Dance for the Improvement of Balance and Gait After Stroke

NCT04069481 | Unknown DMC

• 1 other identifier: G-17-0018263
• Study Type: interventional
• Target: 136
• Locations: 1 country
• Sites: 1

Brief Summary

Stroke can drastically impact the ability to walk and keep your balance. In addition people with chronic stroke feel social isolated, become less satisfied with their walking and lose confidence in their ability to move without falling. Ned new treatments are needed for walking and balance. Dancing is a fun, social activity that has similar benefits to traditional exercise. Another benefit of dancing is the use of music, which improves mood, increases motivation and can even improve motor performance. Finally, moving in synchrony with other people during dancing can make people feel connected. We believe that dance classes can benefit people with stroke, but few studies have been done. The objective of our project is to conduct a randomized controlled trial to test whether dance can improve balance and walking for people with chronic stroke. The investigators are also interested in whether dancing improves people's confidence in their ability to do activities without losing their balance (i.e. balance confidence), decreases their feelings of isolation and increases their quality of life.

Conditions

Chronic Stroke

Keywords

Dance; Stroke; Randomized Controlled Trial; Rehabilitation; Gait; Balance

Outcome Measures

Primary Outcomes (2)

• Change in balance

  Mini-Balance Evaluation Systems Test (Mini-BESTest) The Mini-BESTest is a 14-item performance-based clinical scale that will be used to measure balance during standing and walking activities. There are 4 subscales in the miniBESTest and the scores on the subscales are summed to create the total score. The miniBESTest total score can range form 0-56 and higher scores indicate better balance. The Mini-BESTest shows good inter- (ICC 0.96) and intra-rater (ICC=0.97) and test-retest reliability (ICC=0.98) in the stroke population.

  at study completion on average 14 weeks

• Change in gait speed

  Gait speed will be measured in m/sec with a with a pressure sensitive mat

  at study completion on average 14 weeks

Secondary Outcomes (4)

• Change in social isolation

  at study completion on average 14 weeks

• Change in Quality of life scale

  at study completion on average 14 weeks

• Change in balance confidence

  at study completion on average 14 weeks

• Change in upper extremity active range of motion (AROM)

  at study completion on average 14 weeks

Study Arms (2)

Dance intervention

EXPERIMENTAL

Participants will receive a 1-hour group dance class twice a week for 12 weeks. Classes will include a seated warm up, dance exercises in standing, dance activities moving across the floor, throughout the space and conclude with a bow exercise. Music and dance styles will vary and personal preference of participants will also be taken into account.

Other: Dance

Exercise and mindfulness meditation

ACTIVE COMPARATOR

Participants will receive a 1-hour group exercise class twice a week for 12 weeks. Classes will include resistance training exercises with resistance bands, stretching and range of motion exercises in seated and standing positions. Classes will also include mindfulness exercises. During active exercises music will be played and personal preference of participant will be taken into account.

Other: Mindfulness meditation and Exercise

Interventions

Dance OTHER

One-hour class, twice a week. Classes include dance warm up exercises, various dance movements and choreography that include coordinated whole body movements through space synchronized to music.

Also known as: Intervention group

Dance intervention

Mindfulness meditation and Exercise OTHER

One hour class, twice a week. Classes include upper and lower extremity stretching and resistance exercises and mindfulness meditation, that includes body scan technique and breathing exercises.

Also known as: Control group

Exercise and mindfulness meditation

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• \> 6 months post stroke
• Ability to transfer sit to stand and stand to sit with minimal use of arm rests
• Ability to stand without physical support from an aid or another person for 30 seconds
• Ability to walk 10m without physical assistance from a walking device, but with standby assistance from another person if needed
• Ability to follow 2-3 step instructions with minimal prompting from another person
• Have received clearance from their physician to participate in exercise.

You may not qualify if:

• Severe hearing loss
• Pre-existing conditions that significantly impact gait and balance (e.g. osteoarthritis)
• Other neurological conditions that impact gait and balance (e.g. PD).
• Have participated in a dance class within the past 12 months

Sponsors & Collaborators

• University Health Network, Toronto: lead
• Heart and Stroke Foundation of Canada: collaborator

Study Sites (1)

Toronto Rehabilitation Institute

Toronto, Ontario, M5G 2A2, Canada

RECRUITING

Related Publications (11)

• Tsang CS, Liao LR, Chung RC, Pang MY. Psychometric properties of the Mini-Balance Evaluation Systems Test (Mini-BESTest) in community-dwelling individuals with chronic stroke. Phys Ther. 2013 Aug;93(8):1102-15. doi: 10.2522/ptj.20120454. Epub 2013 Apr 4.

