Effectiveness of Fast Muscle Activation and Stepping Training (FAST) on Balance and Mobility Post-stroke
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 55
- 试验地点
- 4
- 主要终点
- Community Balance and Mobility Scale
研究概览
简要总结
The purpose of this study is to determine whether FAST (Fast muscle Activation and Stepping Training) exercises will improve walking balance in individuals after stroke to a greater extent than usual care.
Hypothesis: The primary hypothesis is that improvements in walking balance will be larger following 12 sessions of FAST exercise retraining compared to usual care in persons in the sub-acute phase after stroke.
详细描述
It is estimated that 75-80% of individuals who have had a stroke will survive the acute event and be left with residual disability. Regaining independence in standing and walking is of utmost importance for patients recovering from stroke. Walking balance requires muscles in the legs and trunk to contract quickly if people lose their balance. Physical therapy plays a key role in the rehabilitation of walking balance in individuals after stroke. Given that maintaining one's balance requires fast muscle activity, rehabilitation post-stroke should focus on speed of movement. Thus we are proposing to compare a program that emphasizes speed of movement, Fast muscle Activation and Stepping Training versus an active control (usual care).
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
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 19 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Study population: Subjects with a diagnosis of stroke
- •Inclusion Criteria:
- •first stroke (<6 months ago)
- •presence of hemiparesis in the lower extremity
- •minimum Berg Balance Score (BBS) of 30/56
- •cognitive ability to give informed consent
排除标准
- •bilateral stroke, or a previous stroke in the other hemisphere
- •severe co-morbidity that is likely to dominate the pattern of care
- •co-existing peripheral neuropathies or disorders of the vestibular apparatus
- •musculoskeletal problems
- •global aphasia or receptive aphasia
研究组 & 干预措施
Usual care
The usual care will consist of strength training, endurance, range of motion, patient education, weight shifting in standing and gait re-training.
干预措施: Usual Care (Behavioral)
FAST protocol
The Fast muscle activation and stepping training will be the Experimental arm of this trial. This program will be exercises emphasizing speed of movement.
干预措施: FAST protocol (Behavioral)
结局指标
主要结局
Community Balance and Mobility Scale
时间窗: Pre treatment and Post treatment (6 weeks)
次要结局
- Gait assessment(Pre treatment, Post treatment (6 weeks) and Retention (+1 month after treatment))
- Activities-specific Balance Confidence Scale(Pre treatment, Post treatment (6 weeks) and Retention (+1 month after treatment))
- Community Balance and Mobility Scale(Post treatment and Retention (+1 month after treatment))
- Physiological balance assessment by internal and external perturbations(Pre treatment, Post treatment (6 weeks) and Retention (+1 month after treatment))
研究者
Jayne Garland
Principal Investigator
University of British Columbia