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CompletedNCT02541578Updated Oct 9, 2019

Physiological Complexity of Gait Over the First Six Months Post Stroke

An observational study in Stroke, Acute, sponsored by University of Indianapolis. Completed at 1 site in United States. Open to participants aged 21 Years to 80 Years. Per ClinicalTrials.gov, last updated 2019-10-09.

Sponsored by University of Indianapolis · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
50
Ages
21 Years to 80 Years
Sex
All
01

Study summary

Physiological complexity of gait, a measure of the interaction of multiple control mechanisms for walking within a biological system, is decreased in persons with chronic stroke compared to those without disability. Thus, it is assumed that the quantification of gait complexity represents the adaptability and health of the individual. However, it is unknown if the level of gait-related complexity improves over time with recovery from stroke. Therefore, the primary purpose of this study is to determine if the physiological complexity of gait changes over the first six months post stroke within the contemporary healthcare environment. Secondary aims include 1) determining if there is a difference between the amount of physiological complexity of gait and lateralization of hemispheric damage after stroke and 2) exploring the relationship of complexity to lower extremity motor impairment, walking speed and balance. Sixty individuals within one month post stroke from the greater Indianapolis area will be recruited for this prospective, longitudinal outcomes study. Testing sessions will occur at intervals across the first six months post stroke: within 1 month, at 3 months, and at 6 months post stroke. During each testing session, participants will complete a 2-minute walking task during which accelerometer signals from wireless inertial measurement units will be collected and converted to sample entropy to quantify the physiological complexity of gait. Additionally, measures to quantify lower extremity motor impairment, walking speed and balance will be collected and analyzed. Changes in complexity of gait from early to later stages of stroke recovery may serve as a foundation for prognosticating outcomes, such as predicting capacity for community mobility and/or risk of fall. The proposed study will meet a critical need to develop methods that differentiate among capacities for adapting movement patterns in individuals with neurological dysfunction. This work will ultimately build upon evidence that will assist therapists in tailoring interventions in such a way to optimize function.

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Conditions studied

  • Stroke, Acute

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Keywords

  • stroke, acute; gait, complexity
03

In context

Stroke

8,255 studies on the registry are indexed under Stroke; 2,056 are open to participants now.

This study's enrollment of 50 is below the median of 152 across 1,968 observational studies indexed under Stroke.

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Lead sponsor

University of Indianapolis is the lead sponsor of 12 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
21 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

A total of 60 adults with acute stroke will be enrolled in this prospective, longitudinal cohort study.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • within 1-month post unilateral, cortical, ischemic stroke
  • has only experienced one stroke
  • between the ages of 21-80
  • able to walk a short distance (at least 14 meters) on level surfaces without physical assistance, with or without the use of an assistive device and/or orthosis
  • able to follow at least two-step verbal instructions
  • available for the entire period of the study (5-6 months)

Exclusion criteria

Exclusion Criteria:

  • hemorrhagic stroke
  • bilateral hemispheric stroke
  • stroke in the brainstem or cerebellum
  • pre-existing neurological or current musculoskeletal conditions that would limit gait ability separate from the effects of stroke
  • complications from other health conditions that could influence walking
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
50 participants (actual)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Change in physiological complexity index of gait over 6 months

    Participants will complete a 2-minute walking task on a level indoor surface using their preferred pace during which accelerometer signals from wireless inertial measurement units will be collected. This data will be used to calculate multivariate multiscale sample entropy in order to quantify the complexity index in all lower segments (thigh, shank, foot) and pelvis during gait.

    Time frame: Within 1 month, 3 months and 6 months post stroke

07

Study locations

1 site
  • University of Indianapolis, Krannert School of Physical Therapy
    Indianapolis, Indiana 46227, United States
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Aug 2015 to primary completion in Sep 2018, 37 months.

Of 835 non-industry observational studies under Stroke, half reached primary completion within 41 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 92. This study's 37 months is close to that.

Counting every sponsor, half of 897 studies reached it within 40 months; a quarter within 18 and three quarters within 85.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 2, 2015
First posted
Sep 4, 2015
StartActual
Aug 11, 2015
Primary completionActual
Sep 30, 2018
CompletionActual
Sep 30, 2018
Last update
Oct 9, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 9, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02541578
Lead sponsor
University of Indianapolis
Collaborators
Seattle University
Responsible party
Stephanie Miller (Professor, University of Indianapolis) — Principal investigator
First posted
Sep 4, 2015
Start date
Aug 11, 2015
Primary completion
Sep 30, 2018
Completion
Sep 30, 2018
Last update
Oct 9, 2019

Study contacts

Stephanie A Miller, PT, PhD, NCS
principal investigator · University of Indianapolis

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2019. You cannot join it, but the record below documents what was studied.

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