The Efficacy and Safety of Early Rehabilitation in Large Vessel Occlusion Patients After Intra-arterial Thrombectomy: A Prospective Randomized Controlled Trial
Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu, Taiwan
1 other identifier
interventional
40
1 country
1
Brief Summary
Early rehabilitation is feasible for stroke patients is still under debate. In addition, IA thrombectomy has been a new treatment for the past few years and currently no known research exploring the efficacy of very early rehabilitation after thrombectomy, or any possible rehabilitation-related adverse effects. Therefore, in this study, the investigators will investigate the effectiveness of earlier rehabilitation intervention after IA thrombectomy for cerebral large vessel occlusion based on functional independence.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jan 2023
1 active site
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
December 21, 2022
CompletedStudy Start
First participant enrolled
January 11, 2023
CompletedFirst Posted
Study publicly available on registry
March 10, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 30, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2023
CompletedMay 19, 2023
May 1, 2023
12 months
December 21, 2022
May 17, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Modified Rankin Scale (mRS)
Modified Rankin Scale (mRS) at 3rd months after stroke:6 grades(higher grades means more disability)
3rd months after stroke
Secondary Outcomes (3)
Barthel Index
1st and 3rd months after stroke
Modified Rankin Scale (mRS)
1st months after stroke
Fugl-Meyer Assessment
1st and 3rd month after stroke
Study Arms (2)
effectiveness of earlier rehabilitation intervention after IA thrombectomy(experimental)
EXPERIMENTALThe effectiveness of early rehabilitation interventions within 24 hours compared with the control group
effectiveness of earlier rehabilitation intervention after IA thrombectomy(control)
ACTIVE COMPARATORThe effectiveness of early rehabilitation interventions compared with the experimental group
Interventions
exercise group: first bed exercise after 0\~24hr onset ; sit at bed after 24\~48hr onset control group: first bed exercise after 24\~48hr onset ; sit at bed after 48\~72hr onset
Eligibility Criteria
You may qualify if:
- Cerebral stroke due to infarction of large vessels in the anterior circulation, including internal carotid artery (, middle cerebral artery (MCA) M1 or M2 segment, anterior cerebral artery (ACA) A1 segment
- Receive arterial thrombectomy (IA thrombectomy)
- Stable vital signs include heartbeat less than 130 bpm, systolic blood pressure less than 180mmHg, blood oxygen SpO2 \>92%
- No use of pressors, oxygen masks or respirators after arterial thrombectomy
You may not qualify if:
- Posterior circulation large vessel stroke
- Functional score (mRS) ≥ 3 points before the stroke
- Other contraindications for rehabilitation treatment
- Neurosurgery immediately after this stroke
- Those who cannot receive rehabilitation within one week of stroke due to serious medical problems
- After the stroke, two specialists judged the end of life and arranged palliative and palliative treatment
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
National Taiwan University Hospital Hsin-Chu Branch Hsinchu, Taiwan
Hsinchu, Taiwan
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Central Study Contacts
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
- SPONSOR
Study Record Dates
First Submitted
December 21, 2022
First Posted
March 10, 2023
Study Start
January 11, 2023
Primary Completion
December 30, 2023
Study Completion
December 31, 2023
Last Updated
May 19, 2023
Record last verified: 2023-05
Data Sharing
- IPD Sharing
- Will not share