Fast Muscle Activation and Stepping Training (FAST) Post-stroke

NCT ID: NCT01573585

Last Updated: 2016-06-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-11-30

Study Completion Date

2017-06-30

Brief Summary

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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.

Detailed Description

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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).

Conditions

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Stroke Hemiparesis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Usual care

The usual care will consist of strength training, endurance, range of motion, patient education, weight shifting in standing and gait re-training.

Group Type ACTIVE_COMPARATOR

Usual Care

Intervention Type BEHAVIORAL

The Usual Care program will consist of 2 sessions a week for 45 minutes for a 6 week duration.

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.

Group Type EXPERIMENTAL

FAST protocol

Intervention Type BEHAVIORAL

The Fast muscle activation and Stepping Training (FAST protocol) will be exercises emphasizing speed, small squats and protective steps, that will be progressed. This program will be 2 sessions a week for 45 minutes for 6 weeks in duration.

Interventions

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Usual Care

The Usual Care program will consist of 2 sessions a week for 45 minutes for a 6 week duration.

Intervention Type BEHAVIORAL

FAST protocol

The Fast muscle activation and Stepping Training (FAST protocol) will be exercises emphasizing speed, small squats and protective steps, that will be progressed. This program will be 2 sessions a week for 45 minutes for 6 weeks in duration.

Intervention Type BEHAVIORAL

Eligibility Criteria

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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

Exclusion Criteria

* 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
Minimum Eligible Age

19 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Heart and Stroke Foundation of Canada

OTHER

Sponsor Role collaborator

University of British Columbia

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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S. Jayne Garland, PT, PhD

Role: PRINCIPAL_INVESTIGATOR

University of British Columbia

Locations

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Lions Gate Hospital

North Vancouver, British Columbia, Canada

Site Status RECRUITING

Holy Family Hospital

Vancouver, British Columbia, Canada

Site Status RECRUITING

Countries

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Canada

Central Contacts

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S. Jayne Garland, PT PhD

Role: CONTACT

604-827-5372

Facility Contacts

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Delores Langford, MSc, BScPt

Role: primary

604 984 5746

Rebecca Shook, MRSc, PT

Role: primary

604-321-2661 ext. 22332

References

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Miller KJ, Hunt MA, Pollock CL, Bryant D, Garland SJ. Protocol for a randomized controlled clinical trial investigating the effectiveness of Fast muscle Activation and Stepping Training (FAST) for improving balance and mobility in sub-acute stroke. BMC Neurol. 2014 Oct 10;14:187. doi: 10.1186/s12883-014-0187-y.

Reference Type BACKGROUND
PMID: 25300433 (View on PubMed)

Peters S, Ivanova TD, Lakhani B, Boyd LA, Garland SJ. Neuroplasticity of Cortical Planning for Initiating Stepping Poststroke: A Case Series. J Neurol Phys Ther. 2020 Apr;44(2):164-172. doi: 10.1097/NPT.0000000000000311.

Reference Type DERIVED
PMID: 32168159 (View on PubMed)

Other Identifiers

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H12-00837

Identifier Type: -

Identifier Source: org_study_id

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