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Trial registered on ANZCTR
Registration number
ACTRN12614000856617
Ethics application status
Approved
Date submitted
31/07/2014
Date registered
8/08/2014
Date last updated
8/04/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
The relationship between lower limb coordination and walking speed following stroke; an observational study
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Scientific title
The relationship of walking speed and lower limbs coordination between healthy participants and chronic stroke participants.
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Secondary ID [1]
285089
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Stroke
292628
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Condition category
Condition code
Physical Medicine / Rehabilitation
292988
292988
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0
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Physiotherapy
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
An observational study – approximately 2 hours in total of 1-2 measurement sessions to measure and compare the relationship between walking speed and lower limb coordination in stroke survivors and healthy people of similar age
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Intervention code [1]
289934
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Not applicable
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Comparator / control treatment
Healthy participants between 18-85 years of age without any history of stroke and able to walk >1.2m/s unaided over 10 metres
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Control group
Active
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Outcomes
Primary outcome [1]
292808
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Walking speed (m/s) will be measured using the 10 metre walk test
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Assessment method [1]
292808
0
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Timepoint [1]
292808
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One off measurement
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Primary outcome [2]
292849
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Coordination of lower limb muscles (Laboratory): Jerk and Amplitude of hip flexion/extension, knee flexion/extension and ankle dorsiflexion/plantarflexion using an accelerometer which records the raw acceleration of the movement at a sampling rate of 30Hz
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Assessment method [2]
292849
0
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Timepoint [2]
292849
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One off measurement
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Primary outcome [3]
292850
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Coordination of lower limb muscles (Clinical) using the Lower Extremity Motor Coordination Test (LEMOCOT)
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Assessment method [3]
292850
0
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Timepoint [3]
292850
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One off measurement
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Secondary outcome [1]
309707
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Walking capacity (distance walked in metres) will be measured using the six minute walk test
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Assessment method [1]
309707
0
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Timepoint [1]
309707
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One off measurement
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Secondary outcome [2]
309799
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Contracture of the plantarflexor muscles will be measured by measuring the maximal passive range of ankle dorsiflexion using a standardised protocol and subtracting the difference between the intact and affected leg (Stroke group only)
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Assessment method [2]
309799
0
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Timepoint [2]
309799
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One off measurement
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Secondary outcome [3]
309800
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Proprioception of lowe limb muscles will be measured using a matching task with use of Perspex sheet (Stroke group only)
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Assessment method [3]
309800
0
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Timepoint [3]
309800
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One off measurement
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Secondary outcome [4]
309801
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Spasticity in the ankle plantarflexion muscles will be measured using the Modified Tardieu Scale (Stroke group only)
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Assessment method [4]
309801
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Timepoint [4]
309801
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One off measurement
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Eligibility
Key inclusion criteria
Stroke participant groups: Stroke (> 6 months).
Walking speed greater than or equal to 0.6m/s (selected to ensure a spread of walking speeds within the range of 0.6m/s to 1.2m/s, five participants will be distributed onto 5 different baskets of walking speed range equally divided from 0.6m/s to 1.2m/s, e.g. 5 participants will be in 0.6-0.72 m/s basket according to the result of the 10 metre walk test).
Able to walk unaided over 10 metres.
Manual muscle test equal or greater than 4/5 of the hip flexion, hip extension, knee flexion, knee extension, ankle plantarflexion and ankle dorsiflexion and able to follow verbal instructions
Healthy participant groups: no history of stroke, walking speed equal or greater than 1.2m/s unaided over 10 metres.
