Body Weight-Supported and Virtual Reality Gait Training in Stroke Patients
A Comparative Evaluation of the Effectiveness of Body Weight-Supported Forward and Backward Gait Training Versus Virtual Reality-Assisted Gait Training in Patients With Stroke
Gaziler Physical Medicine and Rehabilitation Education and Research Hospital
30 participants
Mar 26, 2026
INTERVENTIONAL
Conditions
Summary
The aim of this study is to compare the effects of body weight-supported gait training that includes virtual reality-assisted dual-task applications with body weight-supported forward and backward gait training on functional capacity, gait parameters (such as step length, gait speed, and balance), cognitive functions and psychological status in patients with stroke. The findings of this study are expected to contribute to the development of more effective rehabilitation strategies for improving mobility in patients with stroke
Eligibility
Inclusion Criteria9
- Patients experiencing their first-ever stroke
- Patients with a post-stroke duration of more than 2 weeks
- Patients with plantar flexor muscle spasticity of the lower extremity less than grade 3 according to the Modified Ashworth Scale (MAS)
- Patients with a Brunnstrom stage of the lower extremity greater than 2
- Patients who are able to stand independently or under supervision for at least 2 minutes for standing assessments
- Patients who are able to walk at least 10 meters independently or under supervision, with or without an assistive device, for walking assessments
- Patients with sufficient cognitive function to understand study instructions (Mini-Mental State Examination \[MMSE\] score > 23)
- Patients with stable medical and psychological conditions
- Patients who are willing to participate in the study
Exclusion Criteria6
- Patients with bilateral hemispheric lesions
- Patients with severe cardiovascular or musculoskeletal conditions that prevent walking (e.g., fixed ankle contracture)
- Patients using a permanent urinary catheter, or those with pressure ulcers or urinary and/or fecal incontinence
- Patients with unilateral neglect
- Patients with neurological conditions other than stroke that may affect balance performance (e.g., Parkinson's disease, epilepsy, meningitis, cerebellar disorders, vertigo, dizziness, polyneuropathy) or musculoskeletal disorders (e.g., severe low back pain, knee disorders)
- Patients with severe visual, hearing, or speech impairments
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Interventions
Body weight-supported virtual reality-assisted forward gait training with 30% body weight support, applied five days per week for six weeks.
Body weight-supported backward gait training with 30% body weight support, applied five days per week for six weeks.
Body weight-supported forward gait training with 30% body weight support, applied five days per week for six weeks.
Locations(1)
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NCT07550270