Optimizing Walking Function of Stroke Survivors by a Task-Oriented Home Exercise Program (TOHE)
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|ClinicalTrials.gov Identifier: NCT02779036|
Recruitment Status : Completed
First Posted : May 20, 2016
Last Update Posted : June 8, 2017
|Condition or disease||Intervention/treatment||Phase|
|Stroke||Procedure: Task-oriented home exercise Procedure: Usual Physiotherapy Care||Not Applicable|
The majority of stroke individuals unable to reenter their previous community life after they have had a stroke. Reintegration of community life by optimizing walking function is a major goal of stroke rehabilitation. Because not widely available inpatient rehabilitation, discharged with incomplete recovery, limited numbers of technically trained physical therapists, financial saving, and transportation difficulty, home-based stroke rehabilitation setting has been interested in many developing countries.
Task- oriented exercise is well known and accepted approach to optimize walking function with underlying principles of motor control and motor learning theories. This approach has been used in the clinical setting with close supervision, but identification of appropriate protocol in the community environment is on progress. To date, no proper home exercise program based on task-oriental principle with minimal supervision for improving walking competency after stroke has been proposed in stroke rehabilitation.
The purpose of this study is to investigate the effects of a structured, progressive, task- oriented home exercise program on walking competency in individual post stroke.
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||63 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||Double (Participant, Investigator)|
|Official Title:||The Effects of a Structured, Progressive, Task-oriented Home Exercise Program on Walking Competency in Individual Post Stroke|
|Study Start Date :||June 2016|
|Actual Primary Completion Date :||April 2017|
|Actual Study Completion Date :||April 2017|
Experimental: Task-oriented Exercise
Structured, progressive, task-oriented, home exercise program
Procedure: Task-oriented home exercise
Structured, walking related task-oriented home exercise program with three progressive steps, at moderate to high intensity, 60 minutes per session, three sessions per week for total 8 weeks.
Active Comparator: Usual Care
Usual Physiotherapy Care
Procedure: Usual Physiotherapy Care
Deficits-oriented free active and resisted lower extremity exercises with bicycling and overground walking , 60 minutes per session, three sessions per week for total 8 weeks.
- 6 Minutes Walk Test [ Time Frame: up to 8 weeks ]Patients will be measured their walking distance by a blind assessor on five occasions:at baseline,1,2,5 and 8 weeks after baseline testing.
- 10 Meter Walk Test [ Time Frame: up to 8 weeks ]Patients will be measured their walking speed by a blind assessor on five occasions:at baseline,1,2,5 and 8 weeks after baseline testing.
- Berg Balance Scale [ Time Frame: up to 8 weeks ]Patients will be measured their walking balance by a blind assessor on five occasions:at baseline,1,2,5 and 8 weeks after baseline testing.
- Dynamic Gait Index [ Time Frame: Baseline and 8 weeks ]Patients will be measured their walking adaptability by a blind assessor on two occasions:at baseline and 8 weeks after baseline testing.
- Stroke Impact Scale (Participation) [ Time Frame: Baseline and 8 weeks ]Patients will be measured their community participation by a blind assessor on two occasions:at baseline and 8 weeks after baseline testing.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02779036
|National Rehabilitation Hospital|
|Physical Medicine and Rehabilitation Department, Yangon General Hospital|
|Principal Investigator:||Thin Thin Moe, M.Med.Tech||Mahidol University|
|Study Chair:||Chutima Jalayondeja, Dr.P.H. MSc||Mahidol University|
|Study Director:||Sopa Pichaiyongwongdee, M.Sc. B.Sc||Mahidol University|
|Study Director:||Vimonwan Hiengkaew, PhD. MSc||Mahidol University|
|Study Director:||Jarugool Tretriluxana, PhD. MSc||Mahidol University|