The primary purposes of the this three-year research proposal are to investigate the influence of assistive device use on dynamic balance and the associated attentional demands during standing and walking in patients with stroke

Condition	Intervention
Stroke	Device: Standard cane

Further Study Details: 

Primary Outcomes: To investigate the voice reaction time and response accuracy while simultaneously performing the dual task with or without using assistive devices for healthy adults and stroke patients
Secondary Outcomes: To investigate the related gait parameters(ex. walking speed, stride length, gait cycle time, and foot pressure etc.)while simultaneously performing the dual task with or without using assistive devices for healthy adults and stroke patients
Expected Total Enrollment:  40

Research has shown the effectiveness of using ambulatory assistive devices to increase standing stability of patients with stroke in clinical practice (Maeda et al., 2001). However, literature has also suggested that manipulation of ambulatory assistive devices in dynamic motor tasks, such as walking, inevitably requires additional attention, even in healthy adults (Wright & Kemp, 1992). Given that the majority of patients with stroke suffer from balance control difficulty, which subsequently increases their attentional demands associated with maintaining balance (Brown et al., 2002), it remains an important question as to whether the use of ambulatory assistive devices would take away some attentional resources that would otherwise be used for maintaining balance.

Ages Eligible for Study:  50 Years   -   75 Years,  Genders Eligible for Study:  Both

Accepts Healthy Volunteers

Criteria

Inclusion Criteria:

Healthy adults

• between 50 and 75 years old
• having no neuromuscular or musculoskeletal disorders that would jeopardize their balance control abilities
• being willing to sign an informed consent approved by the Human Subjects Committee of the National Taiwan University Hospital

Stroke patients

• between 50 and 75 years old
• hemiplegic or hemiparetic as a result of a single cerebral vascular accident
• medically stable with no ongoing complications
• independently walking without using any assistive device for at least 10 meters, and have the exercise endurance for at least 30 minutes
• having no serious hemianopsia, hemi-inattention or any obvious cognitive problems as evaluated with the Mini-Mental State examination
• being willing to sign an informed consent approved by the Human Subjects Committee of the National Taiwan University Hospital

Exclusion Criteria:

• unable to follow the order of the experimentors, and having serious comprehension and expression impairment

Please refer to this study by ClinicalTrials.gov identifier  NCT00173719

Pei-Fang Tang, PhD      +886-2-2312-3456  Ext. 7557    pftang@ntu.edu.tw
Ming-Hsia Hu, PhD      +886-2-2312-3456  Ext. 7320    mhh@ntu.edu.tw

Taiwan
      School and Graduate Institute of Physical Therapy College of Medicine, National Taiwan University, Taipei,  100,  Taiwan

Study chairs or principal investigators

Pei-Fang Tang, PhD,  Principal Investigator,  National Taiwan University Hospital   

Study ID Numbers:  9100002423
Last Updated:  September 14, 2005
Record first received:  September 12, 2005
ClinicalTrials.gov Identifier:  NCT00173719
Health Authority: Taiwan: Department of Health
ClinicalTrials.gov processed this record on 2005-09-20