Trial Outcomes & Findings for Locomotor Experience Applied Post Stroke Trial (NCT NCT00243919)

NCT ID: NCT00243919

Last Updated: 2014-07-16

Results Overview

Success: walking greater than 0.4 m/sec if baseline was less than 0.4; walking greater than 0.8 m/sec if baseline was 0.4m/sec or greater but less than 0.8 m/sec as measured during 10 meter walk.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

408 participants

Primary outcome timeframe

12 months post-stroke

Results posted on

2014-07-16

Participant Flow

Participants were recruited from 6 inpatient rehabilitation centers in California and Florida from April 2006 through June 2009.

Participants admitted for inpatient rehabilitation were screened by chart review. Eligible participants with first-time stroke received a comprehensive medical record review and physical and cognitive screening. At 2-months, those who maintained eligibility and successfully completed an exercise tolerance test were enrolled.

Participant milestones

Participant milestones
Measure
Early Locomotor Training Program
Stepping on a treadmill with partial body weight support and manual assistance as needed for 20-30 minutes at 2.0 mph, followed by a progressive overground walking program for 20 minutes delivered at 2 months post-stroke.
Late Locomotor Training Program
Stepping on a treadmill with partial body weight support and manual assistance as needed for 20-30 minutes at 2.0 mph, followed by a progressive overground walking program for 20 minutes delivered at 6 months post-stroke.
Home Exercise Program
Home Exercise Program (HEP) was designed as an active control. The exercise program was progressed by a study physical therapist in the home to enhance flexibility, joint range of motion, upper- and lower-extremity strength, coordination and static and dynamic balance. Subjects were encouraged to walk daily. The home exercise program was delivered at 2 months post-stroke.
Overall Study
STARTED
139
143
126
Overall Study
COMPLETED
122
125
115
Overall Study
NOT COMPLETED
17
18
11

Reasons for withdrawal

Reasons for withdrawal
Measure
Early Locomotor Training Program
Stepping on a treadmill with partial body weight support and manual assistance as needed for 20-30 minutes at 2.0 mph, followed by a progressive overground walking program for 20 minutes delivered at 2 months post-stroke.
Late Locomotor Training Program
Stepping on a treadmill with partial body weight support and manual assistance as needed for 20-30 minutes at 2.0 mph, followed by a progressive overground walking program for 20 minutes delivered at 6 months post-stroke.
Home Exercise Program
Home Exercise Program (HEP) was designed as an active control. The exercise program was progressed by a study physical therapist in the home to enhance flexibility, joint range of motion, upper- and lower-extremity strength, coordination and static and dynamic balance. Subjects were encouraged to walk daily. The home exercise program was delivered at 2 months post-stroke.
Overall Study
Death
3
4
6
Overall Study
Withdrawal by Subject
6
6
2
Overall Study
Lost to Follow-up
6
7
3
Overall Study
Administrative Error
1
0
0
Overall Study
Physician Decision
1
1
0

