Testing Adaptive Physical Activity in Stroke

Not Applicable

• Conditions: Stroke
• Interventions: Other: Adaptive Physical Activity

• Registration Number: NCT01042990
• Lead Sponsor: Baltimore VA Medical Center

Brief Summary

"Testing Adaptive Physical Activity in Stroke" tests the idea that adaptive physical activity (APA) will improve fitness, balance and walking function, daily step activity, and outcomes related to quality of life in individuals with chronic stroke. Adaptive physical activity is an exercise model that combines aerobic exercise with balance and gait training in a socially reinforcing group setting. Individualized homework assignments encourage integration of exercise into daily life routines. Our specific aims are:

1. to determine whether APA improves cardiovascular fitness and metabolic health

2. to measure the effects of APA on gait and balance, ambulatory activity, and ADL function

3. to determine whether APA affects self-reported outcomes related to self-efficacy, fatigue, and stroke-specific quality of life

Detailed Description

Not available

Study Timeline

• Study Start: 2008-09
• Status Verified: 2009-12
• Study First Submitted: 2010-01-05
• Study First Submitted QC: 2010-01-05
• Last Update Submitted: 2010-01-05
• Study First Posted: 2010-01-06
• Last Update Posted: 2010-01-06
• Primary Completion: 2011-09
• Study Completion: 2011-09

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 54

Inclusion Criteria

1. Ischemic stroke greater than or equal to 6 months prior in men or women ages 40- or older. Hemorrhagic stroke greater than or equal to one year prior in men or women ages 40-or older.
2. Residual hemiparetic gait deficits.
3. Already completed all conventional inpatient and outpatient physical therapy.
4. Adequate language and neurocognitive function to participate in exercise testing and training (specific screening instruments used.)

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Home Exercise Only	Adaptive Physical Activity	Participants receive education and instruction on a home exercise program which they do on their own, with intermittent encouragement from study personnel.
APA	Adaptive Physical Activity	Participants exercise in a gym setting 3x/week for six months, performing gait and balance exercises along with a progressive walking program.
APA+TM	Adaptive Physical Activity	Participants exercise in a gym setting 3x/week for six months, performing a combined program of adaptive physical activity (gait and balance training) and progressive treadmill walking.

Primary Outcome Measures

Name	Time	Method
VO2 Peak	baseline, 3 months, 6 months, and 3 months post-intervention
Berg Balance Scale	baseline, 3 months, 6 months, and 3 months post-intervention
Dynamic Gait Index	Baseline, 3 months, 6 months, and 3 months post intervention
Step Activity Monitoring	Baseline, 3 months, 6 months, and 3 months post-intervention
6 Minute Walks	Baseline, 3 months, 6 months, and 3 months post-intervention

Secondary Outcome Measures

Name	Time	Method
Psychosocial questionnaires	baseline, 3 months, 6 months, and 3 months post-intervention

Trial Locations

Locations (1)

Baltimore VAMC; 🇺🇸 Baltimore, Maryland, United States