Home Based Tele-exercise for People With Chronic Neurological Impairments

NCT ID: NCT04564495

Last Updated: 2025-02-05

Basic Information

• Recruitment Status: ACTIVE_NOT_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-01-22
• Study Completion Date: 2025-05-31

Brief Summary

To assess the impact of a 12-week virtual seated physical intervention on cardiovascular health and wellness in people with chronic neurological impairments (CNI).

Detailed Description

This study aims to examine how effective seated Zoom exercise classes are for a person with CNI for addressing cardiovascular health, physical wellness and quality of life. If these classes prove to be effective, online platforms could be a viable avenue for those with CNI to exercise and increase/maintain wellness without having to leave their homes. The investigators are also attempting to determine if a class with a live instructor vs a pre-recorded class has an effect on motivation, compliance, exertion and modifications/safety.

The entire process, including screening and consenting, will be done via Zoom and Redcap, potentially providing a blueprint for the future studies. This process can enable participants to participate in studies with minimal inconvenience, expense and effort of traveling for the consent process.

Conditions

Neurologic Disorder; Stroke; Spinal Cord Injuries; Cerebral Palsy; Hemiplegia; Hemiparesis; Multiple Sclerosis; Parkinson Disease; Trauma, Brain; Transverse Myelitis; Friedreich Ataxia

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Live zoom exercise classes

Participants will engage in a live zoom exercise session. Participants will undergo 45 minutes of aerobic exercise intervention, three times a week, for a period of 12 weeks. Exercise will include repetitive bouts of high intensity exercises with intermittent periods of rest or active recovery. circuit of moves like 'jabs', 'hooks' etc, and a strength and endurance class that promotes postural awareness.

Group Type: EXPERIMENTAL

Seated exercise

Intervention Type: BEHAVIORAL

Exercise will include repetitive bouts of high intensity exercises with intermittent periods of rest or active recovery. circuit of moves like 'jabs', 'hooks' etc, and a strength and endurance class that promotes postural awareness.

Recorded zoom exercise classes

Participants will undergo 45 minutes of aerobic exercise intervention, three times a week, for a period of 12 weeks, using a pre-recorded class that they can do according to their own schedule. Exercise will include repetitive bouts of high intensity exercises with intermittent periods of rest or active recovery. circuit of moves like 'jabs', 'hooks' etc, and a strength and endurance class that promotes postural awareness.

Group Type: ACTIVE_COMPARATOR

Seated exercise

Intervention Type: BEHAVIORAL

Exercise will include repetitive bouts of high intensity exercises with intermittent periods of rest or active recovery. circuit of moves like 'jabs', 'hooks' etc, and a strength and endurance class that promotes postural awareness.

Interventions

Seated exercise

Exercise will include repetitive bouts of high intensity exercises with intermittent periods of rest or active recovery. circuit of moves like 'jabs', 'hooks' etc, and a strength and endurance class that promotes postural awareness.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

1. Participants with chronic (>6 months) neurological impairments

2. 18 to 75 years of age

3. Participants who can provide a medical clearance to participate in the program

4. Participants who can remain seated for at least one hour

5. Heart rate/BP considerations, per each participant's MD

6. Participants must be able to don/doff HR monitor without assistance, or have assistance if necessary

7. Participants must maintain their current exercise/physical activity routine during the course of the study

8. Clinically stable with no other neurological, medical or cognitive impairments

9. Reliable Internet connection and ability to use Zoom platform

10. Participants must speak and understand English

11. No contraindication/limitations to exercise

12. Currently exercising 2 days or less per week

Exclusion Criteria

1. Participants with any cognitive impairment preventing safe and accurate participation in the program

2. Medical issues preventing safe participation

3. Other problems possibly contraindicating autonomous exercise at home if no supervision available.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 75 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Burke Medical Research Institute

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Kathleen Friel

Role: PRINCIPAL_INVESTIGATOR

Burke Medical Research Institute

Locations

Burke Neurological Institute

White Plains, New York, United States

Countries

United States

References

Kumar DS, Bialek A, Divecha AA, Garn RM, Currie LEJ, Friel KM. A seated virtual exercise program to improve cardiovascular function in adults with chronic neurological impairments: a randomized controlled trial. Front Rehabil Sci. 2025 Mar 26;6:1477969. doi: 10.3389/fresc.2025.1477969. eCollection 2025.

Reference Type: DERIVED

PMID: 40207026 (View on PubMed)

Divecha AA, Bialek A, Kumar DS, Garn RM, Currie LEJ, Campos T, Friel KM. Effects of a 12-week, seated, virtual, home-based tele-exercise programme compared with a prerecorded video-based exercise programme in people with chronic neurological impairments: protocol for a randomised controlled trial. BMJ Open. 2023 Jan 24;13(1):e065032. doi: 10.1136/bmjopen-2022-065032.

Reference Type: DERIVED

PMID: 36693691 (View on PubMed)

Other Identifiers

Telex

Identifier Type: -

Identifier Source: org_study_id