Baseline Characteristics

Locomotor Experience Applied Post Stroke Trial

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Early Locomotor Training Program
n=139 Participants
Stepping on a treadmill with partial body weight support and manual assistance as needed for 20-30 minutes at 2.0 mph, followed by a progressive overground walking program for 20 minutes delivered at 2 months post-stroke.
Late Locomotor Training Program
n=143 Participants
Stepping on a treadmill with partial body weight support and manual assistance as needed for 20-30 minutes at 2.0 mph, followed by a progressive overground walking program for 20 minutes delivered at 6 months post-stroke.
Home Exercise Program
n=126 Participants
HEP was designed as an active control. The exercise program was progressed by a study physical therapist in the home to enhance flexibility, joint range of motion, upper- and lower-extremity strength, coordination and static and dynamic balance. Subjects were encouraged to walk daily. The home exercise program was delivered at 2 months post-stroke.
Total
n=408 Participants
Total of all reporting groups
Age, Continuous
60.1 years
STANDARD_DEVIATION 12.3 • n=5 Participants
63.3 years
STANDARD_DEVIATION 12.5 • n=7 Participants
62.6 years
STANDARD_DEVIATION 13.3 • n=5 Participants
62.0 years
STANDARD_DEVIATION 12.7 • n=4 Participants
Sex: Female, Male
Female
54 Participants
n=5 Participants
69 Participants
n=7 Participants
61 Participants
n=5 Participants
184 Participants
n=4 Participants
Sex: Female, Male
Male
85 Participants
n=5 Participants
74 Participants
n=7 Participants
65 Participants
n=5 Participants
224 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
26 Participants
n=5 Participants
15 Participants
n=7 Participants
22 Participants
n=5 Participants
63 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
113 Participants
n=5 Participants
128 Participants
n=7 Participants
104 Participants
n=5 Participants
345 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
5 Participants
n=4 Participants
Race (NIH/OMB)
Asian
19 Participants
n=5 Participants
20 Participants
n=7 Participants
15 Participants
n=5 Participants
54 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
4 Participants
n=5 Participants
9 Participants
n=7 Participants
6 Participants
n=5 Participants
19 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
32 Participants
n=5 Participants
34 Participants
n=7 Participants
24 Participants
n=5 Participants
90 Participants
n=4 Participants
Race (NIH/OMB)
White
81 Participants
n=5 Participants
77 Participants
n=7 Participants
78 Participants
n=5 Participants
236 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
3 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Time since stroke to randomization - days
64.1 days
STANDARD_DEVIATION 8.3 • n=5 Participants
64.18 days
STANDARD_DEVIATION 9.0 • n=7 Participants
62.9 days
STANDARD_DEVIATION 8.0 • n=5 Participants
63.8 days
STANDARD_DEVIATION 8.5 • n=4 Participants
Side of involvement
Left Hemiparesis
63 participants
n=5 Participants
58 participants
n=7 Participants
61 participants
n=5 Participants
182 participants
n=4 Participants
Side of involvement
Right Hemiparesis
76 participants
n=5 Participants
85 participants
n=7 Participants
65 participants
n=5 Participants
226 participants
n=4 Participants
Stroke Type
Large Vessel
55 participants
n=5 Participants
60 participants
n=7 Participants
47 participants
n=5 Participants
162 participants
n=4 Participants
Stroke Type
Lacune
40 participants
n=5 Participants
45 participants
n=7 Participants
43 participants
n=5 Participants
128 participants
n=4 Participants
Stroke Type
Hemorrhage
27 participants
n=5 Participants
22 participants
n=7 Participants
21 participants
n=5 Participants
70 participants
n=4 Participants
Stroke Type
Undefined
17 participants
n=5 Participants
16 participants
n=7 Participants
15 participants
n=5 Participants
48 participants
n=4 Participants
Modified Rankin Scale
Rankin 0 - 1 (no significant disability)
0 participants
n=5 Participants
2 participants
n=7 Participants
0 participants
n=5 Participants
2 participants
n=4 Participants
Modified Rankin Scale
Rankin 2 (slight disability)
12 participants
n=5 Participants
21 participants
n=7 Participants
21 participants
n=5 Participants
54 participants
n=4 Participants
Modified Rankin Scale
Rankin 3 (moderate disability)
66 participants
n=5 Participants
57 participants
n=7 Participants
49 participants
n=5 Participants
172 participants
n=4 Participants
Modified Rankin Scale
Rankin 4 (moderately severe disability)
61 participants
n=5 Participants
63 participants
n=7 Participants
56 participants
n=5 Participants
180 participants
n=4 Participants
Comorbidities
Cardiovascular
36 participants
n=5 Participants
36 participants
n=7 Participants
37 participants
n=5 Participants
109 participants
n=4 Participants
Comorbidities
Hypertension
116 participants
n=5 Participants
111 participants
n=7 Participants
104 participants
n=5 Participants
331 participants
n=4 Participants
Comorbidities
Peripheral vascular disease
12 participants
n=5 Participants
12 participants
n=7 Participants
13 participants
n=5 Participants
37 participants
n=4 Participants
Comorbidities
Chronic Obstructive Pulmonary Disease (COPD)
5 participants
n=5 Participants
14 participants
n=7 Participants
7 participants
n=5 Participants
26 participants
n=4 Participants
Comorbidities
Arthritis/other musculoskeletal
47 participants
n=5 Participants
52 participants
n=7 Participants
47 participants
n=5 Participants
146 participants
n=4 Participants
Comorbidities
Diabetes
47 participants
n=5 Participants
51 participants
n=7 Participants
43 participants
n=5 Participants
141 participants
n=4 Participants
Comorbidities
Depression (Personal Health Questionnaire-9 >= 10)
20 participants
n=5 Participants
28 participants
n=7 Participants
19 participants
n=5 Participants
67 participants
n=4 Participants
Mini Mental Status Exam
26.0 scores on a scale
STANDARD_DEVIATION 3.2 • n=5 Participants
26.2 scores on a scale
STANDARD_DEVIATION 3.7 • n=7 Participants
26.0 scores on a scale
STANDARD_DEVIATION 3.6 • n=5 Participants
26.1 scores on a scale
STANDARD_DEVIATION 3.5 • n=4 Participants
Walking Speed (m/sec)
Severe Disability (<0.4 m/sec)
75 participants
n=5 Participants
77 participants
n=7 Participants
66 participants
n=5 Participants
218 participants
n=4 Participants
Walking Speed (m/sec)
Moderate Disability (0.4 - 0.8 m/sec)
64 participants
n=5 Participants
66 participants
n=7 Participants
60 participants
n=5 Participants
190 participants
n=4 Participants
Comfortable walking speed (m/sec)
0.36 m/sec
STANDARD_DEVIATION 0.22 • n=5 Participants
0.38 m/sec
STANDARD_DEVIATION 0.23 • n=7 Participants
0.39 m/sec
STANDARD_DEVIATION 0.22 • n=5 Participants
0.38 m/sec
STANDARD_DEVIATION 0.22 • n=4 Participants

