Is moderate intensity cardiovascular fitness training in addition to usual care feasible following stroke? A pilot randomized controlled trial.
- Conditions
- StrokeStroke - HaemorrhagicStroke - IschaemicPhysical Medicine / Rehabilitation - Physiotherapy
- Registration Number
- ACTRN12613000822785
- Lead Sponsor
- Johanna Reynolds
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 20
Aged 18 years or older; diagnosed with an ischaemic or haemorrhagic stroke at least six weeks; and no more than 12 months, prior to recruitment; admitted to outpatient centre-based CBR physiotherapy at Western Health; able to walk at least 100m, with or without a gait aid or supervision from another person.
Unable to physically participate in CV exercise at low to moderate intensity; documented medical restrictions to CV training in CBR referral; unable to follow two-stage commands or indicate symptoms during exercise; pregnant;
the following comorbidities documented in their referral/medical history or GP screen: cardiovascular instability, including unstable angina, acute or complex arrhythmia; severe aortic valve disease or stenosis; severe left ventricular dysfunction; history of unstable cardiac failure or uncontrolled hypertension; pulmonary hypertension; interstitial lung disease; severe renal impairment; acute infection or fever (local or systemic); uncontrolled diabetes; recent myocardial infarction requiring acute intervention (< 6/52 prior to recruitment); acute myocarditis or pericarditis; acute pulmonary embolism or infarction; neurosurgery less than 6/52 prior to recruitment date.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Cardiovascular fitness (VO2peak) - assessed by graded exercise testing (incremental exercise) using cycle ergometry. Open circuit spirometry and electrocardiography monitoring for expired gas analysis and heart rate response to determine VO2 peak. Consistent with ACSM guidelines. [Pre and post testing ie. Testing at 0 weeks and post completion of 12 week program. ]
- Secondary Outcome Measures
Name Time Method Functional independence/walking speed and endurance <br>(six-minute walk test, 10 metre walk test (comfortable and fast speed))[Pre and post testing (0 and 12 weeks)];Quality of life (SF-36)[Pre and post testing (0 and 12 weeks)];Mood (PHQ-9)[Pre and post testing (0 and 12 weeks)]