ArticlePilot and feasibility studies2026
Examining the feasibility and preliminary effects of eyes-open and eyes-closed backward treadmill training on balance, mobility, and fear of falling in sub-acute stroke survivors: a pilot randomized clinical trial.
Article in Pilot and feasibility studies, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundGait impairment among stroke survivors is a prevalent and significant issue that necessitates appropriate rehabilitation interventions to address multiple factors such as muscle strength, balance, and coordination. One recommended approach for improving gait function is physical therapy, which helps to improve strength, balance, and coordination by reducing muscle weakness, spasticity, and tone. Other intervention ns that have demonstrated efficacy in improving gait function and mobility among stroke survivors include task-specific, high-velocity gait training. The effects of backward treadmill training were comparable to or superior to those of forward treadmill training in improving balance, gait speed, and stride length. Backward treadmill training can be considered a potential rehabilitation intervention for stroke survivors with gait impairments.
methodsThis study will be a two-arm, double-blinded, 4-week pilot, randomized clinical trial involving 4-week interventions and 2 weeks follow-up. Forty subacute stroke survivors will be recruited from a tertiary care hospital in India. The study participants will be randomized to either the eyes-open backward treadmill training group (EOBT; n = 20) or eyes-closed backward treadmill training group (n = 20). The participants in both groups will receive 4-week interventions in addition to standard care. Standard care consists of self-management exercises printed in a booklet. DISCUSSIONS: The primary outcomes will include a series of feasibility assessments of the study protocols in relation to the study's methodological procedures, including subject recruitment and follow-up processes, completion of study protocols, and feasibility acceptability and safety of the intervention such as balance, gait, and fear of falling, which will be evaluated using the Berg Balance Scale, Timed Up and Go Test, and Fall Efficacy Scale.
trial registrationCTRI/2023/08/056653 (21/08/2023) Ethical approval was obtained from the Institutional Ethical Committee of Sharda University (Ref No-SU/SMS&R/76-A/2022/73). The results of this research will be presented at conferences and disseminated through scientific journals that are subject to peer review.
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