Sms Guided Training After Acute Stroke

Not Applicable

Completed

• Conditions: Acute Stroke
• Interventions: Other: Training after acute stroke

• Registration Number: NCT02720276
• Lead Sponsor: Uppsala County Council, Sweden

Brief Summary

The purpose of this exploratory study is to investigate how a predetermined outdoor walking program (12 weeks) is best delivered to individuals with stroke over 18 years, either by smartphone and the Short Message Service (SMS) or video link.

Furthermore, the aim is to investigate how the study design works in practice and determine the effects of the outdoor walking exercise program in combination with a leg exercise on physical functioning (walking capacity, gait speed, mobility and grip strength).

Detailed Description

Twenty community-living individuals in Uppsala municipality will be included and treated with a cross-over design. Ten individuals will initially receive exercise instructions to their smartphones via Short Message Service (SMS) for 6 weeks and after that instructions by a video link (6 weeks). Another 10 individuals will initially receive instructions by a video link and then switching to management with SMS after 6 weeks of training.

Intervention: Participants are supposed to perform an outdoor walking exercise program for 12 weeks. The walks should gradually increase in frequency and intensity, and is expected to start after discharge from the stroke department, after the assessment. The first 2 weeks start with daily walks. The walks will be conducted at a pace that increases the heart rate but still makes it possible to talk. The intensity and frequency of walks will progressively increase performed according to the Borg scale: 12-15, ie, moderate to strenuous. Participants will walk 5-7 days/week. Added to this is a strength exercise, which should be performed in connection with the walk training.

Methods: Questionnaires and medical records used for documentation of age, sex, comorbidity, blood pressure, medications and previous education.

Assessment of motor function, cognition, level of physical activity are only performed as screening at baseline measurements. Objective evaluation of the participants' adherence to the outdoor walking program will be measured with a training diary where the individual documents whether they have followed the training instructions.

Power analysis is not performed since this is an exploratory study. The investigators will analyze the data using an intention-to -treat. The investigators will also do a 'per-protocol analysis, where only participants who completed the training are included. Participants should have participated in at least 50% of the training sessions. All analyzes will be done using SPSS version 23 (IBM, Armonk).

Study Timeline

• Study Start: 2015-10
• Study First Submitted: 2016-03-16
• Study First Submitted QC: 2016-03-24
• Study First Posted: 2016-03-25
• Primary Completion: 2016-06
• Study Completion: 2016-06
• Status Verified: 2017-09
• Last Update Submitted: 2017-09-17
• Last Update Posted: 2017-09-19

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 19

Inclusion Criteria

1. ≥ 18 years
2. Verified ischemic cerebral infarction or intracerebral hemorrhage.
3. Sufficient walking capacity and motor function
4. Able to communicate in Swedish
5. Signed consent

Exclusion Criteria

Are one or more of the following:

1. Subarachnoid bleeding
2. Insufficient cognition and impaired ability to understand instructions
3. Medical problems that make it unsuitable to participate

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Training after acute stroke	Training after acute stroke	Intervention: Outdoor walking and strength training.

Primary Outcome Measures

Name	Time	Method
6 Minutes Walk Test	change from baseline walking capacity to three months	walking capacity

Secondary Outcome Measures

Name	Time	Method
Montreal Outcome Assessment	baseline	cognitive function
Modified Rankin Scale	baseline	motor function
Jamar hand dynamometer	change from baseline hand-grip strength to three months	hand-grip strength
10 meters walk test	change from baseline gait speed to three months	gait speed
Short Physical Performance Battery	change from baseline mobility to three months	mobility
Saltin Grimby Physical Activity Level Scale	baseline	level of physical activity
The Visual Analogue Rating Scale (VAS)	change from baseline to three months.	Report of how to deliver the best instructions.