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  4. Visually-guided gait training in paretic patients during the first rehabilitation phase: study protocol for a randomized controlled trial

Visually-guided gait training in paretic patients during the first rehabilitation phase: study protocol for a randomized controlled trial

Trials, 2016 · DOI: 10.1186/s13063-016-1630-8 · Published: September 23, 2016

Assistive TechnologyNeurorehabilitationRehabilitation

Simple Explanation

After a central nervous system lesion, many patients experience reduced walking capability. Gait training with augmented reality has been recommended to improve gait coordination. The GASPAR trial aims to test if a gait rehabilitation program using augmented reality is superior to a conventional treadmill training program. The intervention involves instrumented treadmills with projectors displaying shapes on the walking surface, requiring patients to adapt their gait to the unfolding image.

Study Duration
4 weeks intervention, 3 months follow-up
Participants
70–100 patients with stroke, traumatic brain injury, or spinal cord injury
Evidence Level
Randomized controlled trial

Key Findings

  • 1
    The primary outcome is walking speed, assessed via the 2-min Walk Test. Gait parameters are recorded during training sessions.
  • 2
    Secondary outcomes include balance control (Berg Balance Scale) and fear of falling (Falls Efficacy Scale).
  • 3
    The study seeks to improve walking speed, correct gait asymmetry, and exercise gait agility through the AR program.

Research Summary

The GASPAR trial is designed to assess the efficacy of visually-guided stepping (AR) during treadmill training for neurological gait disorders. The pragmatic design of the trial aims to increase the generalizability and applicability of the potential findings by including patients with stroke, SCI, and TBI. The study will provide new knowledge about recovery in neurological patients and contribute to better rehabilitation program designs.

Practical Implications

Improved Rehabilitation Programs

The study results will inform the design of enhanced rehabilitation programs for neurological patients, potentially improving recovery outcomes.

Informed Healthcare Investment

The findings will assist healthcare funders in determining the value of investing in treadmills equipped with augmented reality capabilities.

Tailored Gait Interventions

Practitioners will gain new insights for tailoring gait interventions to meet the specific needs of their patients.

Study Limitations

  • 1
    Focus on a subpopulation of neurologic patients
  • 2
    Single-center trial
  • 3
    Trial takes place in a high-income country

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