PRIMARY outcome

Timeframe: 12 months post-stroke

Population: Intention to treat analysis. Missing data were imputed using the LOCF method.

Success: walking greater than 0.4 m/sec if baseline was less than 0.4; walking greater than 0.8 m/sec if baseline was 0.4m/sec or greater but less than 0.8 m/sec as measured during 10 meter walk.

Outcome measures

Outcome measures
Measure
Early Locomotor Training Program
n=139 Participants
Stepping on a treadmill with partial body weight support and manual assistance as needed for 20-30 minutes at 2.0 mph, followed by a progressive overground walking program for 20 minutes delivered at 2 months post-stroke.
Late Locomotor Training Program
n=143 Participants
Stepping on a treadmill with partial body weight support and manual assistance as needed for 20-30 minutes at 2.0 mph, followed by a progressive overground walking program for 20 minutes delivered at 6 months post-stroke.
Home Exercise Program
n=126 Participants
HEP was designed as an active control. The exercise program was progressed by a study physical therapist in the home to enhance flexibility, joint range of motion, upper- and lower-extremity strength, coordination and static and dynamic balance. Subjects were encouraged to walk daily. The home exercise program was delivered at 2 months post-stroke.
Percentage of Patients Who Successfully Improved Functional Level of Walking at 1 Year Post-stroke
50.4 percent of participants
53.8 percent of participants
51.6 percent of participants

PRIMARY outcome

Timeframe: Baseline and 12 months post-stroke

Outcome measures

Outcome measures
Measure
Early Locomotor Training Program
n=139 Participants
Stepping on a treadmill with partial body weight support and manual assistance as needed for 20-30 minutes at 2.0 mph, followed by a progressive overground walking program for 20 minutes delivered at 2 months post-stroke.
Late Locomotor Training Program
n=143 Participants
Stepping on a treadmill with partial body weight support and manual assistance as needed for 20-30 minutes at 2.0 mph, followed by a progressive overground walking program for 20 minutes delivered at 6 months post-stroke.
Home Exercise Program
n=126 Participants
HEP was designed as an active control. The exercise program was progressed by a study physical therapist in the home to enhance flexibility, joint range of motion, upper- and lower-extremity strength, coordination and static and dynamic balance. Subjects were encouraged to walk daily. The home exercise program was delivered at 2 months post-stroke.
Walking Speed: Measured During a 10-meter Walk
Baseline
0.37 m/sec
Standard Deviation 0.22
0.38 m/sec
Standard Deviation 0.23
0.39 m/sec
Standard Deviation 0.22
Walking Speed: Measured During a 10-meter Walk
12-month change from Baseline
0.23 m/sec
Standard Deviation 0.20
0.24 m/sec
Standard Deviation 0.23
0.25 m/sec
Standard Deviation 0.22

SECONDARY outcome

Timeframe: Baseline and 6 months post-stroke

Population: Intention to treat analysis. Missing data were imputed using the Last Observation Carried Forward (LOCF) method.

Success: walking greater than 0.4 m/sec if baseline was less than 0.4; walking greater than 0.8 m/sec if baseline was 0.4m/sec or greater but less than 0.8 m/sec as measured during 10 meter walk.

