Effectiveness of Controlled-perturbation Gait Training on Gait Rehabilitation and Fear of Falling in Individuals With Gait Impairments
Gait dysfunction often occurs following stroke, neurological or musculoskeletal disease, injury and surgery. One of the consequences of such deficit is an increased risk of fall and injury. A gait training regime that incorporates controlled perturbation has been found to reduce falls in elderly population but the effectiveness of such training has yet to be studied.
The aim of this study is to evaluate the effectiveness of specific controlled dynamic perturbation training, during gait, on gait rehabilitation, fear of falling and falling with gait impaired individuals. Perturbation will be performed using a specifically designed system that provides small, controlled and unpredictable perturbations during treadmill walking.
|Cerebrovascular Disorders Peripheral Nervous System Diseases Musculoskeletal Diseases Joint Diseases||Other: perturbation training Other: balance exercises|
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
|Official Title:||The Effectiveness of Controlled-perturbation Gait Training on Gait Rehabilitation and Fear of Falling in Individuals With Gait Impairments.|
- short Falls Efficacy Scale International (FES-I) [ Time Frame: up to 6 months ]a short, easy to administer tool that measures the level of concern about falling during social and physical activities inside and outside the home whether or not the person actually does the activity
- Berg Balance Scale [ Time Frame: UP TO 6 MONTHS ]The Berg Balance Scale (BBS) was developed to measure balance among older people with impairment in balance function by assessing the performance of functional tasks
- BalanceMaster LIMITS OF STABILITY (LOS) test [ Time Frame: up to 6 months ]The LOS quantifies the maximum distance a person can intentionally displace their Center of Gravity without losing balance, stepping, or reaching for assistance.
|Study Start Date:||December 2013|
|Estimated Study Completion Date:||December 2017|
|Estimated Primary Completion Date:||December 2017 (Final data collection date for primary outcome measure)|
Experimental: perturbation training
Standard physiotherapy augmented with perturbation training (BaMPer system).
Other: perturbation training
training utilizing a system that provides small, controlled and unpredictable perturbations during treadmill walking.
Active Comparator: balance exercise
standard physiotherapy augmented with balance exercises.
Other: balance exercises
specific exercises regularly used in rehabilitation aiming to improve balance
Please refer to this study by its ClinicalTrials.gov identifier: NCT02031757
|Contact: Hadas Lemberg, PHD||97226776095||LHADAS@HADASSAH.ORG.IL|
|Hadassah Medical Organization,||Not yet recruiting|
|Contact: Arik Tzukert,, DMD 00 972 2 6776095 email@example.com|
|Contact: Hadas Lemberg,, PhD 00 972 2 6777572 firstname.lastname@example.org|
|Principal Investigator: ISABELLA SCHWARTZ, md|