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Complex Exercise Program for Stroke Patients

Not Applicable
Recruiting
Conditions
Stroke
Program, Communication
Sports Physical Therapy
Interventions
Behavioral: Complex exercise program
Registration Number
NCT05616858
Lead Sponsor
Pusan National University Yangsan Hospital
Brief Summary

The physical and social effects of exercise programs and daily exercise have already been demonstrated in stroke. However, stroke survivors have shown a passive attitude towards the exercise program and there was little guideline and experience of the stroke exercise program in the community. Therefore, the study provides patients with an adequate guide to a complex exercise program after discharge based on the medical records.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
100
Inclusion Criteria
  • Community indwelling stroke patients discharged from Pusan National University Yangsan Hospital
  • Independent ambulator (FAC over 4)
  • Independent daily activities (Modified Rankin Scale less than 2)
  • No apparent spasticity on hemiplegic side (Modified Ashworth scale less than 1)
  • Hemiplegic side motor grades (Manual muscle testing, MMT) more than 3
Exclusion Criteria
  • MMSE less than 18
  • BBS less than 41
  • Severe aphagia who cannot communicate
  • Severe cardiovascular conditions inhibiting exercise programs
  • Musculoskeletal problems inhibiting exercise programs
  • Other medical conditions considered by physiatrists

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Intervention groupComplex exercise programGroup with exercise program
Primary Outcome Measures
NameTimeMethod
Peak VO2Follow-up evaluation (through study completion, an average of 6 weeks)

Maximal VO2 from cardiopulmonary exercise test

Secondary Outcome Measures
NameTimeMethod
Berg balance scale (0-56, the higher the better)Follow-up evaluation (through study completion, an average of 6 weeks)

Objectively determine a patient's ability to safely balance during a series of predetermined tasks

Grip strengthFollow-up evaluation (through study completion, an average of 6 weeks)

measure of muscular strength or the maximum force/tension generated by one's forearm muscles

6-minute walk testFollow-up evaluation (through study completion, an average of 6 weeks)

practical simple test that requires a 100-ft hallway but no exercise equipment or advanced training for technicians

Functional ambulation category (0-5, the higher the better)Follow-up evaluation (through study completion, an average of 6 weeks)

6-point functional walking test that evaluates ambulation ability

Figure-of-eight walk testFollow-up evaluation (through study completion, an average of 6 weeks)

Measurement tool that assesses the ability to walk on a curved path

Manual function test (0-32, the higher the better)Follow-up evaluation (through study completion, an average of 6 weeks)

Evaluate unilateral manual performance in hemiparetic patients after stroke

Korean Mini-Mental Status Examination (K-MMSE) (0-30, the higher the better)Follow-up evaluation (through study completion, an average of 6 weeks)

Screening of dementia and to investigate the possible changes of optimal cutoff scores

Timed up and goFollow-up evaluation (through study completion, an average of 6 weeks)

To determine fall risk and measure the progress of balance

Chair sit-to-stand testFollow-up evaluation (through study completion, an average of 6 weeks)

Testing leg strength and endurance in older adults

Modified Barthel Index (Korean version) (0-100, the higher the better)Follow-up evaluation (through study completion, an average of 6 weeks)

Measure of physical disability used widely to assess behaviour relating to activities of daily living

Body composition analysisFollow-up evaluation (through study completion, an average of 6 weeks)

Percentage of fat, bone, and muscle in the body

Sit-and-reach testFollow-up evaluation (through study completion, an average of 6 weeks)

Measure of flexibility, and specifically measures the flexibility of the lower back and hamstring muscles

Fugl-Meyer assessment (0-226, the higher the better)Follow-up evaluation (through study completion, an average of 6 weeks)

Stroke-specific, performance-based impairment index

Getriatic depression scale (0-15, the higher the more depressive)Follow-up evaluation (through study completion, an average of 6 weeks)

Assessment of depression in the elderly

Euro-Quality of Life-5 Dimension (EQ-5D) (5-25, the higher the better)Follow-up evaluation (through study completion, an average of 6 weeks)

A brief and simple instrument measuring health related quality of life

International Physical Activity Questionnaire (No scores)Follow-up evaluation (through study completion, an average of 6 weeks)

27-item self-reported measure of physical activity for use with individual adult patients aged 15 to 69 years old

Trial Locations

Locations (1)

Pusan National University Yangsan Hospital

🇰🇷

Yangsan, Gyeongnam, Korea, Republic of

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