Project 170470

Neural and Biomechanical Control of Turning in People with Stroke

170470

Neural and Biomechanical Control of Turning in People with Stroke

$300,000
Project Information
Study Type: Trial Biomechanical_Study
Therapeutic Area: Neurology
Research Theme: Biomedical
Disease Area: stroke rehabilitation and mobility
Data Type: Canadian
Institution & Funding
Principal Investigator(s): Lam, Tania
Institution: University of British Columbia
CIHR Institute: Neurosciences, Mental Health and Addiction
Program: CIHR New Investigator
Peer Review Committee: Allied Health Professionals - New Investigators
Competition Year: 2008
Term: 5 yrs 0 mth
Abstract Summary

Although many people who had a stroke can get better and walk again, there are still problems with walking that limit their ability to fully take part in many daily activities. Up to now, stroke researchers have usually tested walking by asking people to walk forwards in a straight line. However, in everyday life people must constantly change their direction or turn while walking. The ability to turn is important to make sure that people are able to walk around safely and easily in their homes as well as outside in their communities. In addition, turning also poses a greater risk of falling compared with walking straight ahead. Despite these facts, there is very little research about turning and walking in people with stroke. Thus the overall objectives of this research are to understand how difficulties in walking affect turning in people with stroke. We will use recordings of muscle activity and leg movements during walking to analyze the differences in turning strategies in people with stroke compared with people who have not had a stroke. We will also study the extent to which different rehabilitation therapies for improving walking also help to improve turning ability in people who have had a stroke. The results from this research will help us develop better testing tools and training strategies for therapists to use as they work to help people who have had a stroke walk as well as possible. Ultimately, better walking ability will help promote healthier and more active lifestyles for people who have had a stroke.

Research Characteristics

This project includes the following research characteristics:

Digital Health
Wearable Technology
Implementation Science
Barrier Identification
Patient Reported Outcomes
Real World Evidence
Patient Engagement
Community Based
Knowledge Translation Focus
Safety Focus
Quality of Life
Composite Endpoint
Vulnerable Populations
Study Justification

"study neural and biomechanical control of turning in people with stroke"

Novelty Statement

"first study to analyze turning strategies and biomechanics in stroke patients compared to healthy controls"

Methodology Innovation

use of electromyography and motion analysis for turning assessment

Keywords
Centre Of Pressure Electromyography Functional Mobility Stroke Treadmill Training Turning