Outcome measures

Outcome measures
Measure
Early Locomotor Training Program
n=139 Participants
Stepping on a treadmill with partial body weight support and manual assistance as needed for 20-30 minutes at 2.0 mph, followed by a progressive overground walking program for 20 minutes delivered at 2 months post-stroke.
Late Locomotor Training Program
n=143 Participants
Stepping on a treadmill with partial body weight support and manual assistance as needed for 20-30 minutes at 2.0 mph, followed by a progressive overground walking program for 20 minutes delivered at 6 months post-stroke.
Home Exercise Program
n=126 Participants
HEP was designed as an active control. The exercise program was progressed by a study physical therapist in the home to enhance flexibility, joint range of motion, upper- and lower-extremity strength, coordination and static and dynamic balance. Subjects were encouraged to walk daily. The home exercise program was delivered at 2 months post-stroke.
Percentage of Patients Who Successfully Improved Functional Level of Walking at 6 Months Post-stroke
50.4 percent of participants
32.2 percent of participants
49.2 percent of participants

SECONDARY outcome

Timeframe: Baseline and 6 months post-stroke

Outcome measures

Outcome measures
Measure
Early Locomotor Training Program
n=139 Participants
Stepping on a treadmill with partial body weight support and manual assistance as needed for 20-30 minutes at 2.0 mph, followed by a progressive overground walking program for 20 minutes delivered at 2 months post-stroke.
Late Locomotor Training Program
n=143 Participants
Stepping on a treadmill with partial body weight support and manual assistance as needed for 20-30 minutes at 2.0 mph, followed by a progressive overground walking program for 20 minutes delivered at 6 months post-stroke.
Home Exercise Program
n=126 Participants
HEP was designed as an active control. The exercise program was progressed by a study physical therapist in the home to enhance flexibility, joint range of motion, upper- and lower-extremity strength, coordination and static and dynamic balance. Subjects were encouraged to walk daily. The home exercise program was delivered at 2 months post-stroke.
6 Month Outcome: Walking Speed: Measured During a 10-meter Walk
Baseline
0.37 m/sec
Standard Deviation 0.22
0.38 m/sec
Standard Deviation 0.23
0.39 m/sec
Standard Deviation 0.22
6 Month Outcome: Walking Speed: Measured During a 10-meter Walk
6 month change from Baseline
0.25 m/sec
Standard Deviation 0.21
0.13 m/sec
Standard Deviation 0.14
0.23 m/sec
Standard Deviation 0.20

SECONDARY outcome

Timeframe: Baseline, 6 months and 12 months post-stroke

Distance walked in 6 minutes.

Outcome measures

Outcome measures
Measure
Early Locomotor Training Program
n=139 Participants
Stepping on a treadmill with partial body weight support and manual assistance as needed for 20-30 minutes at 2.0 mph, followed by a progressive overground walking program for 20 minutes delivered at 2 months post-stroke.
Late Locomotor Training Program
n=143 Participants
Stepping on a treadmill with partial body weight support and manual assistance as needed for 20-30 minutes at 2.0 mph, followed by a progressive overground walking program for 20 minutes delivered at 6 months post-stroke.
Home Exercise Program
n=126 Participants
HEP was designed as an active control. The exercise program was progressed by a study physical therapist in the home to enhance flexibility, joint range of motion, upper- and lower-extremity strength, coordination and static and dynamic balance. Subjects were encouraged to walk daily. The home exercise program was delivered at 2 months post-stroke.
6 Minute Walking Distance (Meters)
Baseline
124.1 meters
Standard Deviation 77.5
125.7 meters
Standard Deviation 81.8
126.3 meters
Standard Deviation 75.0
6 Minute Walking Distance (Meters)
6-month change from baseline
81.8 meters
Standard Deviation 62.8
41.0 meters
Standard Deviation 47.4
75.9 meters
Standard Deviation 69.3
6 Minute Walking Distance (Meters)
12-month change from baseline
73.2 meters
Standard Deviation 69.4
79.0 meters
Standard Deviation 75.1
85.2 meters
Standard Deviation 72.9

SECONDARY outcome

Timeframe: Baseline, 6 months and 12 months post-stroke

As measured with a step activity monitor averaged over 2 days.

Outcome measures

Outcome measures
Measure
Early Locomotor Training Program
n=139 Participants
Stepping on a treadmill with partial body weight support and manual assistance as needed for 20-30 minutes at 2.0 mph, followed by a progressive overground walking program for 20 minutes delivered at 2 months post-stroke.
Late Locomotor Training Program
n=143 Participants
Stepping on a treadmill with partial body weight support and manual assistance as needed for 20-30 minutes at 2.0 mph, followed by a progressive overground walking program for 20 minutes delivered at 6 months post-stroke.
Home Exercise Program
n=126 Participants
HEP was designed as an active control. The exercise program was progressed by a study physical therapist in the home to enhance flexibility, joint range of motion, upper- and lower-extremity strength, coordination and static and dynamic balance. Subjects were encouraged to walk daily. The home exercise program was delivered at 2 months post-stroke.
Step Activity Monitor (SAM)- Median of Average Number of Steps Per Day
Baseline
1468 steps
Interval 601.0 to 3889.0
1664 steps
Interval 647.0 to 3354.0
1882.5 steps
Interval 905.0 to 3384.0
Step Activity Monitor (SAM)- Median of Average Number of Steps Per Day
6-month change from Baseline
1017 steps
Interval -102.0 to 2209.0
565.5 steps
Interval -362.0 to 2043.0
1357 steps
Interval 84.0 to 3382.0
Step Activity Monitor (SAM)- Median of Average Number of Steps Per Day
12-month change from Baseline
858 steps
Interval -253.0 to 2422.0
1022 steps
Interval -111.0 to 3009.0
1471 steps
Interval 435.0 to 3481.0

