NCT04241952

Brief Summary

Purpose: to investigate the efficacy of early exercise in patients with moderate to severe stroke regarding functional outcome and walking ability. Methods: Patients with medium to severe stroke (NHISS \>7) were recruited 24 - 48 hours after stroke onset from two stroke units in Sweden. Both groups received usual care. The intervention group received even 20 minutes bed-cycling 5 days per week with a maximum of 15 sessions. Functional outcome was measured with modified Rankin Scale (mRS) and Barthel index and walking with the 6-minute walking test (6MWT). Measurements were performed pre- and post-intervention (3 weeks), and at 3-months follow-up.

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
52

participants targeted

Target at P50-P75 for not_applicable stroke

Timeline
Completed

Started Dec 2015

Longer than P75 for not_applicable stroke

Status
completed

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

December 15, 2015

Completed
Same day until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 15, 2015

Completed
4 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 30, 2019

Completed
15 days until next milestone

First Submitted

Initial submission to the registry

January 14, 2020

Completed
13 days until next milestone

First Posted

Study publicly available on registry

January 27, 2020

Completed
Last Updated

January 27, 2020

Status Verified

January 1, 2020

Enrollment Period

Same day

First QC Date

January 14, 2020

Last Update Submit

January 24, 2020

Conditions

Keywords

StrokeRehabilitationExerciseBedcycling

Outcome Measures

Primary Outcomes (1)

  • Change in Modified Rankin Scale (mRS)

    Functional Outcome

    Baseline 24-48 hours after onset, postintervention 3 weeks after baseline and follow up 3-months after baseline.

Secondary Outcomes (2)

  • Change in Barthel ADL-Index

    Baseline 24-48 hours after stroke onset, postintervention 3-weeks after baseline and follow up 3-months after baseline.

  • Change in 6-Minutes Walking test (6MWT)

    Baseline 24-48 hours after stroke onset, postintervention 3-weeks after baseline and follow up 3-months after baseline.

Study Arms (2)

Exercise group

EXPERIMENTAL

Usual care and bedcycling.

Other: Exercise

Control group

NO INTERVENTION

Usual care

Interventions

Bedcycling

Exercise group

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age over 18 years.
  • Diagnose stroke with The National Institutes of Health Stroke Scale (NIHSS) 7-42 points.
  • Ability to understand the Swedish language.
  • Approval of medical responsible physician to participate in the study.

You may not qualify if:

  • Medical or neurological diseases that can affect the performance of the exercise and severe cognitive impairment.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (1)

  • Sandberg K, Kleist M, Enthoven P, Wijkman M. Hemodynamic responses to In-Bed Cycle Exercise in the acute phase after moderate to severe stroke: A randomized controlled trial. J Clin Hypertens (Greenwich). 2021 May;23(5):1077-1084. doi: 10.1111/jch.14232. Epub 2021 Mar 11.

MeSH Terms

Conditions

StrokeMotor Activity

Interventions

Exercise

Condition Hierarchy (Ancestors)

Cerebrovascular DisordersBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesVascular DiseasesCardiovascular DiseasesBehavior

Intervention Hierarchy (Ancestors)

Motor ActivityMovementMusculoskeletal Physiological PhenomenaMusculoskeletal and Neural Physiological Phenomena

Study Officials

  • Paul Enthoven, PhD

    Linkopings University,Sweden

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: RCT
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Clinical Investigator

Study Record Dates

First Submitted

January 14, 2020

First Posted

January 27, 2020

Study Start

December 15, 2015

Primary Completion

December 15, 2015

Study Completion

December 30, 2019

Last Updated

January 27, 2020

Record last verified: 2020-01