Split-Belt Gait Retraining in Subacute Stroke
NCT07601633 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 30
Last updated 2026-05-22
Summary
Stroke is a leading cause of long-term disability in adults. Although many individuals regain independent walking ability following stroke, nearly 50% experience persistent gait impairments characterized by asymmetrical walking patterns, slower walking speed, impaired balance, and increased fall risk. These persistent mobility limitations highlight the continued need for innovative rehabilitation strategies that improve gait function during stroke recovery. Split-belt treadmill walking (SBTW), in which each leg walks at a different belt speed, has demonstrated potential to improve step length symmetry in individuals with chronic stroke. However, the effects of SBTW during the subacute stage of stroke recovery, within the first 9 months post-stroke when neuroplasticity may be heightened, remain largely unknown. In addition, previous SBTW studies have not integrated active physiotherapist-led gait retraining into the intervention, despite physiotherapist-led gait rehabilitation representing standard clinical care following stroke. The purpose of this randomized controlled trial is to compare physiotherapist-led gait retraining using a traditional treadmill training protocol to physiotherapist-led gait retraining integrated with a split-belt treadmill training protocol during the first 9 months post-stroke. The study aims to examine the effectiveness of the use of split-belt treadmill training to augment physiotherapist-led gait retraining to improve between-leg gait symmetry and overground walking speed.
Conditions
Interventions
- BEHAVIORAL
-
Split-belt walking training
Participants randomized to the split-belt training group will complete 12 sessions of split-belt treadmill walking training over 4 weeks, delivered 3 times per week. Training will be performed on an instrumented split-belt treadmill and will include split-belt and tied-belt walking conditions. A physiotherapist will provide gait retraining during each session.
Sponsors & Collaborators
-
University of British Columbia
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-06-01
- Primary Completion
- 2029-01-01
- Completion
- 2029-07-01
Countries
- Canada
Study Locations
More Related Trials
-
Split-belt Treadmill Training to Rehabilitate Freezing of Gait and Balance in Parkinson's Disease
NCT04946812 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Balance Training After Stroke - a Randomized, Controled Pilot Study
NCT03791671 ·Status: COMPLETED ·Phase: NA
-
Implementation of an App-based Walking Aid Skills Training Program
NCT05347875 ·Status: RECRUITING ·Phase: NA
-
Optimizing Gait Symmetry After Stroke Using Mechanical Constraints and Sensory Feedback
NCT07087769 ·Status: RECRUITING ·Phase: NA
-
Biomechanical Gait Analysis in Patients Post-Stroke
NCT03602313 ·Status: COMPLETED ·Phase: NA
-
Investigating Effects of High-intensity Gait Training on Gait, Balance and Depression Post-stroke
NCT06373107 ·Status: TERMINATED ·Phase: NA
-
Sideways Treadmill Training to Improve Paretic Leg Stepping in Persons Post-Stroke
NCT02516176 ·Status: COMPLETED ·Phase: NA
-
Efficacy of Split Gait in the Treatment of Dynamic Asymmetries in Subjects With Pathologic Claudication
NCT04635436 ·Status: RECRUITING ·Phase: NA
-
Effect of Speed-dependent Treadmill Training in Patients With Subacute Stroke
NCT01328301 ·Status: COMPLETED ·Phase: NA
-
The Effect of Split-belt Treadmill Training on Gait in Parkinson's Disease
NCT04176263 ·Status: COMPLETED ·Phase: NA
-
Walking Balance Training Post-Stroke
NCT06090604 ·Status: COMPLETED ·Phase: NA
-
Enhanced Treadmill Gait Training With Lower Limb Support After Stroke
NCT03348215 ·Status: COMPLETED ·Phase: NA
-
Gait Perturbations to Improve Balance Post-stroke
NCT04314830 ·Status: COMPLETED ·Phase: NA
-
A Novel Mechanics-based Intervention to Improve Post-stroke Stability
NCT02964039 ·Status: COMPLETED ·Phase: NA
-
Gait Training in Post-Stroke Hemiparesis Hemiparesis
NCT04877249 ·Status: COMPLETED ·Phase: NA
-
Sit-to-Stand Training for Survivors of Stroke in a Long-Term Care Setting
NCT00197509 ·Status: UNKNOWN ·Phase: PHASE2
-
Optimal Intensity of Reactive Balance Training Post-stroke
NCT06555016 ·Status: RECRUITING ·Phase: NA
-
Gait Training and Brain Changes in Stroke Patients
NCT00334230 ·Status: COMPLETED
-
Comparison of Robot-assisted Gait Training According to Gait Speed in Participants With Stroke
NCT03991364 ·Status: UNKNOWN ·Phase: NA
-
Combined Cognitive and Gait Training
NCT02362282 ·Status: TERMINATED ·Phase: NA
-
PBWST (Partial Body-Weight Supported Treadmill Training) and Muscle Power Training After Sub-acute Stroke
NCT00108030 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Gait Recovery After Stroke
NCT06806748 ·Status: NOT_YET_RECRUITING
-
Development of Walk Assist Device to Improve Community Ambulation
NCT01994395 ·Status: COMPLETED ·Phase: NA
-
A Comparison of Two Intensive Walking Training Interventions in Community Dwelling Individuals With History of Stroke
NCT00561405 ·Status: COMPLETED ·Phase: PHASE2
-
Split-belt Treadmill Training for Freezing of Gait in Parkinson's Disease
NCT05511597 ·Status: COMPLETED ·Phase: NA