Home-based Exercises for Patients With Stroke

NCT ID: NCT01674452

Last Updated: 2012-08-28

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

COMPLETED

Clinical Phase

NA

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-01-31

Study Completion Date

2012-07-31

Brief Summary

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The aim of this study is the development and the implementation of a new protocol about home-based exercises, supported by an illustrated manual, for the treatment of individuals with stroke.

The hypothesis is that this group of patients who are going to carry out the training of this study protocol are going to show improvement in measured parameters (functionality and physical performance), which allows this protocol to be improved and published as a proposal of physiotherapeutic treatment.

Detailed Description

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1. Program Development: 27 exercises were selected, based on the most frequent motor alterations present in hemiparesis. Three modes were created for each exercise: assisted active, active and resisted active executions. Besides explanatory text, there were illustrative photos for all exercises and their modes.
2. Program Execution: All groups were submitted to a motor evaluation utilizing the Fugl-Meyer Assessment (FMA) and functional evaluation utilizing the Functional independence measure (FIM). After assessment, for the patients of the home-based exercise group (HBG) a group of home exercises was selected for each patient; these exercises were explained and performed one by one. The home-exercises were re-executed at each fortnightly visit, when any necessary correction was made. The next steps stipulated by the manual were taken, providing the patients with more complex exercises according to their progress. The patients in the supervised exercise training group (SEG) participated in supervised individual exercise sessions two times per week. A physical therapist supervised these sessions. Exercise sessions included: 30 minutes of global exercises that involved stretching, range of motion, muscle strengthen and another 30 minutes of functional training (gait, balance and use of the arm in daily activities).The control group (CG) was assessed but reluctant or unable to regularly attend a supervised exercise program. The groups were reassessed after six months.
3. Program assessment: The Fugl-Meyer Assessment score and the Functional independence measure score, measured at baseline and after six months, were compared between the groups.

Conditions

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Cerebrovascular Disorders Brain Infarction Brain Ischemia Stroke

Keywords

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Stroke Exercise and Physical Fitness

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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home-based group

Group Type EXPERIMENTAL

home-based group (HBG)

Intervention Type BEHAVIORAL

Participants in the home-based group (HBG) were advised to exercise, a minimum of 4 times per week, but they were encouraged to exercise a total of 5-7 days per week. After individual assessment, a group of home-exercise selected of the manual was explained and performed one by one. The home-exercises were re-executed at each fortnightly visit, when necessary corrections were made and the next step stipulated by manual was taken, according to the patient's progress.

supervised exercise group

Group Type ACTIVE_COMPARATOR

supervised exercise group (SEG)

Intervention Type BEHAVIORAL

Patients in the supervised exercise training group (SEG) participated in supervised individual exercise sessions 2 times per week. A physical therapist supervised these sessions. Exercise sessions included: 30 minutes of global exercises that involved stretching, range of motion, muscle strengthen and another 30 minutes of functional training (gait, balance and use of the arm in daily activities).

control

Control group:no intervention

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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home-based group (HBG)

Participants in the home-based group (HBG) were advised to exercise, a minimum of 4 times per week, but they were encouraged to exercise a total of 5-7 days per week. After individual assessment, a group of home-exercise selected of the manual was explained and performed one by one. The home-exercises were re-executed at each fortnightly visit, when necessary corrections were made and the next step stipulated by manual was taken, according to the patient's progress.

Intervention Type BEHAVIORAL

supervised exercise group (SEG)

Patients in the supervised exercise training group (SEG) participated in supervised individual exercise sessions 2 times per week. A physical therapist supervised these sessions. Exercise sessions included: 30 minutes of global exercises that involved stretching, range of motion, muscle strengthen and another 30 minutes of functional training (gait, balance and use of the arm in daily activities).

Intervention Type BEHAVIORAL

Other Intervention Names

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Home-based exercise supported by an illustrated manual Conventional supervised exercise training

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of stroke, confirmed by clinical and radiological evidence
* Ability to understand and follow commands
* willing and able to regularly attend a supervised exercise program

Exclusion Criteria

* severe cognitive impairment
* Commodity that preclude them from undergoing training and assessment
* Neurological disease other than stroke
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Sao Paulo General Hospital

OTHER

Sponsor Role lead

Responsible Party

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Maria Elisa Pimentel Piemonte

PT; PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Maria Elisa P Piemonte

Role: STUDY_DIRECTOR

Department of Physical therapy,School of Medicine, University of Sao Paulo

Tatiana P Oliveira

Role: PRINCIPAL_INVESTIGATOR

Department of Physical therapy, School of Medicine, University of Sao Paulo

Locations

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Department of Physical therapy, Medicine School of University of São Paulo

São Paulo, São Paulo, Brazil

Site Status

Countries

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Brazil

Other Identifiers

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USPNEC003

Identifier Type: -

Identifier Source: org_study_id