SECONDARY outcome

Timeframe: Baseline, 6 months and 12 months post-stroke

Range = 0 - 100. The Stroke Impact Scale is a measure of function (including ADL-IADL and mobility) and quality of life (participation). The Participation Scale is a single domain of the Stroke Impact Scale in which participation is defined as the ability to engage in meaningful activities with 0 indicating inability to engage in any meaningful activities and 100 indicating the ability to fully engage in meaningful activities.

Outcome measures

Outcome measures
Measure
Early Locomotor Training Program
n=139 Participants
Stepping on a treadmill with partial body weight support and manual assistance as needed for 20-30 minutes at 2.0 mph, followed by a progressive overground walking program for 20 minutes delivered at 2 months post-stroke.
Late Locomotor Training Program
n=143 Participants
Stepping on a treadmill with partial body weight support and manual assistance as needed for 20-30 minutes at 2.0 mph, followed by a progressive overground walking program for 20 minutes delivered at 6 months post-stroke.
Home Exercise Program
n=126 Participants
HEP was designed as an active control. The exercise program was progressed by a study physical therapist in the home to enhance flexibility, joint range of motion, upper- and lower-extremity strength, coordination and static and dynamic balance. Subjects were encouraged to walk daily. The home exercise program was delivered at 2 months post-stroke.
Stroke Impact Scale (SIS) - Participation
6 month change from Baseline
11.8 units on a scale
Standard Deviation 26.8
7.7 units on a scale
Standard Deviation 20.5
14.7 units on a scale
Standard Deviation 22.9
Stroke Impact Scale (SIS) - Participation
Baseline
45.0 units on a scale
Standard Deviation 23.3
46.6 units on a scale
Standard Deviation 23.0
44.8 units on a scale
Standard Deviation 23.5
Stroke Impact Scale (SIS) - Participation
12 month change from Baseline
17.1 units on a scale
Standard Deviation 25.9
13.1 units on a scale
Standard Deviation 22.0
14.4 units on a scale
Standard Deviation 20.6

SECONDARY outcome

Timeframe: Baseline, 6 months and 12 months post-stroke

Range 0 - 100 The Stroke Impact Scale (SIS) is a measure of function including ADL/IADL. The ADL/IADL scale is a single domain of the Stroke Impact Scale in which ADL is defined as the ability to take care of basic needs and IADL is defined as the ability to perform activities that make it possible to live independently in the community, with 0 indicating complete dependence on others and 100 indicating the ability to live independently without difficulty.

Outcome measures

Outcome measures
Measure
Early Locomotor Training Program
n=139 Participants
Stepping on a treadmill with partial body weight support and manual assistance as needed for 20-30 minutes at 2.0 mph, followed by a progressive overground walking program for 20 minutes delivered at 2 months post-stroke.
Late Locomotor Training Program
n=143 Participants
Stepping on a treadmill with partial body weight support and manual assistance as needed for 20-30 minutes at 2.0 mph, followed by a progressive overground walking program for 20 minutes delivered at 6 months post-stroke.
Home Exercise Program
n=126 Participants
HEP was designed as an active control. The exercise program was progressed by a study physical therapist in the home to enhance flexibility, joint range of motion, upper- and lower-extremity strength, coordination and static and dynamic balance. Subjects were encouraged to walk daily. The home exercise program was delivered at 2 months post-stroke.
Stroke Impact Scale (SIS) - Activities of Daily Living/Instrumental Activities of Daily Living (ADL/IADL)
Baseline
54.1 units on a scale
Standard Deviation 20.1
55.7 units on a scale
Standard Deviation 20.4
54.4 units on a scale
Standard Deviation 20.7
Stroke Impact Scale (SIS) - Activities of Daily Living/Instrumental Activities of Daily Living (ADL/IADL)
6-month change from baseline
9.8 units on a scale
Standard Deviation 17.2
7.0 units on a scale
Standard Deviation 17.8
13.0 units on a scale
Standard Deviation 16.9
Stroke Impact Scale (SIS) - Activities of Daily Living/Instrumental Activities of Daily Living (ADL/IADL)
12-month change from baseline
9.6 units on a scale
Standard Deviation 19.5
9.4 units on a scale
Standard Deviation 17.2
14.5 units on a scale
Standard Deviation 19.0

