Individual vs Co-Treatment in Acute Stroke Rehabilitation and Evaluation
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 567
- 试验地点
- 1
- 主要终点
- Final Activity Measure for Post-Acute Care (AM-PAC) Basic Mobility Score
研究概览
简要总结
This is a single center, pragmatic, randomized trial comparing the effectiveness of two commonly used approaches (co-treatment and individual treatment) in acute care rehabilitation.
详细描述
Individual and co-treatment are both widely used to deliver physical therapy (PT) and occupational therapy (OT) for patients admitted to the hospital for acute stroke. Studies have shown that patients with stroke who participate in hospital PT and OT have improved function upon discharge. However, there is a lack of evidence informing which patients are best suited for individual versus co-treatment, or which delivery method more effectively improves functional outcomes.
This gap in knowledge presents a unique opportunity to advance stroke rehabilitation. This study aims to compare the two approaches and their resulting functional outcomes through a randomized trial-an approach never previously undertaken-to determine whether individual or co-treatment leads to better patient recovery. The findings have the potential to optimize rehabilitation and the delivery of PT and OT for future patients with acute stroke.
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
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Inpatient admission to the neurology stroke service AND
- •Orders placed for both PT and OT within 96 hours of hospital admission
排除标准
- •Patient is known to be <18 years
- •Patient is known to be a prisoner
- •Patient is known to be pregnant
- •Prior evaluation or treatment by PT and/or OT while admitted under the stroke service before study enrollment
- •Clinician determines that either individual PT and OT or co-treatment is required or contraindicated for the optimal care of the patient
研究组 & 干预措施
Co-treatment
干预措施: Co-treatment (Other)
Individual Treatment
干预措施: Individual Treatment (Other)
结局指标
主要结局
Final Activity Measure for Post-Acute Care (AM-PAC) Basic Mobility Score
时间窗: Prior to discharge or at 28 days post-enrollment, whichever comes first.
Final PT assessment score. Assessments are conducted by PTs during every session on 6 mobility items: 1) turning over in bed 2) moving from lying to sitting edge of bed 3) moving from bed to chair 4) standing up from chair 5) walking in hospital room 6) climbing 3-5 steps. Therapists rate the patient's difficulty performing specified activities using a 4-point scale, with 1 indicating total assistance and 4 indicating no assistance needed. Scores from each of the 6 activities are totaled. Final scores range from 6-24, with lower scores indicating more severe impairment.
Final Activity Measure for Post-Acute Care (AM-PAC) Daily Activity Score
时间窗: Prior to hospital discharge or at 28 days post-enrollment, whichever comes first.
Final OT assessment score. Assessments are conducted by OTs during every session on 6 activities including: 1) lower body dressing, 2) upper body dressing, 3) toileting, 4) grooming, 5) eating, 6) bathing. Therapists rate difficulty performing specified activities using a 4-point scale, with 1 indicating total assistance and 4 indicating no assistance needed. Scores from each of the 6 activities are totaled. Final scores range from 6-24, with lower scores indicating more severe impairment
次要结局
- Discharge Disposition(At time of discharge.)
研究者
Sarah Welch
Assistant Professor
Vanderbilt University Medical Center