StrokeNCT07494500
Vestibular Training on Community Ambulation and Fall Risk in Stroke
A study testing Vestibular training and Conventional physical therapy in people with Stroke, run by National Yang Ming Chiao Tung University at 1 site in Taiwan.
Trial summary
Nearly half of individuals with stroke experience limitations in community ambulation, and 35.7% of community-dwelling stroke survivors experienced falls while walking, indicating that falls are common during routine daily activities in community settings. Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Stroke
- What is being tested?
- Vestibular training and Conventional physical therapy
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 40 participants
- Where
- 1 siteTaiwan
- Study dates
- 1 Apr 2026to 31 Jul 2028
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Diagnosis of First-occurrenced stroke
- ≥ 6 months after stroke
- Ability to walk at least 400 meters with or without the use of a walking assistive device
- Mini-Mental State Examination score ≥ 24
- Age between 18 and 80 years
Who cannot join
- Other neurological or musculoskeletal conditions affected postural stability
- Presence of dizziness or vertigo
- Presence of conditions affecting cervical blood flow or limiting cervical range of motion
- Visual impairment
- Unstable cardiac status or uncontrolled hypertension
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Taiwan1 site
Department of Physical Therapy and Assistive Technology, National Yang Ming Chiao Tung University
Taipei, 112
Yea-Ru Yang, PhD, +886-2-2826-7279, yryang@nycu.edu.tw
About this study
Official title: Effects of Vestibular Training on Community Ambulation and Fall Risk in Individuals With Chronic Stroke
Nearly half of individuals with stroke experience limitations in community ambulation, and 35.7% of community-dwelling stroke survivors experienced falls while walking, indicating that falls are common during routine daily activities in community settings. Sensory reweighting refers to the ability to appropriately prioritize and integrate sensory inputs to maintain postural stability. Stroke survivors often demonstrate impaired sensory reweighting, characterized by excessive reliance on visual and proprioceptive cues and insufficient integration of vestibular information. This deficit adversely affects postural control and subsequently compromises gait performance and fall risk .In addition, many individuals with stroke exhibit reduced gaze stability during walking and turning, suggesting potential impairments in the vestibulo-ocular reflex (VOR), a key mechanism for maintaining stable vision during head movement. Insufficient gaze stability has been associated with gait disturbances; therefore, deficits in sensory reweighting and VOR function may contrib-ute to limited community ambulation and increased fall risk. Although previous studies have primarily focused on general balance training, few have directly targeted vestibular input. Thus, the effectiveness of vestibular-specific training for improving community ambulation and reducing fall risk in chronic stroke remains unclear. This study aims to investigate the effects of vestibular training on community ambulation and fall risk in individuals with chronic stroke.
- Conditions
- Stroke
- Being tested
- Vestibular training, Conventional physical therapy
- Keywords
- community ambulation, vestibular training, vestibular rehabilitation, fall risk, stroke, dynamic acuity, gait
- Medical subject headings
- Stroke
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Vestibular trainingOther
Also called gaze stabilization exercises, vestibular rehabilitation
Gaze stabilization exercises and balance training under visual and head-movement challenges to stimulate vestibular input and maintain balance.
Conventional physical therapyOther
Strength, posture, gait, and functional training.
| Study group | Role | What they receive |
|---|---|---|
| Vestibular training group | Experimental | The intervention is a 40-minute session and 3 sessions/week, totaling 4 weeks. Receives: Other: Vestibular training |
| Conventional physical therapy Group | Active comparator | The intervention is a 40-minute session and 3 sessions/week, totaling 4 weeks. Receives: Other: Conventional physical therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Walking Ability Questionnaire
Using Walking Ability Questionnaire to evaluate community ambulation ability.
Measured: Baseline, 4 weeks after training, and 4-week follow-up
Community Walking Speed
Using a timer to measure average walking speed in the community
Measured: Baseline, post-intervention, 4 weeks after training, and 4-week follow-up
Taiwan Chinese version of the Falls Efficacy Scale
Using Taiwan Chinese version Falls Efficacy Scale to evaluate fall risk
Measured: Baseline, 4 weeks after training, and 4-week follow-up
Secondary outcomes (9)
Functional Gait Assessment
Using Functional gait assessment to evaluate walking performance
Measured: Baseline, 4 weeks after training, and 4-week follow-up
Six-minute Walk Test
Using Six-minute Walk Test to evaluate walking endurance
Measured: Baseline, 4 weeks after training, and 4-week follow-up
Mini-Balance Evaluation Systems Test
Using Mini-Balance Evaluation Systems Test to evaluate balance performanc
Measured: Baseline, 4 weeks after training, and 4-week follow-up
Activities-specific Balance Confidence Scale
Using Activities-specific Balance Confidence Scale to evaluate individual's balance confidence in performing daily activities
Measured: Baseline, 4 weeks after training, and 4-week follow-up
Tinetti Performance-Oriented Mobility Assessment
Measured: Baseline, 4 weeks after training, and 4-week follow-up
Modified Clinical Test of Sensory Integration and Balance
Using Biodex system to evaluate sensory reweighting ability
Measured: Baseline, 4 weeks after training, and 4-week follow-up
Dynamic Visual Acuity Test
Using Dynamic Visual Acuity Test to evaluate vestibulo-ocular reflex function
Measured: Baseline, 4 weeks after training, and 4-week follow-up
Stroke Impact Scale
Using Stroke Impact Scale to evaluate quality of life
Measured: Baseline, 4 weeks after training, and 4-week follow-up
Gait performance
Using GAITRite system to measure the gait spatiotemporal parameters
Measured: Baseline, post-intervention, 4 weeks after training, and 4-week follow-up
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Mar 2026
- Study start1 Apr 2026 (estimated)
- Primary completion31 Jul 2028 (estimated)
- Study completion31 Jul 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for StrokeStudies of the same condition, open and under way.