  PMID: 23559522 BACKGROUND

• Wong JS, Jasani H, Poon V, Inness EL, McIlroy WE, Mansfield A. Inter- and intra-rater reliability of the GAITRite system among individuals with sub-acute stroke. Gait Posture. 2014;40(1):259-61. doi: 10.1016/j.gaitpost.2014.02.007. Epub 2014 Feb 26.

  PMID: 24630463 BACKGROUND

• Patterson KK, Gage WH, Brooks D, Black SE, McIlroy WE. Changes in gait symmetry and velocity after stroke: a cross-sectional study from weeks to years after stroke. Neurorehabil Neural Repair. 2010 Nov-Dec;24(9):783-90. doi: 10.1177/1545968310372091. Epub 2010 Sep 14.

  PMID: 20841442 BACKGROUND

• Garland SJ, Willems DA, Ivanova TD, Miller KJ. Recovery of standing balance and functional mobility after stroke. Arch Phys Med Rehabil. 2003 Dec;84(12):1753-9. doi: 10.1016/j.apmr.2003.03.002.

  PMID: 14669179 BACKGROUND

• Hawthorne G Measuring social isolation in older adults: development and initial validation of the friendship scale. Social Indicators Research 2006; 77: 521-548

  BACKGROUND

• Williams LS, Weinberger M, Harris LE, Clark DO, Biller J. Development of a stroke-specific quality of life scale. Stroke. 1999 Jul;30(7):1362-9. doi: 10.1161/01.str.30.7.1362.

  PMID: 10390308 BACKGROUND

• Powell LE, Myers AM. The Activities-specific Balance Confidence (ABC) Scale. J Gerontol A Biol Sci Med Sci. 1995 Jan;50A(1):M28-34. doi: 10.1093/gerona/50a.1.m28.

  PMID: 7814786 BACKGROUND

• Botner EM, Miller WC, Eng JJ. Measurement properties of the Activities-specific Balance Confidence Scale among individuals with stroke. Disabil Rehabil. 2005 Feb 18;27(4):156-63. doi: 10.1080/09638280400008982.

  PMID: 15824045 BACKGROUND

• Uswatte G, Taub E, Morris D, Vignolo M, McCulloch K. Reliability and validity of the upper-extremity Motor Activity Log-14 for measuring real-world arm use. Stroke. 2005 Nov;36(11):2493-6. doi: 10.1161/01.STR.0000185928.90848.2e. Epub 2005 Oct 13.

  PMID: 16224078 BACKGROUND

• Borg GA. Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982;14(5):377-81.

  PMID: 7154893 BACKGROUND

• Patterson KK, Wong JS, Nguyen TU, Brooks D. A dance program to improve gait and balance in individuals with chronic stroke: a feasibility study. Top Stroke Rehabil. 2018 Sep;25(6):410-416. doi: 10.1080/10749357.2018.1469714. Epub 2018 May 10.

  PMID: 29745307 BACKGROUND

MeSH Terms

Conditions

Stroke

Interventions

Mindfulness; Exercise; Control Groups

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Intervention Hierarchy (Ancestors)

Cognitive Behavioral Therapy; Behavior Therapy; Psychotherapy; Behavioral Disciplines and Activities; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods

Study Officials

• Kara Patterson, PhD

  Toronto Rehabilitation/ University of Toronto

  PRINCIPAL INVESTIGATOR

• Dina Brooks, PhD

  Toronto Rehabilitation

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Wade Michaelchuk, MSc

CONTACT

416-597-3422; wade.michaelchuk@uhn.ca

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Scientist

Model Details: Two groups of participants. One group receives the dance intervention. The control group will receive mindful meditation, strengthening \& stretching exercises.

Study Record Dates

• First Submitted: August 7, 2019
• First Posted: August 28, 2019
• Study Start: January 1, 2019
• Primary Completion: December 31, 2021
• Study Completion: December 31, 2021
• Last Updated: August 28, 2019

Record last verified: 2019-08

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)