Backward-walking observation to improve walking quality after stroke
The Effect of Backward Walking Observation Training on Improving Brain Activity and Gait Quality in People With Stroke
This project tests whether watching and practicing backward walking can improve walking symmetry and steadiness for people at least six months after a stroke who can walk independently.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 50 (estimated) |
| Ages | 20 Years to 80 Years |
| Sex | All |
| Sponsor | National Yang Ming Chiao Tung University Academic / other |
| Locations | 1 site (Taipei) |
| Trial ID | NCT06850662 on ClinicalTrials.gov |
What this trial studies
The team enrolls people at least six months after stroke who can walk independently for at least 7 meters and have adequate cognition (MMSE ≥ 24). Participants receive either backward-walking observation training or a non-motor observational backward-walking control, with interventions delivered in person. The study measures immediate, short-term, and post-carryover effects on gait symmetry, gait variability, and related brain activity. All visits take place at the Department of Physical Therapy and Assistive Technology at National Yang Ming Chiao Tung University in Taipei.
Who should consider this trial
Good fit: Ideal candidates are adults at least six months post-stroke who can walk independently for at least 7 meters, score ≥24 on the MMSE, and have no unstable cardiac, neuromuscular, sensory, or musculoskeletal problems affecting walking.
Not a fit: People with recent stroke (<6 months), inability to walk backward, significant cognitive impairment, unstable cardiac conditions, uncontrolled hypertension, sensory deficits, or musculoskeletal issues affecting gait may not benefit or be eligible.
Why it matters
Potential benefit: If successful, this approach could improve gait symmetry and steadiness and may promote more balanced brain activity, helping long-term mobility after stroke.
How similar studies have performed: Previous work shows that backward walking and action observation can improve gait mechanics and motor recovery after stroke, but using backward-walking observation specifically to target gait symmetry and brain activity is relatively novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * ≥ 6 months after the diagnosis of stroke * Independent walking over at least 7m with or without a walking aid * Mini-mental state examination score ≥ 24 Exclusion Criteria: * Had difficulty in backward walking * Any neuromuscular disorders history * With visual or auditory disorders * Unstable cardiac status or uncontrolled hypertension * Any musculoskeletal disorders that would affect walking ability
Where this trial is running
Taipei
- Department of Physical Therapy and Assistive Technology, National Yang Ming Chiao Tung University — Taipei, Taiwan (Recruiting)
Study contacts
- Study coordinator: Yea-Ru Yang, PhD
- Email: yryang@nycu.edu.tw
- Phone: +886228267279
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.