None listed
Conditions
Brief summary
Recent research has demonstrated that balance and balance confidence is impaired after stroke, limiting independence in activities of daily living (i.e., cooking, shopping, walking, etc). When symptoms of stroke resolve within 24 hours it is known as a Transient Ischaemic Attack (TIA; ‘mini’ stroke). To date, research is yet to identify whether balance and/or balance confidence is impaired in patients following a TIA. Anecdotal evidence from the study CEN/10/10/046 revealed that balance may be impaired in TIA patients. TIA patients mentioned that they received substantial functional benefits from exercises aimed at improving balance after completing an 8 week exercise intervention. However, the degree to which a balance-based exercise intervention positively influences balance performance and confidence has not been established. Therefore, the purpose of this investigation is to identify whether balance is actually impaired in TIA patients. Previous research has demonstrated that balance training exercises improves balance performance and confidence after stroke. Providing balance impairments are found in TIA patients, this investigation also aims to identify the effects of a balance-based exercise intervention on balance performance and confidence.
Interventions
Exercise Programme: Participants randomized to the exercise programme will visit the Massey University recreation centre, twice a week, for 8 weeks to take part in a group focused exercise session. Each exercise session will last 90 mins, incorporating 30 mins of aerobic exercise (treadmill, cycle ergometer) and 60 mins of balance based exercises. The balance exercises will include resistance exercise, core-stability, control, postural exerices, flexibility etc. Participant’s progression will be monitored over the course of the programme. Heart rate, blood pressure and perceived exertion will be monitored at rest, during the session and following the session. The group exercises will be supervised by the principal investigator (lecturer in exercise prescription and 8 years expereince of working with patient populations) and postgraduate MSc research scholars who have more than three years of practical experience of working with patient populations.
Sponsors
Study design
Eligibility
Inclusion criteria
Those diagnosed with TIA after review by a specialist stroke physician
Exclusion criteria
Oxygen dependence, uncontrolled angina, unstable cardiac conditions, uncontrolled diabetes mellitus, major medical conditions, claudication, febrile illness, significant cognitive impairment, immobile TIA patients who reside outside of the Wellington Region (i.e., further away than Porirua).