, stride length symmetry ratio, stride width, cadence and motor function. All outcomes will be assessed at baseline, 4, 8 and 20 weeks after the start of intervention. Discussion This will be the first randomised controlled trial to report the effects of overground walking with paretic lower limb loading on spatiotemporal gait parameters and motor function among chronic stroke survivors from low-resource setting. Trial registration ClinicalTrials.gov NCT05097391. Registered on 27 October 2021.https://doi.org/10.1186/s13063-022-07057-3Gait symmetryLower limb loadingOverground walkingRandomised controlled trialSpatiotemporal gait parametersStroke
spellingShingle Abdulhamid U. Maje
Aminu A. Ibrahim
Effectiveness of an 8-week overground walking with paretic lower limb loading on spatiotemporal gait parameters and motor function among chronic stroke survivors: a study protocol for a randomised controlled trial
Trials
Gait symmetry
Lower limb loading
Overground walking
Randomised controlled trial
Spatiotemporal gait parameters
Stroke
title Effectiveness of an 8-week overground walking with paretic lower limb loading on spatiotemporal gait parameters and motor function among chronic stroke survivors: a study protocol for a randomised controlled trial
title_full Effectiveness of an 8-week overground walking with paretic lower limb loading on spatiotemporal gait parameters and motor function among chronic stroke survivors: a study protocol for a randomised controlled trial
title_fullStr Effectiveness of an 8-week overground walking with paretic lower limb loading on spatiotemporal gait parameters and motor function among chronic stroke survivors: a study protocol for a randomised controlled trial
title_full_unstemmed Effectiveness of an 8-week overground walking with paretic lower limb loading on spatiotemporal gait parameters and motor function among chronic stroke survivors: a study protocol for a randomised controlled trial
title_short Effectiveness of an 8-week overground walking with paretic lower limb loading on spatiotemporal gait parameters and motor function among chronic stroke survivors: a study protocol for a randomised controlled trial
title_sort effectiveness of an 8 week overground walking with paretic lower limb loading on spatiotemporal gait parameters and motor function among chronic stroke survivors a study protocol for a randomised controlled trial
topic Gait symmetry
Lower limb loading
Overground walking
Randomised controlled trial
Spatiotemporal gait parameters
Stroke
url https://doi.org/10.1186/s13063-022-07057-3
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