StrokeNCT07709130
Rhythmic Auditory Stimulation and Dual-task Gait Training in Chronic Stroke
A study testing Rhythmic Auditory Stimulation and Motor Dual-Task Gait Training Programme in people with Stroke and Dual Task, run by Recep Tayyip Erdogan University at 1 site in Turkey (Türkiye).
Trial summary
Rhythmic auditory stimulation and dual-task gait training may improve post-stroke mobility, but evidence regarding integrated programmes and age-related differences in treatment response remains limited. Read more about this study
- Who is it for?
- Ages Up to 72 years
- Conditions the study is for
- Stroke, Dual Task, Gait Training
- What is being tested?
- Rhythmic Auditory Stimulation and Motor Dual-Task Gait Training Programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 46 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 15 Jan 2026to 15 May 2026
- Phase
- Interventional
- Are there results?
- None posted in the registry
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 Up to 72 years
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- age ≥45 years
- stroke ≥6 months previously
- ability to walk at least 10 m independently or with minimal assistance
- sufficient hearing to follow rhythmic auditory cues
Who cannot join
- advanced aphasia
- severe neglect, cognitive impairment,
- marked visual impairment,
- severe spasticity (Modified Ashworth Scale score15 ≥3)
- severe cardiopulmonary disease
- vestibular dysfunction
- an orthopaedic condition limiting walking
- progressive neurological disease
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Combined Rhythmic Auditory Stimulation and Dual-task Gait Training in Individuals With Chronic Stroke: a Pre-post Study With Exploratory Age-stratified Analyses
Rhythmic auditory stimulation and dual-task gait training may improve post-stroke mobility, but evidence regarding integrated programmes and age-related differences in treatment response remains limited. The aim of the study is to evaluate changes in mobility, balance, motor dual-task performance, concern about falling, and health-related quality of life after a six-week combined programme, and to explore whether responses differed across age strata.
Read the detailed description
This prospective single-group pre-post study included individuals with chronic stroke. Participants completed supervised rhythmic auditory stimulation and progressively intensified motor dual-task gait training three times weekly for six weeks. Outcomes included motor dual-task performance, Timed Up and Go, bilateral single-leg stance, Mini-BESTest, Falls Efficacy Scale-International, and SF-36. An independent assessor, unaware of previous scores and age-stratum allocation, conducted baseline and post-intervention assessments. Prespecified exploratory analyses compared changes across age strata.
- Conditions
- Stroke, Dual Task, Gait Training, Auditory Task
- Being tested
- Rhythmic Auditory Stimulation and Motor Dual-Task Gait Training Programme
- Medical subject headings
- Stroke
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Rhythmic Auditory Stimulation and Motor Dual-Task Gait Training ProgrammeOther
The intervention combined RAS with progressively intensified motor dual-task gait training.6 Participants completed a supervised six-week programme comprising three 30-minute sessions per week (18 sessions; planned dose, 540 minutes). During each session, they synchronized their steps with a metronome while performing tandem walking with progressively demanding object-carrying tasks. Participants maintained their usual walking speed and were instructed to give equal attention to gait and the concurrent motor task. Progression was designed by the research team in accordance with general motor-learning principles and involved predefined weekly increases in metronome tempo and concurrent motor-task complexity. provided that the preceding stage had been completed safely. All sessions were delivered individually by the same licensed physiotherapist experienced in neurology.
| Study group | Role | What they receive |
|---|---|---|
| Stroke Group | Experimental | Participants completed a supervised six-week programme comprising three 30-minute sessions per week (18 sessions; planned dose, 540 minutes). During each session, they synchronized their steps with a metronome while performing tandem walking with progressively demanding object-carrying tasks. Participants maintained their usual walking speed and were instructed to give equal attention to gait and the concurrent motor task. Progression was designed by the research team in accordance with general motor-learning principles and involved predefined weekly increases in metronome tempo and concurrent motor-task complexity. Receives: Other: Rhythmic Auditory Stimulation and Motor Dual-Task Gait Training Programme |
What is being measured
The primary outcome is the main question the study is designed to answer.
