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 volunteersQualifiers
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
Cohort
Prospective
Treatments tested in this trial
Longitudinal prospective cohort study
Other interventionDescription: 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
Trial outcomes
Primary outcomes
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).
Weight distribution
Weight distribution during balance and movement tasks (standing, gait initiation) using force plates.
Movement coordination
Movement coordination assessed during functional motor tasks (sitting, standing, gait initiation) using wearable sensors (e.g., IMUs), force plates, and Kinect camera.
Neuromuscular activity
Neuromuscular activity evaluated during dynamic tasks (sitting, standing, gait initiation) using muscle activity measurement systems (e.g., EMG sensors).
Secondary outcomes
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.
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.
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.
Upper limb dynamics
Acceleration of upper limb movements during sitting and standing reaching tasks, measured using an IMU sensor on the wrist.
Locations
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Sponsors and contacts
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Vrije Universiteit Brussel
Lead sponsor
Universitair Ziekenhuis Brussel
Collaborator
Revalidatieziekenhuis InkendaaI
Collaborator