Comparison of Clinical and Scheduled Home-based Rehabilitation in Patients With Sub-acute Stroke.
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 72
研究概览
简要总结
The goal of this clinical trial is to learn if adding scheduled home-based rehabilitation to clinic-based rehabilitation improves walking ability and daily activities in people aged 40 to 50 with sub-acute stroke. The main questions it aims to answer are:
- Does adding home exercises improve walking ability in people with sub-acute stroke?
- Does adding home exercises improve the ability to do daily activities in people with sub-acute stroke? Researchers will compare clinic-based rehabilitation plus home-based rehabilitation to clinic-based rehabilitation alone to see if adding home exercises leads to better recovery after stroke.
Participants will:
- Attend physical therapy at the hospital 3 days per week for 12 weeks
- Do walking practice, balance training, and leg exercises at the clinic
- Do home exercises including marching, step-ups, sit-to-stand, and balance exercises on non-clinic days (home exercise group only)
- Track home exercises using a weekly logbook
- Be tested at the start and after 12 weeks
详细描述
Background:
Stroke is the second leading cause of death and the third leading cause of long-term disability worldwide. The sub-acute phase of stroke, defined as 1 to 6 months following the stroke event, represents the most critical window for functional rehabilitation and neurological recovery. Physical therapy is a core component of stroke rehabilitation, focusing on helping people with stroke regain their ability to perform daily activities.
Common problems after stroke include weakness on one side of the body (hemiplegia), balance problems, difficulty walking, and reduced ability to perform daily activities. Approximately 15 to 30 out of 100 stroke survivors are left with lasting disabilities, and about 20 out of 100 require long-term care. More than half of people with stroke in the sub-acute phase are unable to walk independently.
Stroke rehabilitation has traditionally been provided in hospitals and rehabilitation centers. However, limited access to transportation, high costs of supervised rehabilitation, and shorter hospital stays have created a growing demand for home-based rehabilitation. Research has shown that structured home-based rehabilitation programs can significantly improve walking ability, balance, and daily activities in stroke survivors.
Despite this growing evidence, the comparative effectiveness of scheduled home-based rehabilitation versus clinic-based rehabilitation in the sub-acute phase remains unclear. There is a need for well-designed studies that directly compare these two approaches to guide rehabilitation planning and help healthcare systems use their resources effectively.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
盲法说明
This is a single-blinded study. Only the outcomes assessor is blinded to group allocation. Blinding of participants and care providers was not possible due to the nature of the physical therapy interventions.
入排标准
- 年龄范围
- 40 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 40-50 years old Male and female Patients having stroke 3 months to 6 months prior to enrollment Able to comprehend and adhere to instructions Grade 1+ spasticity on Modified Ashworth Scale Modified Rankin Scale score of 3-4 with ability to maintain sitting balance for at least 1 hour
排除标准
- •Myocardial infarction Other neurological deficits leading to disability Contractures Severe dysphasia and cognitive impairment Need for further surgery or medical care