The ARCAS Study: Auditory Rhythmical Cueing for Gait in Acute Stroke

NCT04795115 | Completed

• 1 other identifier: 0031
• Study Type: observational
• Target: 12
• Locations: 1 country
• Sites: 1

Brief Summary

Difficulties with walking is a common and distressing problem following stroke and can lead to reduced independence. Research suggests that using an auditory cue, such as a regular beat or pulse, as part of rehabilitation can improve walking. It is also recommended that early rehabilitation following stroke delivers the bestoutcome for patients. Study aim:To determine whether the use of auditory cueing in early stroke rehabilitation is feasible during a balance and gait therapy programme. Study participants: Adults following acute stroke with walking problems. Participants must be able to sit unsupported and stand with assistance of 1 or 2 people. They will be recruited from the acute stroke unit at North Tyneside General Hospital 2 days to 4 weeks following stroke. A total of 12 participants will be recruited. Study setting: Acute stroke unit - North Tyneside General Hospital and participants homes if they are discharged within the study period. Intervention:Participants will receive auditory rhythmical cueing intervention targeting balance and gait for 30 minutes x5 / week for 3 weeks within the physiotherapy gym on the stroke unit or at home if discharged within the intervention period. The 30 minutes will consist of balance exercises and walking practice using auditory cueing with a metronome. Measures:1. What the participants and the therapists think of the intervention will be assessed by questionnaires. The questionnaires contain open and closed questions and have been developed specifically for this study. 2.The stroke survivors trunk control, balance and walking will be assessed before and after the intervention. Study Duration: 12 months Future Plans: This study will be used to inform a larger study testing if the intervention works and how much it costs

Conditions

Stroke

Outcome Measures

Primary Outcomes (2)

• Participant questionnaire

  To seek views of patients on the intervention programme

  3 weeks

• Therapist questionnaire

  To seek views from therapists on the intervention programme

  3 weeks

Other Outcomes (3)

• Functional Ambulatory category

  3 weeks

• Trunk Impairment Scale

  3 weeks

• Trunk ControlTest

  3 weeks

Interventions

Auditory rhythmical cueing OTHER

Auditory rhythmical cueing intervention targeting balance and gait for 30 minutes x5 per week for 3 weeks.

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Adults within 2 days to 3 weeks following acute stroke with residual mobility problems. They must be able to sit unsupported, stand with assistance of 1- 2 people and be able to comply with the intervention programme.

You may qualify if:

• Adults (\> 18 years) following acute stroke (any subtype) with residual mobility problems
• Within 2 days - 4 weeks post-stroke.
• Be able to sit unsupported and stand with assistance of 1 or 2 people
• Able to provide informed consent to participate in the study.

You may not qualify if:

• Unable to follow the intervention due to cognitive or language impairment.
• Other medical problems affecting walking and balance (e.g. Parkinson's Disease, severe osteoarthritis and cardiopulmonary conditions).

Sponsors & Collaborators

• Northumbria Healthcare NHS Foundation Trust: lead

Study Sites (1)

North Tyneside General Hospital

Newcastle upon Tyne, Tyne and Wear, NE29 8NH, United Kingdom

Location

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

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

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: OTHER
• Target Duration: 3 Weeks
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 9, 2019
• First Posted: March 12, 2021
• Study Start: February 4, 2019
• Primary Completion: May 31, 2019
• Study Completion: August 8, 2019
• Last Updated: March 12, 2021

Record last verified: 2021-03

Locations

GB (1)