Research Proposal of New Technologies and Standardization of Physiotherapy Stroke Rehabilitation

NCT05420103 | Completed

• 1 other identifier: NTEC-2022-0267
• Study Type: observational
• Target: 650
• Locations: 1 country
• Sites: 1

Brief Summary

One of the main goals of physiotherapy in stroke rehabilitation is to maximize walking ability of patients as soon as possible. Traditionally, intervention selection and application of neuroplasticity to stroke patients depends on personal preference and experience of therapists. Recent development of technologies may provide more accessible, efficient, objective, intensive and predictive methods compared to traditional practices in facilitating the process of recovery after brain injury and standardizing stroke rehabilitation programs. A clinical quality improvement program named Accelerated Stroke Ambulation Program (ASAP) was started in Stroke Rehabilitation Program Tai Po Hospital by Physiotherapy Department since 2019, pilot period from October 2019 to September 2020 and execute as standard practice afterward.

Conditions

Stroke

Keywords

stroke; rehabilitation; physiotherapy

Outcome Measures

Primary Outcomes (1)

• Modified Rivermead Mobility Index

  Modified Rivermead Mobility Index consists of eight test items, including turning over, changing from lying to sitting, maintaining sitting balance, going from sitting to standing, standing, transferring, walking indoors, and climbing stairs. The score of MRMI range from 0 to 40, the higher score the more independence in mobility.

  The first day of assessment

Study Arms (2)

Pre-ASAP

Conventional Stroke Rehabilitation Program

Post-ASAP

Standardized functional assessment, standardized intensive early ambulation with modern technologies such as Knee-Ankle-Foot Orthoses and Robotic-Assisted Gait Training. In order to monitor the progress of each patient proactively, Stroke Registry and Reference Modified Rivermead Mobility Index (MRMI) Gain were developed. Stroke Registry was a longitudinal stroke rehabilitation database to monitor patients' functional outcomes and therapists' intervention compliance so as to pave the way for future clinical big data movement to bridge the gap between evidence-practice and clinical practice. Reference MRMI Gain was a clinical prediction model apply business intelligence concept to support goal-orientated approach of physiotherapists in stroke rehabilitation. Stroke treatment library, a standardized exercise prescription in video format was also developed to facilitate standardized prescription of interventions to patients with different level of ability.

Other: Accelerated Stroke Ambulation Program

Interventions

Accelerated Stroke Ambulation Program OTHER

Stroke Rehabilitation Program

Post-ASAP

Eligibility Criteria

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

Study Population

Patients with principal diagnosis of cerebrovascular accident, stroke, or hemiplegia and had received has received physiotherapy gym session training in a hospital in Hong Kong between the periods from 1 October 2018 to 31 September 2019 and from 1 October 2020 to 31 September 2021.

You may qualify if:

• Patients with principal diagnosis of cerebrovascular accident, stroke, or hemiplegia and had received has received physiotherapy gym session training in a hospital in Hong Kong between the periods from 1 October 2018 to 31 September 2019 and from 1 October 2020 to 31 September 2021.

You may not qualify if:

• Transfer out of the hospital, discharged against medical advice or died.

Sponsors & Collaborators

• Tai Po Hospital: lead

Study Sites (1)

Tai Po Hospital

Hong Kong, Hong Kong

Location

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

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

Study Officials

• Bryan Ping Ho CHUNG

  Tai Po Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Senior Physiotherapy

Study Record Dates

• First Submitted: June 8, 2022
• First Posted: June 15, 2022
• Study Start: June 8, 2022
• Primary Completion: June 8, 2022
• Study Completion: June 8, 2022
• Last Updated: June 15, 2022

Record last verified: 2022-06

Locations

HK (1)