Evaluation of Early Standardized Task-Specific Training (ESTT)

Not Applicable

Terminated

Brief Summary: A. Specific Aims:

1. There is one specific aim of this study. The aim is to evaluate the effectiveness of early standardized task-specific training (ESTT) in persons with acute stroke.

B. Hypothesis:

1. It is our hypothesis that subjects who receive ESTT will walk faster and more symmetrically than published reports of gait outcomes in persons with stroke.

Detailed Description: It is our contention that gait recovery after stroke is impacted by the interventions that are acutely utilized during training. There is not a consensus about how to most effectively train individuals after stroke. It is clear, however, that most persons are left with significant and often debilitating gait dysfunction after stroke so there is an urgent need to find more effective therapeutic methods.

Recruitment & Eligibility

Inclusion Criteria

Exclusion Criteria

non-ambulatory before onset of stroke
bilateral stroke
presence of severe cardiac problems
other co-morbidities which would affect gait training (i.e. amputation, spinal cord injury, traumatic brain injury, etc.)
recent myocardial infarct (within 4 weeks)
any uncontrolled health condition for which exercise is contraindicated
severe lower extremity joint disease/pathology that would interfere with gait training
subjects with BMI greater than 40
significant cognitive impairment
age greater than 80 years or less than 16 years
able to complete 5 or more full heel raises with the affected ankle in standing with the knee extended with no more than one or two fingers on support surface for balance

Arm && Interventions

Group	Intervention	Description
early standardized task training	Early standardized task training	Persons in the experimental group will receive ESTT (early standardized task specific training) for gait treatment after stroke.

Primary Outcome Measures

Name	Time	Method
Change in Walking Velocity From Initial Assessment to Completion of Study at 6 Months Post Enrollment	This will be done at the time of discharge from inpatient rehabilitation (the initial assessment point of the study) and at 6-months post enrollment.	Computerized gait analysis is done by a mat system (GAITRite) that electronically calculates the velocity.

Secondary Outcome Measures

Name	Time	Method
Change in Score on Stroke Rehabilitation Assessment of Movement (STREAM) Test From Initial Assessment to Discharge From Study.	This test will be done at the initiation of the protocol (initial assessment) and at 6 months post enrollment	The Stroke Rehabilitation Assessment of Movement (STREAM) is a test of motor recovery after stroke. There are 3 subsections of the test, an upper extremity section, a lower extremity section and a mobility section. Each section is scored independently and is normed to 100 points. Each of the 3 sections is then combined into a total overall function score which is also normed to 100. Therefore, a score of 100 represents full recovery whereas a score of 50 represents about 50% recovery from the stroke.

Locations (4): Baylor Institute for Rehabilitation - Frisco
🇺🇸
Frisco, Texas, United States
St. David's Rehabilitation Hospital
🇺🇸
Austin, Texas, United States
Baylor Institute for Rehabilitation - Dallas
🇺🇸
Dallas, Texas, United States
Baylor Institute for Rehabilitation - Northwest
🇺🇸
Dallas, Texas, United States