Optimizing Walking Function of Stroke Survivors by a Task-Oriented Home Exercise Program
TOHE
The Effects of a Structured, Progressive, Task-oriented Home Exercise Program on Walking Competency in Individual Post Stroke
1 other identifier
interventional
63
1 country
2
Brief Summary
In a randomized-controlled study, the effects of a structured, progressive, task-oriented home exercise program to optimize walking competency will be evaluated in subacute stroke survivors.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable stroke
Started Jun 2016
Shorter than P25 for not_applicable stroke
2 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
First Submitted
Initial submission to the registry
May 15, 2016
CompletedFirst Posted
Study publicly available on registry
May 20, 2016
CompletedStudy Start
First participant enrolled
June 1, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2017
CompletedJune 8, 2017
October 1, 2016
10 months
May 15, 2016
June 7, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
6 Minutes Walk Test
Patients will be measured their walking distance by a blind assessor on five occasions:at baseline,1,2,5 and 8 weeks after baseline testing.
up to 8 weeks
10 Meter Walk Test
Patients will be measured their walking speed by a blind assessor on five occasions:at baseline,1,2,5 and 8 weeks after baseline testing.
up to 8 weeks
Secondary Outcomes (3)
Berg Balance Scale
up to 8 weeks
Dynamic Gait Index
Baseline and 8 weeks
Stroke Impact Scale (Participation)
Baseline and 8 weeks
Study Arms (2)
Task-oriented Exercise
EXPERIMENTALStructured, progressive, task-oriented, home exercise program
Usual Care
ACTIVE COMPARATORUsual Physiotherapy Care
Interventions
Structured, walking related task-oriented home exercise program with three progressive steps, at moderate to high intensity, 60 minutes per session, three sessions per week for total 8 weeks.
Deficits-oriented free active and resisted lower extremity exercises with bicycling and overground walking , 60 minutes per session, three sessions per week for total 8 weeks.
Eligibility Criteria
You may qualify if:
- Either side of both type first stroke within 2 weeks to six months of onset with confirmatory diagnosis by CT Scan and MRI.
- Age between 40 to 65 years old.
- Moderate severity of stroke measured by the modified Rankin Scale (mRS- 3)
- Able to comprehend the instructions with good cognition measured by Mini-Mental State Examination (MMSE \> 23).
- Postadoption stage of readiness to change measured by the Stages of Change Questionnaire (stage 4 and 5)
You may not qualify if:
- Diagnosed with other neurological disorder such as Parkinson's disease, peripheral nerve injury.
- Serious cardiac conditions (angina and myocardial infarction during the previous month, resting heart rate of more than 120, a systolic blood pressure of more than 180 mm Hg, and a diastolic blood pressure of more than 100 mm Hg)
- Fugl Meyer Assessment score (lower extremity) less than ≤ 21
- Significant hip, knee and ankle contracture that would limit ambulation (Fugl Meyer (ROM) ≤1 in each joint).
- Orthopedic and rheumatological disorder with weight bearing pain (Fugl Meyer (pain) ≤ 1 in hip, knee and ankle joint movement).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Mahidol Universitylead
- University of Medical Technology, Yangoncollaborator
- National Rehabilitation Hospital, Myanmarcollaborator
- Yangon General Hospital, Myanmarcollaborator
Study Sites (2)
National Rehabilitation Hospital
Yangon, Burma
Physical Medicine and Rehabilitation Department, Yangon General Hospital
Yangon, Burma
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Thin Thin Moe, M.Med.Tech
Mahidol University
- STUDY CHAIR
Chutima Jalayondeja, Dr.P.H. MSc
Mahidol University
- STUDY DIRECTOR
Sopa Pichaiyongwongdee, M.Sc. B.Sc
Mahidol University
- STUDY DIRECTOR
Vimonwan Hiengkaew, PhD. MSc
Mahidol University
- STUDY DIRECTOR
Jarugool Tretriluxana, PhD. MSc
Mahidol University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Ph D candidate
Study Record Dates
First Submitted
May 15, 2016
First Posted
May 20, 2016
Study Start
June 1, 2016
Primary Completion
April 1, 2017
Study Completion
April 1, 2017
Last Updated
June 8, 2017
Record last verified: 2016-10