Stepping up Aerobic Exercise to Improve Health Outcomes After Stroke: Translating Research Into Clinical Care
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 62
- 试验地点
- 1
- 主要终点
- Change from admission 6-Minute Walk Test at discharge
研究概览
简要总结
Stroke is a leading cause of chronic disability here in Nova Scotia and globally. Aerobic exercise is known to improve health by increasing energy levels, physical mobility, balance, bone health, cardiovascular risk reduction, mental well-being, cognition, sleep, and quality of life. Nonetheless, people remain woefully inactive after stroke, regardless if they are in hospital or at home. The current investigative team and others have shown that even during physiotherapy, exercise intensity is not adequate to increase physical fitness. Consequently, patients are often deprived of a treatment that could improve their recovery. Why does this gap between evidence and clinical practice persist? Through a national survey the current team found that an important contributing factor is lack of appropriate screening (especially stress tests) to ensure that patients are safe to engage in aerobic exercise. This project is designed to close this evidence-practice gap by establishing a state-of-the-art aerobic exercise screening and prescription clinic at the Nova Scotia Rehabilitation Centre (NSRC). The intent is to compare outcomes of stroke rehabilitation participants before and after the clinic is underway and determine if the clinic has a positive effect on the confidence of NSRC physiotherapists to use aerobic exercise safely and effectively in stroke rehabilitation.
详细描述
Research question: To what extent does an on-site aerobic exercise screening and prescription clinic effect uptake of aerobic exercise and patient outcomes in in-patient stroke rehabilitation?
Design: Pre-post cohort design to explore real-world application and feasibility
Aim 1. Establish an aerobic exercise screening and prescription clinic (herein 'Aerobics Clinic') at the NSRC.
Aim 2. Assess the potential impact of the Aerobics Clinic on the self-efficacy of physiotherapists at NSRC regarding clinical utilization of aerobic exercise in in-patient stroke rehabilitation.
Method: An assessment of the physiotherapy participants' self-efficacy regarding the clinical utilization of aerobic exercise post-stroke will be conducted prior to, and after, implementation of the Clinic.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
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
- •Male or female adults
- •Diagnosed with ischemic or hemorrhagic stroke
- •Referred to NSRC for stroke rehabilitation
排除标准
- •Have contraindications to exercise testing using American College of Sports Medicine guidelines
结局指标
主要结局
Change from admission 6-Minute Walk Test at discharge
时间窗: admission and discharge (baseline and 5-6 weeks later)
To assess change between admission and discharge in distance walked without manual support in 6 minutes
次要结局
- Change from admission resting blood pressure at discharge(admission and discharge (baseline and 5-6 weeks later))
- Change from admission abdominal girth at discharge(admission and discharge)
- Change from admission Stroke-Specific Quality of Life at discharge(admission and discharge (baseline and 5-6 weeks later))
- Change from admission 10-Meter Walk at discharge(admission and discharge (baseline and ~5-6 weeks later))
- Change from admission Readiness for Physical Activity Scale at discharge(admission and discharge (baseline and 5-6 weeks later))
- Change from admission Fatigue Severity Scale at discharge(admission and discharge (baseline and 5-6 weeks later))
研究者
Marilyn MacKay-Lyons
Affiliated Scientist
Nova Scotia Health Authority