SECONDARY outcome

Timeframe: Baseline, 6 months and 12 months post-stroke

Range = 0 - 100. The Stroke Impact Scale (SIS) is a measure of function including Mobility. The Mobility scale is a single domain of the Stroke Impact Scale which captures the ability to balance and move, with 0 indicating severe restrictions in balance and mobility and 100 indicating independence in mobility and balance.

Outcome measures

Outcome measures
Measure
Early Locomotor Training Program
n=139 Participants
Stepping on a treadmill with partial body weight support and manual assistance as needed for 20-30 minutes at 2.0 mph, followed by a progressive overground walking program for 20 minutes delivered at 2 months post-stroke.
Late Locomotor Training Program
n=143 Participants
Stepping on a treadmill with partial body weight support and manual assistance as needed for 20-30 minutes at 2.0 mph, followed by a progressive overground walking program for 20 minutes delivered at 6 months post-stroke.
Home Exercise Program
n=126 Participants
HEP was designed as an active control. The exercise program was progressed by a study physical therapist in the home to enhance flexibility, joint range of motion, upper- and lower-extremity strength, coordination and static and dynamic balance. Subjects were encouraged to walk daily. The home exercise program was delivered at 2 months post-stroke.
Stroke Impact Scale (SIS) - Mobility
12-month change from baseline
13.7 units on a scale
Standard Deviation 21.6
12.0 units on a scale
Standard Deviation 19.1
14.2 units on a scale
Standard Deviation 20.3
Stroke Impact Scale (SIS) - Mobility
Baseline
57.0 units on a scale
Standard Deviation 22.1
60.5 units on a scale
Standard Deviation 20.7
59.1 units on a scale
Standard Deviation 19.5
Stroke Impact Scale (SIS) - Mobility
6-month change from baseline
15.3 units on a scale
Standard Deviation 21.4
7.0 units on a scale
Standard Deviation 15.7
14.9 units on a scale
Standard Deviation 20.0

SECONDARY outcome

Timeframe: Baseline, 6 months and 12 months post-stroke

Range 0 - 34 The Fugl-Meyer Lower Extremity Score measures your ability to move the lower extremity with 0 indicating no movement and 34 indicating the ability to selectively move the lower extremity without difficulty.

Outcome measures

Outcome measures
Measure
Early Locomotor Training Program
n=139 Participants
Stepping on a treadmill with partial body weight support and manual assistance as needed for 20-30 minutes at 2.0 mph, followed by a progressive overground walking program for 20 minutes delivered at 2 months post-stroke.
Late Locomotor Training Program
n=143 Participants
Stepping on a treadmill with partial body weight support and manual assistance as needed for 20-30 minutes at 2.0 mph, followed by a progressive overground walking program for 20 minutes delivered at 6 months post-stroke.
Home Exercise Program
n=126 Participants
HEP was designed as an active control. The exercise program was progressed by a study physical therapist in the home to enhance flexibility, joint range of motion, upper- and lower-extremity strength, coordination and static and dynamic balance. Subjects were encouraged to walk daily. The home exercise program was delivered at 2 months post-stroke.
Fugl-Meyer Lower Extremity Score
6-month change from Baseline
2.2 units on a scale
Standard Deviation 3.4
1.3 units on a scale
Standard Deviation 3.3
2.4 units on a scale
Standard Deviation 4.1
Fugl-Meyer Lower Extremity Score
Baseline
23.7 units on a scale
Standard Deviation 6.7
24.8 units on a scale
Standard Deviation 6.4
24.7 units on a scale
Standard Deviation 6.3
Fugl-Meyer Lower Extremity Score
12-month change from Baseline
1.7 units on a scale
Standard Deviation 3.9
1.5 units on a scale
Standard Deviation 3.7
2.5 units on a scale
Standard Deviation 4.3

SECONDARY outcome

Timeframe: Baseline, 6 months and 12 months post-stroke

Range = 0 - 56 The Berg Balance Score assesses balance in sitting, standing, reaching, shifting weight and turning, with 0 defined as inability to balance and 56 defined as the ability to balance independently and without difficulty while performing each task.

