FOA on Sit to Stand in Individuals Post Chronic Stroke

Part of paid clinical trials in Cullowhee, North Carolina.

Sponsor
Western Carolina University
Study ID
NCT07460804
Status
Recruiting
Apply to this trial

Conditions

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Focus of Attention — OTHER
    Focus of attention instruction and feedback. Focus of attention refers to what people are thinking about during motor tasks. An external focus refers to thinking about an outside outcome or target. An internal focus of attention refers to thinking about how someone is moving their body. During training, participants performed four sets of sit to stand transitions with the mat at progressively lower seat heights to increasingly challenge the participants, with instruction and feedback consistent with their condition allocation. The four sets occurred in the following sequences: 130% of the initial mat height determined at baseline assessment 120%, 110%, and 100%. Each set ended after the tenth repetition or when the participant reported an RPE rating of \>16/20. During training, one verbal correction was given during each set after the second, fourth, and seventh repetition.

Study Details

The purpose of this study is to fill some gaps in the literature by examining the effects of focus of attention on motor learning and motor performance of sit to stand in individuals post chronic stroke. This study will investigate whether an internal or external focus of attention can lead to improved use of the affected lower extremity during the sit to stand transition, while maintaining an upright trunk position. More specifically, the study has two purposes. The first is to determine whether an external or internal focus of attention would lead to better motor learning of sit to stand. This is measured by retention testing and transfer of the task to changes in affected lower extremity weight bearing during gait. The second purpose of this study is to investigate whether an internal or external focus of attention affects the performance of sit to stands during training.

Key Dates

Start date
Mar 26, 2025
Status verified
Jul 2025
Primary completion
May 16, 2027
Completion
Dec 31, 2027

Study Design

Enrollment
20 participants (estimated)
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT

Arms

  • Active Comparator: Internal focus of attention group
    Participants were given instructions that make them think about their body's movements. Prior to training, a demonstration of the task was provided to the participants with emphasis to weight shift towards the affected side. For the internal focus condition, participants were told, "as you stand up and as you sit down bring your right/left (R/L) shoulder and R/L hip as far to the R/L as possible." Participants were asked to perform one repetition with the question "can you show me?" The demonstration was only provided before the first set, but the same verbal instructions were given prior to the start of each successive set during training. During training, individuals performed four sets of 10 sit to stand repetitions, yielding a total of 40 repetitions.
  • Experimental: External focus of attention group
    Participants were given instructions that make them think about an outside target/outcome. Prior to training, a demonstration of the task was provided to the participants with emphasis to weight shift towards the affected side. For the internal focus condition, participants were told, "as you stand up and as you sit down try to bring the targets together like this." Participants were asked to perform one repetition with the question "can you show me?" The demonstration was only provided before the first set, but the same verbal instructions were given prior to the start of each successive set during training. During training, individuals performed four sets of 10 sit to stand repetitions, yielding a total of 40 repetitions.

Primary Outcome Measure

Center of pressure under their feet [ Time Frame: Baseline ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Western Carolina UniversityCullowheeNorth Carolina28723
Ashley R Watamura, DPT, PhD
[email protected]
7176829710
Dave Hudson, PhD
[email protected]
8282272191
Ashley R Watamura, DPT, PhD (PRINCIPAL_INVESTIGATOR)

Find similar trials in Cullowhee, NC

By condition
Stroke
By specialty
NeurologyBrain disorders
By research site
Western Carolina University· Cullowhee, NC

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