Sit-to-stand Training in Stroke Patient
- Conditions
- Stroke
- Interventions
- Other: Manual assisted sit-to-stand training groupDevice: Mechanical assisted sit-to-stand training group
- Registration Number
- NCT03273101
- Lead Sponsor
- Tai Po Hospital
- Brief Summary
Background: It is unknown whether the self-initiated sit-to-stand training with assistive device is effective to regain the independence of sit-to-stand in stroke patients.
Objective: To compare the effectiveness of self-initiated sit-to-stand training by assistive device, with manual sit-to-stand training.
Design: Parallel randomised controlled and assessor blinded trial between Jan 2015 and May 2018. Randomisation was performed by drawing lots to allocate treatment to patient.
Setting: A rehabilitation hospital in Hong Kong
Participants: 69 patients in medical wards with unilateral hemiparetic stroke. 52 patients fulfilled the study requirements.
Intervention: Ten sessions of intervention with conventional physiotherapy program followed, by self-initiated sit-to-stand training with assistive device, or by manual sit-to-stand training.
Main outcome measure: Number of patients regained the independence of sit-to-stand, Sit-to-stand test from the balance master® and Five-repetitions sit-to-stand test.
Results: 69 patients (intervention n=36; control n=33) were randomized (mean age 69.8 (SD, 10.6), mean post stroke days 18.6 (SD 16.0)) for intention to treat analysis. 17 patients were excluded because of dropout before 10 sessions of training, leaving 52 (n=26; n=26) patients for per protocol analysis. 18 patients in intervention group and 10 patients in control group had regained the independence of sit-to-stand (Phil and Cramer's V: -0.31 and 0.31). The patients in intervention group were faster to complete the Five-repetition sit-to-stand test than the control group (32.7 secs (SD, 1.93) v 48.4 secs (SD, 6.8); 95% confidence interval, -30.8 to -0.7; p\<0.05). No adverse side effects occurred during and after the training across groups.
Conclusions: Self-initiated sit-to-stand training by assistive device can help more stroke patients regain the independence of sit-to-stand.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 52
- first episode of unilateral stroke with hemiparesis,
- able to understand and follow simple verbal instructions,
- able to sit unsupported for at least two minutes
- require lifting assistance to stand up from a 18 inches high plinth
- severe pain in the lower extremities when weight bearing or performing movement
- any other acute comorbid diseases such as unstable angina, recent myocardial infarction
- unstable medical / psychological condition
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Control group Manual assisted sit-to-stand training group The sit-to-stand training is assisted by manual device Intervention group Mechanical assisted sit-to-stand training group The sit-to-stand training is assisted by mechanical device
- Primary Outcome Measures
Name Time Method Five-Repetition Sit-to-Stand Test After 10 sessions of training To assess the functional strength of lower limb, balance and transition move of patient
Sit-to-Stand Test (SST) from the Balance Master® After 10 sessions of training To assess the quality of sit-to-stand of patient
Number of patients regained the independence of sit-to-stand After 10 sessions of training To compare how many patients can regain the independence of sit-to-stand between groups
- Secondary Outcome Measures
Name Time Method