Outcome measures

Outcome measures
Measure
Early Locomotor Training Program
n=139 Participants
Stepping on a treadmill with partial body weight support and manual assistance as needed for 20-30 minutes at 2.0 mph, followed by a progressive overground walking program for 20 minutes delivered at 2 months post-stroke.
Late Locomotor Training Program
n=143 Participants
Stepping on a treadmill with partial body weight support and manual assistance as needed for 20-30 minutes at 2.0 mph, followed by a progressive overground walking program for 20 minutes delivered at 6 months post-stroke.
Home Exercise Program
n=126 Participants
HEP was designed as an active control. The exercise program was progressed by a study physical therapist in the home to enhance flexibility, joint range of motion, upper- and lower-extremity strength, coordination and static and dynamic balance. Subjects were encouraged to walk daily. The home exercise program was delivered at 2 months post-stroke.
Berg Balance Score
Baseline
35.0 units on a scale
Standard Deviation 14.4
35.9 units on a scale
Standard Deviation 14.1
36.5 units on a scale
Standard Deviation 13.6
Berg Balance Score
6-month change from Baseline
8.8 units on a scale
Standard Deviation 8.1
5.3 units on a scale
Standard Deviation 7.0
7.9 units on a scale
Standard Deviation 8.5
Berg Balance Score
12-month change from Baseline
8.0 units on a scale
Standard Deviation 7.8
5.9 units on a scale
Standard Deviation 9.1
8.3 units on a scale
Standard Deviation 8.8

SECONDARY outcome

Timeframe: Baseline, 6 months and 12 months post-stroke

Range = 0 - 100 The ABC scale is a self reported measure of confidence with activities such as walking around the house, standing on a chair to reach or getting out of a car without losing balance or becoming unsteady. A score of 0 indicates no confidence that the activities can be performed without losing balance and a score 100 indicates confidence that the activities can be accomplished without losing balance.

Outcome measures

Outcome measures
Measure
Early Locomotor Training Program
n=139 Participants
Stepping on a treadmill with partial body weight support and manual assistance as needed for 20-30 minutes at 2.0 mph, followed by a progressive overground walking program for 20 minutes delivered at 2 months post-stroke.
Late Locomotor Training Program
n=143 Participants
Stepping on a treadmill with partial body weight support and manual assistance as needed for 20-30 minutes at 2.0 mph, followed by a progressive overground walking program for 20 minutes delivered at 6 months post-stroke.
Home Exercise Program
n=126 Participants
HEP was designed as an active control. The exercise program was progressed by a study physical therapist in the home to enhance flexibility, joint range of motion, upper- and lower-extremity strength, coordination and static and dynamic balance. Subjects were encouraged to walk daily. The home exercise program was delivered at 2 months post-stroke.
Activities Specific Balance Confidence (ABC) Score
Baseline
43.6 units on a scale
Standard Deviation 23.5
47.0 units on a scale
Standard Deviation 25.4
44.5 units on a scale
Standard Deviation 22.6
Activities Specific Balance Confidence (ABC) Score
6-month change from Baseline
13.8 units on a scale
Standard Deviation 20.8
6.2 units on a scale
Standard Deviation 20.2
15.6 units on a scale
Standard Deviation 19.4
Activities Specific Balance Confidence (ABC) Score
12-month change from Baseline
11.2 units on a scale
Standard Deviation 22.3
11.7 units on a scale
Standard Deviation 22.1
13.9 units on a scale
Standard Deviation 21.7

Adverse Events

Early Locomotor Training Program

Serious events: 51 serious events
Other events: 100 other events
Deaths: 0 deaths

Late Locomotor Training Program

Serious events: 59 serious events
Other events: 101 other events
Deaths: 0 deaths

