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The Use of Brace to Retrain Hemiparetic Gait

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ClinicalTrials.gov Identifier: NCT02082938
Recruitment Status : Completed
First Posted : March 10, 2014
Last Update Posted : March 10, 2014
Sponsor:
Information provided by (Responsible Party):
Éder Kröeff Cardoso, Federal University of Health Science of Porto Alegre

Brief Summary:
The purpose of this study is to verify if the incorporation of a new brace, which assists in gait rehabilitation, can contribute to the rehabilitation process for stroke patients.

Condition or disease Intervention/treatment Phase
Stroke Nos Without Residual Deficits Device: Bracing Not Applicable

Detailed Description:

Objective To compare the behavior of plantar pressure peak distribution, before and after training using a brace for gait rehabilitation.

Method The brace was developed with the aim of promoting better biomechanical alignment, as well as providing proprioceptive information in order to stimulate action in the knee's flexor muscle groups, thus facilitating the activation pattern contrary to what occurs during genu recurvatum. We conducted a quasi-experimental "before and after" study with twelve hemiparetic adult patients who had genu recurvatum in the gait. The plantar pressure peaks were compared at the various moments of the study.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 12 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: Single (Participant)
Primary Purpose: Treatment
Official Title: The Use of a Brace to Retrain Hemiparetic Gait in Patients With Genu Recurvatum: Effects on Plantar Pressure Distribution
Study Start Date : March 2012
Actual Primary Completion Date : April 2012
Actual Study Completion Date : January 2014

Arm Intervention/treatment
Experimental: Bracing
Bracing: the patients began four weeks of training the gait with the brace, under the guidance and observation of the physiotherapist belonging to the group of authors of this study.
Device: Bracing
Twice a week, for a period of 5 weeks, before the sessions in the physiotherapy clinic the patients participating in the study were asked to walk at a self-selected speed on flat ground along a corridor 50 meters long, with the brace being used for fifteen minutes of gait retraining of the affected side.




Primary Outcome Measures :
  1. distribution of plantar pressures during walking [ Time Frame: 4 weeks ]

    To evaluate the distribution of plantar pressures during walking, for individuals with hemiparesis, before and after training with a brace for gait retraining and control of genu recurvatum.

    To observe the gait evolution of 12 patientes after the trainnig with a orthotic device.




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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • the presence of hemiparesis after the stroke, with an evolution time of between 6 and 24 months, the ability to walk without using assistive aids, and the presence of genu recurvatum during the mid-stance in the gait.

Exclusion Criteria:

  • conditions that would preclude evaluation and training with the brace; for example, the presence of contractures or fixed deformities in the lower limbs, and moderate to severe impairments related to cognition, perception, attention, or language

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02082938


Sponsors and Collaborators
Federal University of Health Science of Porto Alegre
Investigators
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Principal Investigator: Éder K Cardoso, Master Federal University of Health Science of Porto Alegre
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Responsible Party: Éder Kröeff Cardoso, PT Éder Kröeff Cardoso Master Degree, Federal University of Health Science of Porto Alegre
ClinicalTrials.gov Identifier: NCT02082938    
Other Study ID Numbers: Eder01
First Posted: March 10, 2014    Key Record Dates
Last Update Posted: March 10, 2014
Last Verified: March 2012
Keywords provided by Éder Kröeff Cardoso, Federal University of Health Science of Porto Alegre:
stroke,
rehabilitation,
hemiparesis,
gait training
Additional relevant MeSH terms:
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Stroke
Cerebrovascular Disorders
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Vascular Diseases
Cardiovascular Diseases