RecruitingNot ApplicableNCT07471919

Robot-Assisted Gait Training vs Visual Feedback Balance Training in Stroke

Comparison of Robot-Assisted Gait Training and Visual Feedback Balance Training on Balance and Gait Outcomes in Patients With Stroke

Sponsor

Abant Izzet Baysal University

Enrollment

60 participants

Start Date

Mar 15, 2026

Study Type

INTERVENTIONAL

Conditions

Stroke

Summary

Stroke frequently leads to balance impairment and gait dysfunction, increasing fall risk and limiting functional independence. Technology-assisted rehabilitation approaches such as robot-assisted gait training and visual feedback balance training have been shown to improve balance and mobility in stroke patients. This randomized, assessor-blinded clinical trial aims to compare the effects of robot-assisted gait training and visual feedback balance training on balance and gait outcomes in patients with subacute and chronic stroke. Both interventions are part of routine clinical rehabilitation practice. Participants will be evaluated at baseline and after 4 weeks of intervention using clinical balance, gait, and functional assessments.

Eligibility

Min Age: 21 YearsMax Age: 85 Years

Inclusion Criteria6

Age 21-85 years
Diagnosis of ischemic or hemorrhagic stroke confirmed by clinical and radiological findings
Functional Ambulation Category (FAC) ≥ 3
Modified Ashworth Scale ≤ 2 (lower extremity)
Ability to understand and follow simple verbal instructions
Mini-Mental State Examination (MMSE) score ≥ 23

Exclusion Criteria4

Unstable cardiopulmonary conditions
Severe musculoskeletal disorders affecting standing or walking
Severe aphasia preventing participation in assessments
Severe visual impairment interfering with balance testing

Interested in this trial?

Get notified about updates and connect with the research team.

Interventions

DEVICERobot-Assisted Gait Training

Robot-Assisted Gait Training (RoboGait®) Robot-assisted gait training will be delivered using the RoboGait® device (Bama Technology, METU Technokent, Ankara, Türkiye). The system provides repetitive, task-specific gait training with controlled movement patterns to improve dynamic balance, gait symmetry, and motor relearning. Sessions will be performed twice weekly for 4 weeks, each lasting 30 minutes. Body weight support and gait parameters will be adjusted according to the patient's clinical status and tolerance. Other: Conventional Rehabilitation Program Participants will receive conventional rehabilitation on the remaining days of the week. The program includes static and dynamic balance exercises, lower extremity and trunk strengthening, weight shifting, sit-to-stand training, turning activities, and gait-related balance exercises under therapist supervision. Exercise progression will be individualized based on functional capacity and safety.

DEVICEVisual Feedback Balance Training

Visual Feedback Balance Training Visual feedback balance training will be performed using the ProKin 252 system (TecnoBody S.R.L., Bergamo, Italy). The system provides real-time visual feedback to improve postural stability, weight shifting, and dynamic balance control. Sessions will be conducted twice weekly for 4 weeks, each lasting 30 minutes. Training difficulty will be progressively adjusted according to patient performance and safety. Other: Conventional Rehabilitation Program Participants will receive conventional rehabilitation on the remaining days of the week. The program includes static and dynamic balance exercises, lower extremity and trunk strengthening, weight shifting, sit-to-stand training, turning activities, and gait-related balance exercises under therapist supervision. Exercise progression will be individualized based on functional capacity and safety.