High Intensity Functional Training for Individuals With Neurologic Diagnoses and Their Care Partners

NCT ID: NCT05951985

Last Updated: 2025-08-22

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

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-08-15

Study Completion Date

2025-08-14

Brief Summary

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Individuals with and without neurologic diagnoses greatly benefit from participation in regular exercise but the majority are physically inactive. This is an issue for both them and their care partners as their health is often linked. This study aims to examine the long-term physical and psychosocial effects of structured, group-based, high intensity functional training (HIFT) exercise for people with neurologic diagnoses and their care partners.

Detailed Description

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Over the course of two years, this study will provide no-cost, twice weekly, group-based, HIFT exercise for people with neurologic diagnoses and their care partners. All participants will be required to have physician or advanced practice provider clearance to exercise. All participants will be evaluated by a physical therapist at no-cost prior to beginning the intervention to assess eligibility for the study. All eligible participants will complete a demographics questionnaire, questionnaires regarding physical and psychosocial health, and a battery of physical tests assessing mobility, strength, endurance, and balance. Participants' physical activity levels will also be monitored throughout the study through accelerometers.

Participants will participate in a maximum of twice weekly HIFT exercise for up to 2 years. All exercise programming will be led by licensed physical therapists with assistance from Doctor of Physical Therapy students. All exercise staff will be Cardiopulmonary resuscitation/basic life support certified and an automated external defibrillator will be available onsite. Exercise classes will utilize HIFT, which includes various exercises that are functional and to be performed at a high intensity. Exercises will include aerobic, resistance, and/or balance training and align with the 2018 Physical Activity Guidelines for Americans.

Conditions

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Neurologic Disorder Parkinson Disease Spinal Cord Injuries Spina Bifida Stroke Poliomyelitis Multiple Sclerosis Brain Injuries

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Longitudinal with assessments occurring quarterly over the course of two years
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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HIFT Exercise

In this single group design, all participants will be provided with up to two years of twice weekly supervised group exercise.

Group Type EXPERIMENTAL

HIFT

Intervention Type BEHAVIORAL

Exercise sessions will be 60 to 75 minutes in duration and be a combination of resistance, aerobic, and balance exercise, with emphasis on functional movements performed at a high intensity. Exercises will be tailored/modified to meet the needs of each participant.

Interventions

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HIFT

Exercise sessions will be 60 to 75 minutes in duration and be a combination of resistance, aerobic, and balance exercise, with emphasis on functional movements performed at a high intensity. Exercises will be tailored/modified to meet the needs of each participant.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Participants must be at least 18 years of age
* Participants must be able to communicate and read in English
* Participants must have physician and/or advanced practice provider clearance to exercise
* Participants must have a neurologic diagnosis (e.g., spinal cord injury, Parkinson's, brain injury, stroke, poliomyelitis, multiple sclerosis, spina bifida, etc.) OR participants must be care partner of a person with neurologic diagnosis.
* Participants must possess at least 4/5 elbow flexion strength bilaterally
* Participants must be able to locomote independently (i.e., ambulate or propel a manual or power wheelchair independently).
* Participants must provide their own transportation to/from the research study

Exclusion Criteria

* Participants will be excluded if they fail to meet any of the inclusion requirements
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Arkansas Colleges of Health Education

OTHER

Sponsor Role lead

Responsible Party

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Reed Handlery

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Arkansas Colleges of Health Education

Fort Smith, Arkansas, United States

Site Status

Countries

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United States

References

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Schenkman M, Moore CG, Kohrt WM, Hall DA, Delitto A, Comella CL, Josbeno DA, Christiansen CL, Berman BD, Kluger BM, Melanson EL, Jain S, Robichaud JA, Poon C, Corcos DM. Effect of High-Intensity Treadmill Exercise on Motor Symptoms in Patients With De Novo Parkinson Disease: A Phase 2 Randomized Clinical Trial. JAMA Neurol. 2018 Feb 1;75(2):219-226. doi: 10.1001/jamaneurol.2017.3517.

Reference Type BACKGROUND
PMID: 29228079 (View on PubMed)

Ellis TD, Cavanaugh JT, DeAngelis T, Hendron K, Thomas CA, Saint-Hilaire M, Pencina K, Latham NK. Comparative Effectiveness of mHealth-Supported Exercise Compared With Exercise Alone for People With Parkinson Disease: Randomized Controlled Pilot Study. Phys Ther. 2019 Feb 1;99(2):203-216. doi: 10.1093/ptj/pzy131.

Reference Type BACKGROUND
PMID: 30715489 (View on PubMed)

Feito Y, Heinrich KM, Butcher SJ, Poston WSC. High-Intensity Functional Training (HIFT): Definition and Research Implications for Improved Fitness. Sports (Basel). 2018 Aug 7;6(3):76. doi: 10.3390/sports6030076.

Reference Type BACKGROUND
PMID: 30087252 (View on PubMed)

Adams J, Lai B, Rimmer J, Powell D, Yarar-Fisher C, Oster RA, Fisher G. Telehealth high-intensity interval exercise and cardiometabolic health in spinal cord injury. Trials. 2022 Aug 4;23(1):633. doi: 10.1186/s13063-022-06585-2.

Reference Type BACKGROUND
PMID: 35927708 (View on PubMed)

Other Identifiers

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ACHE-2023-0114

Identifier Type: -

Identifier Source: org_study_id

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