The aim of this study is to compare the effects of body weight-supported gait training that includes virtual reality-assisted dual-task applications with body weight-supported forward and backward gait training on functional capacity, gait parameters (such as step length, gait speed, and balance), cognitive functions and psychological status in patients with stroke. The findings of this study are expected to contribute to the development of more effective rehabilitation strategies for improving mobility in patients with stroke
Patients experiencing their first-ever stroke
Patients with a post-stroke duration of more than 2 weeks
Patients with plantar flexor muscle spasticity of the lower extremity less than grade 3 according to the Modified Ashworth Scale (MAS)
Patients with a Brunnstrom stage of the lower extremity greater than 2
Patients with bilateral hemispheric lesions
Patients with severe cardiovascular or musculoskeletal conditions that prevent walking (e.g., fixed ankle contracture)
Patients using a permanent urinary catheter, or those with pressure ulcers or urinary and/or fecal incontinence
Patients with unilateral neglect
Parallel
Virtual Reality-Assisted Gait Training
Other interventionBody weight-supported virtual reality-assisted forward gait training with 30% body weight support, applied five days per week for six weeks.
Backward Gait Training
Other interventionBody weight-supported backward gait training with 30% body weight support, applied five days per week for six weeks.
Forward Gait Training
Other interventionBody weight-supported forward gait training with 30% body weight support, applied five days per week for six weeks.
10-Meter Walk Test
A measure used to assess patients' ambulation. During the test, the patient walks at a comfortable walking speed between two markers placed 10 meters apart, and the time required to complete the distance is recorded.
6-Minute Walk Test (6MWT)
A submaximal exercise test commonly used to assess functional capacity and response to treatment. During the test, participants are instructed to walk as far as possible within six minutes. The total distance walked is recorded as an indicator of cardiopulmonary capacity and exercise tolerance.
Fugl-Meyer Assessment - Lower Extremity Motor Subscale
A standardized assessment used to evaluate sensorimotor impairment in individuals with stroke. The lower extremity motor subscale measures motor recovery and functional movement of the lower limb following stroke.
Functional Independence Measure (FIM)
A widely used assessment tool for evaluating functional abilities in individuals undergoing rehabilitation. The scale assesses both motor and cognitive domains, including self-care, sphincter control, transfers, mobility, communication, and social interaction.
Berg Balance Scale (BBS)
A widely used clinical test for assessing static and dynamic balance abilities. The test consists of a series of functional balance tasks, each scored on a scale from 0 (unable) to 4 (independent), with the total score representing overall balance performance.
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