Strength Training Effectiveness Post-Stroke (STEPS)
1 other identifier
interventional
80
1 country
3
Brief Summary
The purpose of this study is to determine if treadmill training with body weight-support (BWST) is more effective at improving walking in individuals post-stroke than a resisted leg-cycling exercise program. In addition, we want to determine if training programs that combine leg strength training to treadmill walking provide an additional benefit to post-stroke walking outcomes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started May 2004
Longer than P75 for phase_2
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2004
CompletedFirst Submitted
Initial submission to the registry
October 16, 2006
CompletedFirst Posted
Study publicly available on registry
October 17, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 31, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
October 31, 2010
CompletedApril 6, 2017
April 1, 2010
6.5 years
October 16, 2006
April 4, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
walking speed (meters/second)
walking distance (distance walked in 6-minutes)
Secondary Outcomes (5)
Lower extremity Fugl-Meyer
Berg Balance Score
Lower extremity torque
Stroke Impact Scale
SF-36
Interventions
Eligibility Criteria
You may qualify if:
- age 18 years or older
- months to 5 years after first-time onset of a ischemic or hemorrhagic cerebrovascular accident (CVA) confirmed by CT, MRI, or clinical criteria
- able to ambulate at least 14 meters with assistive and/or orthotic device and one person assist (minimum Functional Ambulation Classification Level II
- self-selected walking velocity of ≤1.0 meters/second
- approval of primary care physician to participate.
You may not qualify if:
- resting systolic blood pressure greater than 180mmHg and/or diastolic blood pressure greater than 110mmHg and/or resting heart rate greater than 100 beats/minute;
- lower limb orthopedic conditions such as prior joint replacement or range of motion limitations;
- spasticity management that included Botox injection (\< 4 months earlier) or phenol block injection (\< 12 months earlier) to affected lower extremity and intrathecal Baclofen or oral Baclofen (within past 30 days);
- Mini-Mental State Exam score \< 24;
- currently receiving lower extremity strengthening exercises or gait training,
- past participation in any study examining the effects of long term (\>4 weeks training) body weight support treadmill training; limb loaded pedaling, or lower extremity strengthening;
- plans to move out of the area in the next year,
- no transportation to the study site for all evaluations and intervention sessions.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (3)
Rancho Los Amigos
Downey, California, 90242, United States
University of Southern California
Los Angeles, California, 90089, United States
Northwestern University
Chicago, Illinois, 60611, United States
Related Publications (1)
Sullivan KJ, Brown DA, Klassen T, Mulroy S, Ge T, Azen SP, Winstein CJ; Physical Therapy Clinical Research Network (PTClinResNet). Effects of task-specific locomotor and strength training in adults who were ambulatory after stroke: results of the STEPS randomized clinical trial. Phys Ther. 2007 Dec;87(12):1580-602. doi: 10.2522/ptj.20060310. Epub 2007 Sep 25.
PMID: 17895349DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Katherine J Sullivan, PhD, PT
Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, California
- PRINCIPAL INVESTIGATOR
David A Brown, PhD, PT
Department of Physical Therapy and Movement Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
- PRINCIPAL INVESTIGATOR
Sara Mulroy, PhD, PT
Pathokinesiology Laboratory, Rancho Los Amigos National Rehabilitation Center, Downey, California
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 16, 2006
First Posted
October 17, 2006
Study Start
May 1, 2004
Primary Completion
October 31, 2010
Study Completion
October 31, 2010
Last Updated
April 6, 2017
Record last verified: 2010-04