Evaluation of Early Standardized Task-Specific Training (ESTT) in Persons With Acute Stroke
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 12
- 试验地点
- 8
- 主要终点
- Change in Walking Velocity From Initial Assessment to Completion of Study at 6 Months Post Enrollment
研究概览
简要总结
A. Specific Aims:
- There is one specific aim of this study. The aim is to evaluate the effectiveness of early standardized task-specific training (ESTT) in persons with acute stroke.
B. Hypothesis:
- It is our hypothesis that subjects who receive ESTT will walk faster and more symmetrically than published reports of gait outcomes in persons with stroke.
详细描述
It is our contention that gait recovery after stroke is impacted by the interventions that are acutely utilized during training. There is not a consensus about how to most effectively train individuals after stroke. It is clear, however, that most persons are left with significant and often debilitating gait dysfunction after stroke so there is an urgent need to find more effective therapeutic methods.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 16 Years 至 80 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Recent stroke (less than 6 weeks)
- •Able to give conformed consent or have family member who can give consent
- •first time stroke OR complete recovery from prior stroke
排除标准
- •non-ambulatory before onset of stroke
- •bilateral stroke
- •presence of severe cardiac problems
- •other co-morbidities which would affect gait training (i.e. amputation, spinal cord injury, traumatic brain injury, etc.)
- •recent myocardial infarct (within 4 weeks)
- •any uncontrolled health condition for which exercise is contraindicated
- •severe lower extremity joint disease/pathology that would interfere with gait training
- •subjects with BMI greater than 40
- •significant cognitive impairment
- •age greater than 80 years or less than 16 years
- •able to complete 5 or more full heel raises with the affected ankle in standing with the knee extended with no more than one or two fingers on support surface for balance
研究组 & 干预措施
early standardized task training
Persons in the experimental group will receive ESTT (early standardized task specific training) for gait treatment after stroke.
干预措施: Early standardized task training (Other)
结局指标
主要结局
Change in Walking Velocity From Initial Assessment to Completion of Study at 6 Months Post Enrollment
时间窗: This will be done at the time of discharge from inpatient rehabilitation (the initial assessment point of the study) and at 6-months post enrollment.
Computerized gait analysis is done by a mat system (GAITRite) that electronically calculates the velocity.
次要结局
- Change in Score on Stroke Rehabilitation Assessment of Movement (STREAM) Test From Initial Assessment to Discharge From Study.(This test will be done at the initiation of the protocol (initial assessment) and at 6 months post enrollment)
研究者
Karen McCain
Associate Professor, Physical Therapy, School of Health Professions
University of Texas Southwestern Medical Center