Tracking Balance and Walking Recovery After Stroke

ConditionStroke
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorVrije Universiteit Brussel

About this trial

This study aims to understand how balance and walking abilities recover after a stroke, using innovative tools like an interactive assessment game. By observing patients over time, the investigators seek to identify recovery patterns that can improve rehabilitation strategies tailored to individual needs.

Interacting with a game designed to assess balance and movement, participants will perform tasks involving sitting balance, standing balance, and gait initiation. The game measures aspects like reaction time, movement accuracy, and postural control, providing detailed insights into recovery progress. These data will validate prediction models to support personalized care.

The study is non-invasive, does not interfere with usual care, and prioritizes patient safety. The investigators' ultimate goal is to enhance the understanding of recovery, leading to better care and improved quality of life for stroke survivors.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adult aged ≥18 years

Diagnosis of a supratentorial ischaemic or haemorrhagic stroke

Within the first eight weeks after stroke onset at the time of inclusion

Able to understand and perform the study procedures that are feasible at a given assessment time point, based on the advice of the treating therapist(s) and/or physician(s)

Disqualifiers

Neurological or orthopaedic comorbidities unrelated to stroke that significantly impair motor function

Severe medical conditions that could compromise safety during the assessments

Major deficits in communication, memory or understanding that prevent participation in the study procedures

Insufficient comprehension of Dutch, French, German or English

Trial population

Patients in the first 6 months after stroke: Participants will be adults aged 18 years or older who have experienced a supratentorial ischaemic or haemorrhagic stroke and are included within eight weeks after stroke onset. They will be followed during the first six months after stroke.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Longitudinal prospective cohort study

    Other intervention

    Description: Patients after stroke who meet the eligibility criteria will be assessed three to five times during the first six months after stroke, depending on the timing of inclusion.

Treatment groups

100 Participants
are divided into 1 treatment group
Group A: Patients in the first 6 months after stroke1 intervention

Trial outcomes

Primary outcomes

1

Postural control

Postural control during dynamic tasks (sitting, standing, gait initiation) measured using wearable sensors (e.g., IMUs) and other biomechanical measurement systems (e.g., force plates, Kinect cameras).

Time frame
Baseline, 5, 8, 12, and 24 weeks post-stroke (or until discharge)
2

Weight distribution

Weight distribution during balance and movement tasks (standing, gait initiation) using force plates.

Time frame
Baseline, 5, 8, 12, and 24 weeks post-stroke (or until discharge)
3

Movement coordination

Movement coordination assessed during functional motor tasks (sitting, standing, gait initiation) using wearable sensors (e.g., IMUs), force plates, and Kinect camera.

Time frame
Baseline, 5, 8, 12, and 24 weeks post-stroke (or until discharge)
4

Neuromuscular activity

Neuromuscular activity evaluated during dynamic tasks (sitting, standing, gait initiation) using muscle activity measurement systems (e.g., EMG sensors).

Time frame
Baseline, 5, 8, 12, and 24 weeks post-stroke (or until discharge)

Secondary outcomes

1

Reaction time

Time from target appearance to reaching/stepping movement initiation during sitting balance, standing balance, and gait initiation tasks, measured using the interactive assessment game and Kinect camera.

Time frame
Baseline, 5, 8, 12, and 24 weeks post-stroke (or until discharge)
2

Movement time

Duration of the reaching/stepping movement from initiation to completion during sitting balance, standing balance, and gait initiation tasks, measured using the interactive assessment game and Kinect camera.

Time frame
Baseline, 5, 8, 12, and 24 weeks post-stroke (or until discharge)
3

Reaching or stepping accuracy

Number of successful target reaches during sitting and standing balance tasks, and correct leg usage during gait initiation tasks, measured using the Kinect camera and the interactive assessment game.

Time frame
Baseline, 5, 8, 12, and 24 weeks post-stroke (or until discharge)
4

Upper limb dynamics

Acceleration of upper limb movements during sitting and standing reaching tasks, measured using an IMU sensor on the wrist.

Time frame
Baseline, 5, 8, 12, and 24 weeks post-stroke (or until discharge)

Other outcomes

Locations

1

Map coordinates are unavailable for these locations. Locations are shown below instead.

Inkendaal rehabilitation hospitalRecruiting1602, Sint-Pieters-Leeuw, Brussels CapitalBelgiumBelgium

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Vrije Universiteit Brussel

Lead sponsor

Universitair Ziekenhuis Brussel

Collaborator

Revalidatieziekenhuis InkendaaI

Collaborator