Home Exercise Program

Serious events: 39 serious events
Other events: 88 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Early Locomotor Training Program
n=139 participants at risk
Stepping on a treadmill with partial body weight support and manual assistance as needed for 20-30 minutes at 2.0 mph, followed by a progressive overground walking program for 20 minutes delivered at 2 months post-stroke.
Late Locomotor Training Program
n=143 participants at risk
Stepping on a treadmill with partial body weight support and manual assistance as needed for 20-30 minutes at 2.0 mph, followed by a progressive overground walking program for 20 minutes delivered at 6 months post-stroke.
Home Exercise Program
n=126 participants at risk
HEP was designed as an active control. The exercise program was progressed by a study physical therapist in the home to enhance flexibility, joint range of motion, upper- and lower-extremity strength, coordination and static and dynamic balance. Subjects were encouraged to walk daily. The home exercise program was delivered at 2 months post-stroke.
Vascular disorders
Recurrent Stroke
4.3%
6/139 • Number of events 6 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
2.1%
3/143 • Number of events 3 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
0.79%
1/126 • Number of events 1 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
Cardiac disorders
Myocardial Infarction (MI)
0.00%
0/139 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
0.70%
1/143 • Number of events 1 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
0.79%
1/126 • Number of events 1 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
Musculoskeletal and connective tissue disorders
Fracture
5.8%
8/139 • Number of events 9 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
5.6%
8/143 • Number of events 8 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
4.0%
5/126 • Number of events 7 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
General disorders
Hospitalization
32.4%
45/139 • Number of events 64 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
37.1%
53/143 • Number of events 83 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
24.6%
31/126 • Number of events 48 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
General disorders
Limitation in activities of daily living (ADL)>48hrs
0.72%
1/139 • Number of events 1 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
1.4%
2/143 • Number of events 2 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
3.2%
4/126 • Number of events 4 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
General disorders
Other
0.72%
1/139 • Number of events 1 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
0.70%
1/143 • Number of events 1 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
3.2%
4/126 • Number of events 4 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
General disorders
Death
2.2%
3/139 • Number of events 3 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
2.8%
4/143 • Number of events 4 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
4.8%
6/126 • Number of events 6 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.

Other adverse events

Other adverse events
Measure
Early Locomotor Training Program
n=139 participants at risk
Stepping on a treadmill with partial body weight support and manual assistance as needed for 20-30 minutes at 2.0 mph, followed by a progressive overground walking program for 20 minutes delivered at 2 months post-stroke.
Late Locomotor Training Program
n=143 participants at risk
Stepping on a treadmill with partial body weight support and manual assistance as needed for 20-30 minutes at 2.0 mph, followed by a progressive overground walking program for 20 minutes delivered at 6 months post-stroke.
Home Exercise Program
n=126 participants at risk
HEP was designed as an active control. The exercise program was progressed by a study physical therapist in the home to enhance flexibility, joint range of motion, upper- and lower-extremity strength, coordination and static and dynamic balance. Subjects were encouraged to walk daily. The home exercise program was delivered at 2 months post-stroke.
General disorders
Minor fall, no or minimal injury
54.7%
76/139 • Number of events 181 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
53.8%
77/143 • Number of events 160 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
59.5%
75/126 • Number of events 150 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
Skin and subcutaneous tissue disorders
Open sore or blister, cuts
5.8%
8/139 • Number of events 9 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
6.3%
9/143 • Number of events 10 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
8.7%
11/126 • Number of events 12 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
Respiratory, thoracic and mediastinal disorders
Dyspnea
0.72%
1/139 • Number of events 1 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
0.70%
1/143 • Number of events 1 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
0.00%
0/126 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
Musculoskeletal and connective tissue disorders
Muscle soreness or pain that persists for more than 48 hours
5.0%
7/139 • Number of events 7 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
8.4%
12/143 • Number of events 12 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
7.9%
10/126 • Number of events 10 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
General disorders
Dizziness/Fainting
7.9%
11/139 • Number of events 11 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
5.6%
8/143 • Number of events 9 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
0.00%
0/126 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
Respiratory, thoracic and mediastinal disorders
Diaphoretic
0.72%
1/139 • Number of events 1 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
1.4%
2/143 • Number of events 3 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
0.00%
0/126 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
Cardiac disorders
Excessive hypertension during exercise that requires the intervention to be stopped for the day
3.6%
5/139 • Number of events 6 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
5.6%
8/143 • Number of events 8 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
7.9%
10/126 • Number of events 11 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
Cardiac disorders
Low blood pressure during exercise that requires intervention to be stopped for the day
5.8%
8/139 • Number of events 11 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
4.9%
7/143 • Number of events 7 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
1.6%
2/126 • Number of events 3 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
Vascular disorders
DVT
0.00%
0/139 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
0.00%
0/143 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
0.79%
1/126 • Number of events 1 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
General disorders
Other
30.2%
42/139 • Number of events 59 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
32.9%
47/143 • Number of events 89 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.
22.2%
28/126 • Number of events 48 • Total of 10 months from point of randomization at 2 months to the 12 month final assessment.
Vital signs including heart rate, blood pressure and oxygen saturation were monitored every 5 minutes during exercise interventions. In addition monthly phone calls were used to capture rehospitalizations, recurrent stroke, MI, etc.

Additional Information

Pamela W. Duncan, PT, PhD, FAHA, FAPTA

Duke University

Phone: 919-681-2060

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place