- More trials run by National Yang Ming Chiao Tung UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 40 participants (estimated)
Sponsor and investigators
- Lead sponsor
- National Yang Ming Chiao Tung University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Yea-Ru Yang, National Yang Ming Chiao Tung University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07494500
- Sponsor's protocol ID
- NYCU114245AF2
- Status last verified
- Mar 2026
- First submitted
- 20 Mar 2026
- Last updated
- 27 Mar 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 27 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Vestibular Training on Community Ambulation and Fall Risk in Individuals With Chronic Stroke
- ClinicalTrials.gov ID
- NCT07494500
- Acronym / sponsor ID
- NYCU114245AF2
- Conditions
- Stroke
- Keywords
- community ambulation, vestibular training, vestibular rehabilitation, fall risk, stroke, dynamic acuity, gait
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 40 participants (estimated)
- Lead sponsor
- National Yang Ming Chiao Tung UniversityUniversity, hospital or other
- Study start
- 1 Apr 2026 (estimated)
- Primary completion
- 31 Jul 2028 (estimated)
- Study completion
- 31 Jul 2028 (estimated)
- First posted
- 27 Mar 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Nearly half of individuals with stroke experience limitations in community ambulation, and 35.7% of community-dwelling stroke survivors experienced falls while walking, indicating that falls are common during routine daily activities in community settings. Sensory reweighting refers to the ability to appropriately prioritize and integrate sensory inputs to maintain postural stability. Stroke survivors often demonstrate impaired sensory reweighting, characterized by excessive reliance on visual and proprioceptive cues and insufficient integration of vestibular information. This deficit adversely affects postural control and subsequently compromises gait performance and fall risk .In addition, many individuals with stroke exhibit reduced gaze stability during walking and turning, suggesting potential impairments in the vestibulo-ocular reflex (VOR), a key mechanism for maintaining stable vision during head movement. Insufficient gaze stability has been associated with gait disturbances; therefore, deficits in sensory reweighting and VOR function may contrib-ute to limited community ambulation and increased fall risk. Although previous studies have primarily focused on general balance training, few have directly targeted vestibular input. Thus, the effectiveness of vestibular-specific training for improving community ambulation and reducing fall risk in chronic stroke remains unclear. This study aims to investigate the effects of vestibular training on community ambulation and fall risk in individuals with chronic stroke.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Vestibular training group | Experimental | Other: Vestibular trainingThe intervention is a 40-minute session and 3 sessions/week, totaling 4 weeks. |
| Conventional physical therapy Group | Active comparator | Other: Conventional physical therapyThe intervention is a 40-minute session and 3 sessions/week, totaling 4 weeks. |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Diagnosis of First-occurrenced stroke
- ≥ 6 months after stroke
- Ability to walk at least 400 meters with or without the use of a walking assistive device
- Mini-Mental State Examination score ≥ 24
- Age between 18 and 80 years
Key exclusion criteria (5 listed)
- Other neurological or musculoskeletal conditions affected postural stability
- Presence of dizziness or vertigo
- Presence of conditions affecting cervical blood flow or limiting cervical range of motion
- Visual impairment
- Unstable cardiac status or uncontrolled hypertension
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Vestibular trainingAlso: gaze stabilization exercises, vestibular rehabilitationGaze stabilization exercises and balance training under visual and head-movement challenges to stimulate vestibular input and maintain balance. | Other | Vestibular training group |
| Conventional physical therapyStrength, posture, gait, and functional training. | Other | Conventional physical therapy Group |
Primary outcome
Walking Ability Questionnaire
Time frame: Baseline, 4 weeks after training, and 4-week follow-up
Using Walking Ability Questionnaire to evaluate community ambulation ability.
Community Walking Speed
Time frame: Baseline, post-intervention, 4 weeks after training, and 4-week follow-up
Using a timer to measure average walking speed in the community
Taiwan Chinese version of the Falls Efficacy Scale
Time frame: Baseline, 4 weeks after training, and 4-week follow-up
Using Taiwan Chinese version Falls Efficacy Scale to evaluate fall risk
9 secondary outcomes
Functional Gait Assessment
Time frame: Baseline, 4 weeks after training, and 4-week follow-up
Six-minute Walk Test
Time frame: Baseline, 4 weeks after training, and 4-week follow-up
Mini-Balance Evaluation Systems Test
Time frame: Baseline, 4 weeks after training, and 4-week follow-up
Activities-specific Balance Confidence Scale
Time frame: Baseline, 4 weeks after training, and 4-week follow-up
Tinetti Performance-Oriented Mobility Assessment
Time frame: Baseline, 4 weeks after training, and 4-week follow-up
Modified Clinical Test of Sensory Integration and Balance
Time frame: Baseline, 4 weeks after training, and 4-week follow-up
Dynamic Visual Acuity Test
Time frame: Baseline, 4 weeks after training, and 4-week follow-up
Stroke Impact Scale
Time frame: Baseline, 4 weeks after training, and 4-week follow-up
Gait performance
Time frame: Baseline, post-intervention, 4 weeks after training, and 4-week follow-up
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Mar 2026.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Vestibular training and Conventional physical therapy in people with Stroke, run by National Yang Ming Chiao Tung University at 1 site in Taiwan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: opening soon, as of the sponsor's last update on 27 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Taiwan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Yea-Ru Yang, PhD (+886228267279, yryang@nycu.edu.tw), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Walking Ability Questionnaire (time frame: Baseline, 4 weeks after training, and 4-week follow-up). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Mar 2026.