Manual muscle test is 5/5 of the hip flexion, hip extension, knee flexion, knee extension, ankle plantarflexion and ankle dorsiflexion and able to follow verbal instructions
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Minimum age
18
Years
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Maximum age
85
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
unable to walk unaided for 10 metre
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Convenience sample
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
14/08/2014
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Actual
25/08/2014
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Date of last participant enrolment
Anticipated
31/12/2015
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Actual
9/02/2016
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
60
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Accrual to date
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Final
60
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
2799
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Royal Prince Alfred Hospital - Camperdown
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Recruitment postcode(s) [1]
8492
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2050 - Camperdown
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Funding & Sponsors
Funding source category [1]
289694
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Self funded/Unfunded
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Name [1]
289694
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Address [1]
289694
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Country [1]
289694
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Primary sponsor type
University
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Name
The University of Sydney
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Address
The University of Sydney
NSW 2006
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Country
Australia
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Secondary sponsor category [1]
288389
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None
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Name [1]
288389
0
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Address [1]
288389
0
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Country [1]
288389
0
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Other collaborator category [1]
278074
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Hospital
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Name [1]
278074
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Royal Prince Alfred Hospital
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Address [1]
278074
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Physiotherapy Department, Level 5, 57-59 Missenden Road, Camperdown 2050 NSW
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Country [1]
278074
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
291437
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SLHD Ethics Review Committee (RPAH Zone)
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Ethics committee address [1]
291437
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Research Development Office RPAH Medical Centre Suite 210A, 100 Carillon Avenue NEWTOWN NSW 2042
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Ethics committee country [1]
291437
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Australia
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Date submitted for ethics approval [1]
291437
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Approval date [1]
291437
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22/01/2014
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Ethics approval number [1]
291437
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X13-0384 & HREC/13/RPAH/536
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Summary
Brief summary
The aim of this study is to measure the impact of the coordination of leg muscles on walking parameters in people following stroke. A quantitative observational study will be carried out. Thirty stroke survivors will be recruited from past or present patients referred for physiotherapy after stroke at Royal Prince Alfred Hospital. Thirty healthy control participants will also be recruited from spouses of the stroke survivors or from the community. Inclusion criteria for the Stroke participants includes a history of stroke for 6 months or more; aged between 18-85 year olds; able to walk independently prior to the stroke; muscle strength equal or stronger than 4/5 on manual muscle test for the hip flexors and extensors, knee flexors and extensors, and the ankle plantarflexors and dorsiflexors; and able to walk unaided over 10 metres at a speed equal or greater than 0.6m/s (which is the minimal speed for community ambulation). The inclusion criteria for the Healthy control participants includes no history of stroke; age between 18-85 year olds;, able to walk unaided over 10 meters at a speed greater than 1.2m/s; and no weakness in the hip, knee and ankle muscles. Each participant will attend a 2 hour measurement session over 1-2 visits at Royal Prince Alfred Hospital. The measurement session will involve clinical tests of walking speed and capacity (10 metre walk test and six minute walk test respectively); ; a clinical test of lower limb coordination (Lower Extremity Motor Coordination Test - LEMOCOT) and a laboratory measure of lower limb coordination (raw acceleration of hip flexion/extension, knee flexion/extension and ankle plantarflexion/dorsiflexion using an Actigraph GT3X accelerometer). In addition, standard clinical measures will be used to measure the impairments of contracture, spasticity and sensory loss in the stroke participants.The relationship between walking (speed and capacity) and coordination (total scores of LEMOCOT; the amplitude and jerk of lower limb movement) will be analysed and compared between groups. Their usual physiotherapy intervention and rehab program will not be influenced by participating in this project.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
50366
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Ms May Suk-Man Kwan
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Address
50366
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Department of Physiotherapy, Royal Prince Alfred Hospital, Level 5, QEII Building, 57-59 Missenden Road, Camperdown 2050. NSW Australia
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Country
50366
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Australia
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Phone
50366
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+612 9515 9850
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Fax
50366
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Email
50366
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[email protected]
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Contact person for public queries
Name
50367
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May Suk-Man Kwan
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Address
50367
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Department of Physiotherapy, Royal Prince Alfred Hospital, Level 5, QEII Building, 57-59 Missenden Road, Camperdown 2050. NSW Australia
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Country
50367
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Australia
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Phone
50367
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+612 9515 9850
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Fax
50367
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Email
50367
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[email protected]
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Contact person for scientific queries
Name
50368
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Louise Ada
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Address
50368
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Discipline of Physiotherapy
FACULTY OF HEALTH SCIENCES
The University of Sydney
75 East Street
Lidcombe 2141
NSW
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Country
50368
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Australia
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Phone
50368
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+61 2 9351 9544
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Fax
50368
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Email
50368
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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