Rhythmic Auditory Stimulation as Pre-Gait Training for Improving Balance and Weight Shifting in Rehabilitation Patients
Rhythmic Auditory Stimulation as Pre-Gait Training for Improving Balance and Weight Shifting in Rehabilitation Patients: A Feasibility Randomized Controlled Trial
University of Malaya
30 participants
May 1, 2025
INTERVENTIONAL
Conditions
Summary
The purpose of this study is to explore whether Rhythmic Auditory Stimulation (RAS) as pre-gait training can help improve balance, weight-shifting abilities, and overall gait performance in stroke patients undergoing rehabilitation. This is a feasibility study, designed to evaluate the practicality of incorporating RAS into stroke rehabilitation programs. It aims to assess how well patients can participate in and adhere to this intervention, as well as how seamlessly it integrates with standard physiotherapy treatments typically provided to stroke patients. By examining these factors, the investigators aim to identify the resources, staff training, and planning required to implement RAS as a regular component of stroke rehabilitation in the future. The study will also help estimate the effects of RAS on balance and gait outcomes, providing preliminary data to design a larger, more comprehensive study in the future.
Eligibility
Inclusion Criteria4
- Diagnosed with gait impairments
- Referred to physiotherapy for rehabilitation
- Ability to provide informed consent
- Understands Bahasa Melayu or English with basic communication abilities to follow instructions during therapy sessions
Exclusion Criteria5
- Severe cognitive impairments
- Severe auditory impairments
- Severe or unstable medical conditions (e.g., uncontrolled hypertension or diabetes).
- Medications that significantly impair cognition or motor function (e.g., high-dose sedatives).
- History of neurological diseases other than stroke (eg, Parkinson's disease).
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Interventions
Patient will receive a 15-minute RAS session immediately before patient standard physiotherapy session. The RAS session will consist of metronome beats matched to your walking cadence. After completing the RAS sessions, patient will continue with the standard rehabilitation program as usual.
Patient will receive the standard physiotherapy program without the RAS pre-gait training. Therapy will include sessions aimed at improving balance and gait, conducted for 15 minutes during each session. Assessments will be conducted at baseline, after completing the therapy, and during two follow-up evaluations.
Locations(1)
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NCT06995092