A Randomized, Non-inferiority Clinical Trial of CVA Telerehabilitation Treatments - TelePhysioTaiChi
- Conditions
- Stroke
- Interventions
- Behavioral: Tai Chi based exercise program
- Registration Number
- NCT01848080
- Lead Sponsor
- Université de Sherbrooke
- Brief Summary
Telerehabilitation is a promising alternative approach that can help improve access to rehabilitation services once patients are discharged home after stroke. The investigators therefore postulate a non-inferiority hypothesis of the telerehabilitation approach compared to home visits to improve balance problem related to stroke. The platform used will be based on a technological infrastructure that was developed and tested in previous telerehabilitation studies. The study is a randomized control trial (RCT).The study population of interest will target individuals who have had a stroke who stayed in a hospital or chronic stroke population. Participants will be recruited during the hospitalization period at each of the three sites or in the community. The investigators expect to recruit 240 participants, 120 per group. The first evaluation will be conducted at recruitment to establish the baseline measures. The two other evaluations will be conducted 2 months (T2) and four months (T3) following recruitment.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 142
- have had a stroke with a Rankin score of 2 or 3;
- was not referred to an Intensive Functional Rehabilitation Unit (IFRU) and returned home following discharge from hospital;
- understands instructions to allow participation in evaluations and interventions;
- has a balance problem as evidenced by a score between 46 and 54 on the Berg Balance Scale96;
- has a caregiver that would be available during the telerehabilitation sessions to ensure safety during exercises;
- live in an area serviced by high speed Internet.
- severe body hemineglect;
- significant hemianopsia visual problems accompanied by hemineglect;
- uncontrolled medical problems;
- moderate to severe aphasia
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Tai chi program via home visits Tai Chi based exercise program An individualized exercise program, based on Tai Chi, was developed by our team for previous studies aiming to improve balance in elderly, diabetic individuals and in frail, elderly individuals with balance problems. The exercise program consists of movements based on a combination of alignments and body-specific orientations, weight transfers and changes in direction inspired by Tai Chi. This group will receive this program via home visits. Tai chi program via Telerehabilitation Tai Chi based exercise program An individualized exercise program, based on Tai Chi, was developed by our team for previous studies aiming to improve balance in elderly, diabetic individuals and in frail, elderly individuals with balance problems. The exercise program consists of movements based on a combination of alignments and body-specific orientations, weight transfers and changes in direction inspired by Tai Chi. This group will receive this program via telerehabilitation.
- Primary Outcome Measures
Name Time Method Change from baseline in mobility at 2 and 4 months before the intervention, month 2 and month 4 Community balance and mobility Scale.
Change from baseline in Balance at 2 and 4 months before the intervention, month 2 and month 4 Community balance and mobility Scale.
- Secondary Outcome Measures
Name Time Method Change from baseline aptitude for Balance at 2 and 4 months before the intervention, month 2 and month 4 Four-Squares Test
Change from baseline walking speed at 2 and 4 months before the intervention, month 2, month 4 Speed: Timed up and go (TUG),
Change from Baseline Satisfaction with the care received at 2 and 4 months before the intervention, month 2, month 4 Satisfaction with the care received = Health care satisfaction questionnaire
Change from baseline Quality of life at 2 and 4 month before the intervention, month 2, month 4 Quality of life: Reintegration ti normal Living Index (RNLI)
Change from baseline walking endurance at 2 and 4 months before the intervention, month 2 and month 4 distance in meters walked two minutes
Change from baseline Psychological Attitudes related to mobility at 2 and 4 months before the intervention, month 2, month 4 fear of falling: Activities-specific Balance confidence scale
Change from baseline Psychological Attitudes related to balance at 2 and 4 months before the intervention, month 2, month 4 Self efficacy: General Perceived Self efficacy
Change from Baseline Cost of services from the perspective of the health system at 2 and 4 months before the intervention, month 2, month 4 Cost of services from the perspective of the health system = "Cost-analysis of telemedicine" from the Minnesota University
Change from baseline Strength of lower limbs at 2 and 4 months before the intervention, month 2 and month 4 Sit to Stand Test
Trial Locations
- Locations (3)
Hôpital Charles-LeMoyne
🇨🇦Longueuil, Canada
Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain
🇨🇦Montréal, Canada
Research Centre on Aging
🇨🇦Sherbrooke, Canada