Testing Adaptive Physical Activity in Stroke
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Stroke
- Sponsor
- Baltimore VA Medical Center
- Enrollment
- 54
- Locations
- 1
- Primary Endpoint
- VO2 Peak
- Last Updated
- 16 years ago
Overview
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:
- to determine whether APA improves cardiovascular fitness and metabolic health
- to measure the effects of APA on gait and balance, ambulatory activity, and ADL function
- to determine whether APA affects self-reported outcomes related to self-efficacy, fatigue, and stroke-specific quality of life
Investigators
Eligibility Criteria
Inclusion Criteria
- •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.
- •Residual hemiparetic gait deficits.
- •Already completed all conventional inpatient and outpatient physical therapy.
- •Adequate language and neurocognitive function to participate in exercise testing and training (specific screening instruments used.)
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
VO2 Peak
Time Frame: baseline, 3 months, 6 months, and 3 months post-intervention
Berg Balance Scale
Time Frame: baseline, 3 months, 6 months, and 3 months post-intervention
Dynamic Gait Index
Time Frame: Baseline, 3 months, 6 months, and 3 months post intervention
Step Activity Monitoring
Time Frame: Baseline, 3 months, 6 months, and 3 months post-intervention
6 Minute Walks
Time Frame: Baseline, 3 months, 6 months, and 3 months post-intervention
Secondary Outcomes
- Psychosocial questionnaires(baseline, 3 months, 6 months, and 3 months post-intervention)