Feasibility of a Novel Ballet-inspired Low-impact At-home Workout Programme to Improve Balance, Gait and Memory in Adults with Stroke: a Mixed Methods Exploratory Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 32
- Locations
- 1
- Primary Endpoint
- Change in the participants' level of balance
Study Overview
Brief Summary
To explore the feasibility of a novel ballet-inspired low-impact at-home workout programme for community-dwelling stroke survivors in Hong Kong.
Detailed Description
A mixed methods exploratory study incorporating a randomised controlled trial (RCT) and qualitative evaluation will be conducted. A total of 40 stroke participants will be recruited from two acute public hospitals. Participants will be randomly assigned to receive the interention and usual care, or usual care only. Data will be collected in multiple forms: recruitment/retention rates, adherence to the intervention, journals, field notes, verbal feedback, audio records, semi-structured interviews, and questionnaires on outcomes (balance, confidence in balance, gait, walking endurance). This study is the first of its kind in Hong Kong. Findings will address the cross-cultural applicability of dance interventions and lay the groundwork for examination in a larger-RCT about its effects on survivors' balance, gait and memory.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •aged 18 years or above
- •clinically diagnosed with a first-ever ischaemic/ haemorrhagic stroke
- •living in home settings
- •mild-moderate lower limb paresis with a modified Functional Ambulation Classification (MFAC) of III (Dependent walker) or above
- •a Montreal Cognitive Assessment (MoCA) score>20
- •able to follow three-step directions
- •able to communicate in Cantonese and read Traditional Chinese
- •their hearing and/or visual disturbances corrected by hearing aids and/or glasses
- •consent to participate in the study
Exclusion Criteria
- •diagnosed with transcient ischaemic attack, subdural or epidural haemorrhage
- •experienced cerebrovascular events due to tumours or head trauma
- •have pre-existing neurological, cardiovascular or orthopaedic conditions that contradict participation in dancing such as shoulder dislocation, myocardial infarction, seizures or acutes illness
- •mental condition such as depression, schizophrenia or personality disorder
- •incomprehensible speech
- •severe hearing and/or visual disturbance
Outcomes
Primary Outcomes
Change in the participants' level of balance
Time Frame: Change from baseline to immediately after completion of the intervention (over 8 weeks)
The 14-item Mini-Balance Evaluation Systems Test (Mini-BESTest) will be used. It measures four domains: anticipatory postural adjustments, reactive postural control, sensory orientation, dynamic gait. Items are rated on a 3-level scale (0="Severe", 1="Moderate", 2="Normal"). Summed total score=0-28 (higher scores representing better balance ability). Cronbach alpha=0.89-0.94.
Secondary Outcomes
- Change in the participants' level of balance confidence(Change from baseline to immediately after completion of the intervention (over 8 weeks))
- Change in the participants' level of gait(Change from baseline to immediately after completion of the intervention (over 8 weeks))
- Change in participants' level of memory(Change from baseline to immediately after completion of the intervention (over 8 weeks))
- Change in participants' level of walking endurance(Change from baseline to immediately after completion of the intervention (over 8 weeks))
Investigators
Suzanne HS Lo
Assistant Professor
Chinese University of Hong Kong