Motor dual-task performance
Participants completed a 10-m walk at their comfortable speed under single-task and motor dual-task conditions. In the dual-task condition, they carried a ball while walking and were instructed to give equal attention to both tasks. Three trials were performed under each condition, and mean completion time was used in the analysis. Positive values indicated greater dual-task interference.
Measured: at baseline and after the six-week programme
Functional mobility
Functional mobility was assessed using the Timed Up and Go test, with shorter completion times indicating better performance. One familiarization trial preceded the timed assessment.
Measured: at baseline and after the six-week programme
Balance
Dynamic balance was assessed using the 14-item Mini-BESTest, which evaluates anticipatory postural adjustments, reactive postural control, sensory orientation, and dynamic gait. Total scores range from 0 to 28, with higher scores indicating better balance. Static balance was assessed bilaterally using the Single-Leg Stance Test. Two trials were performed on each side, and the longest duration before foot contact, stance-foot movement, or loss of balance was recorded.
Measured: at baseline and after the six-week programme
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Jul 2026
- Study start15 Jan 2026
- Primary completion15 May 2026
- Study completion15 May 2026
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.
- 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
- Health services research
- Allocation
- Not applicable
- Intervention model
- Single group
- Model description
- This prospective single-group pre-post study evaluated changes following a six-week programme combining rhythmic auditory stimulation with dual-task gait training in individuals with chronic stroke. Prespecified exploratory analyses examined changes across age strata. Participants were consecutively recruited from the neurology and physical medicine and rehabilitation outpatient clinics. Outcomes were assessed at baseline and immediately after the six-week programme by the same independent physiotherapist, who was not involved in treatment delivery and was unaware of participants' prior scores and age-stratum assignment. The intervention combined RAS with progressively intensified motor dual-task gait training. Participants completed a supervised six-week programme comprising three 30-minute sessions per week.
- Masking
- None (open label)
- Enrolment
- 46 participants (actual)
Sponsor and investigators
- Lead sponsor
- Recep Tayyip Erdogan University
- Sponsor type
- University, hospital or other
- Collaborators
- İstanbul Yeni Yüzyıl Üniversitesi
- Responsible party
- Principal investigator, Seda Karaca, Recep Tayyip Erdogan University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07709130
- Sponsor's protocol ID
- 2026/01-1781
- Status last verified
- Jul 2026
- First submitted
- 11 Jul 2026
- Last updated
- 16 Jul 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: I do not prefer.
Study at a glance
From the registry record, last updated by the sponsor on 16 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Combined Rhythmic Auditory Stimulation and Dual-task Gait Training in Individuals With Chronic Stroke: a Pre-post Study With Exploratory Age-stratified Analyses
- ClinicalTrials.gov ID
- NCT07709130
- Acronym / sponsor ID
- 2026/01-1781
- Conditions
- Stroke, Dual Task, Gait Training, Auditory Task
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 46 participants (actual)
- Lead sponsor
- Recep Tayyip Erdogan UniversityUniversity, hospital or other
- Collaborators
- İstanbul Yeni Yüzyıl Üniversitesi
- Study start
- 15 Jan 2026 (actual)
- Primary completion
- 15 May 2026 (actual)
- Study completion
- 15 May 2026 (actual)
- First posted
- 16 Jul 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.
Rhythmic auditory stimulation and dual-task gait training may improve post-stroke mobility, but evidence regarding integrated programmes and age-related differences in treatment response remains limited. The aim of the study is to evaluate changes in mobility, balance, motor dual-task performance, concern about falling, and health-related quality of life after a six-week combined programme, and to explore whether responses differed across age strata.
Detailed description
This prospective single-group pre-post study included individuals with chronic stroke. Participants completed supervised rhythmic auditory stimulation and progressively intensified motor dual-task gait training three times weekly for six weeks. Outcomes included motor dual-task performance, Timed Up and Go, bilateral single-leg stance, Mini-BESTest, Falls Efficacy Scale-International, and SF-36. An independent assessor, unaware of previous scores and age-stratum allocation, conducted baseline and post-intervention assessments. Prespecified exploratory analyses compared changes across age strata.
