Very Early Rehabilitation in Acute Ischemic Stroke
VERIS-Brazil
Randomized Clinical Trial of Very Early Rehabilitation Compared With Conventional Rehabilitation in Acute Ischemic Stroke in the Vascular Unit of the Hospital de Clínicas de Porto Alegre - HCPA
1 other identifier
interventional
184
1 country
1
Brief Summary
The purpose of this study is to evaluate the effectiveness of a rehabilitation (physiotherapy) program in patients with acute ischemic stroke in Acute Vascular Unit and in general ward of Hospital de Clínicas de Porto Alegre, and to verify the degree of disability at fourteenth and third month, functional improvement at third month, the frequency of deaths and incidence of complications due to immobility and quantify the time spent in hospital.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1 stroke
Started Mar 2012
Typical duration for phase_1 stroke
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2012
CompletedFirst Submitted
Initial submission to the registry
September 25, 2012
CompletedFirst Posted
Study publicly available on registry
September 27, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2015
CompletedSeptember 27, 2012
September 1, 2012
9 months
September 25, 2012
September 25, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Disability
Outcome measure are assessed by Modified Rankin Scale. Good outcome was predefined as an mRS score of 0 to 2 and poor outcome of 3 to 6.
three months
Secondary Outcomes (5)
Minimum or no Disability
three months
Independence in activities of daily living
three months
Long of stay at hospital
three month
Death
three month
Incidence of complications
three month
Study Arms (2)
Early mobilization
EXPERIMENTALThe Intervention Group - Early Mobilization - will follow the early physiotherapy program within the first 24 - 48 hours after stroke, five times per week for 30 plus a time spent out of bed (sitting).
Control
NO INTERVENTIONThe Control Group will follow within the routines of the hospital as is usually done.
Interventions
The Intervention Group - Early Mobilization - will follow the early physiotherapy program within the first 24 - 48 hours after acute ischemic stroke, five times per week for 30 minutes plus time to spent out of bed (sitting).
Eligibility Criteria
You may qualify if:
- Patients with clinical diagnosis of acute ischemic stroke (first or recurrent) confirmed by CCT or MRI admitted to the Acute Vascular Unit of HCPA between the first 48 hours of onset of symptoms.
- Patients older than 18 years.
- Patients clinically and hemodynamically stable (SBP 120-220 mmHg, SatO2 up to 92% with or without supplementation, HR between 60 and 100 bmp, body temperature below 38 and RR below 25 bpm).
- Patients are able to react to verbal commands even without being fully alert (Glasgow Scale above 8).
- Prior Rankin until 3
- Motor deficit and / or coordination measured by the NIHSS
You may not qualify if:
- Patients with clinical and / or hemodynamic instability
- Patients with hemorrhagic stroke or TIA (transient ischemic attack).
- Patients with progressive neurological disease and acute coronary disease and / or unstable.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Hospital de Clínicas de Porto Alegre (Hospital)
Porto Alegre, Rio Grande do Sul, 90035-903, Brazil
Related Publications (1)
Clark B, Whitall J, Kwakkel G, Mehrholz J, Ewings S, Burridge J. The effect of time spent in rehabilitation on activity limitation and impairment after stroke. Cochrane Database Syst Rev. 2021 Oct 25;10(10):CD012612. doi: 10.1002/14651858.CD012612.pub2.
PMID: 34695300DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Sheila CO Martins, Physician
Hospital de Clínicas de Porto Alegre (Hospital)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 25, 2012
First Posted
September 27, 2012
Study Start
March 1, 2012
Primary Completion
December 1, 2012
Study Completion
August 1, 2015
Last Updated
September 27, 2012
Record last verified: 2012-09