Study design
- Primary purpose
- Health services research
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- This prospective single-group pre-post study evaluated changes following a six-week programme combining rhythmic auditory stimulation with dual-task gait training in individuals with chronic stroke. Prespecified exploratory analyses examined changes across age strata. Participants were consecutively recruited from the neurology and physical medicine and rehabilitation outpatient clinics. Outcomes were assessed at baseline and immediately after the six-week programme by the same independent physiotherapist, who was not involved in treatment delivery and was unaware of participants' prior scores and age-stratum assignment. The intervention combined RAS with progressively intensified motor dual-task gait training. Participants completed a supervised six-week programme comprising three 30-minute sessions per week.
| Arm | Type | Receives |
|---|---|---|
| Stroke Group | Experimental | Other: Rhythmic Auditory Stimulation and Motor Dual-Task Gait Training ProgrammeParticipants completed a supervised six-week programme comprising three 30-minute sessions per week (18 sessions; planned dose, 540 minutes). During each session, they synchronized their steps with a metronome while performing tandem walking with progressively demanding object-carrying tasks. Participants maintained their usual walking speed and were instructed to give equal attention to gait and the concurrent motor task. Progression was designed by the research team in accordance with general motor-learning principles and involved predefined weekly increases in metronome tempo and concurrent motor-task complexity. |
Who may qualify
- Ages
- Up to 72 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (4 listed)
- age ≥45 years
- stroke ≥6 months previously
- ability to walk at least 10 m independently or with minimal assistance
- sufficient hearing to follow rhythmic auditory cues
Key exclusion criteria (8 listed)
- advanced aphasia
- severe neglect, cognitive impairment,
- marked visual impairment,
- severe spasticity (Modified Ashworth Scale score15 ≥3)
- severe cardiopulmonary disease
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 |
|---|---|---|
| Rhythmic Auditory Stimulation and Motor Dual-Task Gait Training ProgrammeThe intervention combined RAS with progressively intensified motor dual-task gait training.6 Participants completed a supervised six-week programme comprising three 30-minute sessions per week (18 sessions; planned dose, 540 minutes). During each session, they synchronized their steps with a metronome while performing tandem walking with progressively demanding object-carrying tasks. Participants maintained their usual walking speed and were instructed to give equal attention to gait and the concurrent motor task. Progression was designed by the research team in accordance with general motor-learning principles and involved predefined weekly increases in metronome tempo and concurrent motor-task complexity. provided that the preceding stage had been completed safely. All sessions were delivered individually by the same licensed physiotherapist experienced in neurology. | Other | Stroke Group |
Primary outcome
Motor dual-task performance
Time frame: at baseline and after the six-week programme
Participants completed a 10-m walk at their comfortable speed under single-task and motor dual-task conditions. In the dual-task condition, they carried a ball while walking and were instructed to give equal attention to both tasks. Three trials were performed under each condition, and mean completion time was used in the analysis. Positive values indicated greater dual-task interference.
Functional mobility
Time frame: at baseline and after the six-week programme
Functional mobility was assessed using the Timed Up and Go test, with shorter completion times indicating better performance. One familiarization trial preceded the timed assessment.
Balance
Time frame: at baseline and after the six-week programme
Dynamic balance was assessed using the 14-item Mini-BESTest, which evaluates anticipatory postural adjustments, reactive postural control, sensory orientation, and dynamic gait. Total scores range from 0 to 28, with higher scores indicating better balance. Static balance was assessed bilaterally using the Single-Leg Stance Test. Two trials were performed on each side, and the longest duration before foot contact, stance-foot movement, or loss of balance was recorded.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Jul 2026.
- Individual participant dataSharing planned: No. I do not prefer.
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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. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Rhythmic Auditory Stimulation and Motor Dual-Task Gait Training Programme in people with Stroke and Dual Task, run by Recep Tayyip Erdogan University at 1 site in Turkey (Türkiye).
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 4 inclusion and 8 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: finished, as of the sponsor's last update on 16 Jul 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 Turkey (Türkiye). 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Motor dual-task performance (time frame: at baseline and after the six-week programme). 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 16 Jul 2026.