None listed
Conditions
Brief summary
Stroke is a leading cause of disability amongst Australians. After stroke, activity levels are low, with few people able to exercise at an intensity which will reduce the risk of future cardiovascular events. This project examines the effectiveness of implementing a combined high intensity treadmill training program embedded in a self-management approach to improve activity levels, mobility, cardiovascular risk profile in stroke survivors, increasing their independence and reducing the burden of care.
Interventions
(1) Treadmill walking - 30 minute sessions, 3 times a week for 8 weeks at 60% of heart rate reserve. Total dose of treadmill walking is 12 hours. Participants will be individually monitored throughout the treadmill sessions by a physiotherapist.
(2) Chronic Disease Self Management (CDSM) - During the same 8 week period that participants are receiving treadmill training, they will also receive a CDSM program. This will involve 5-10 minute sessions, 3 times a week for 8 weeks. The sessions will
(1) Treadmill walking - 30 minute sessions, 3 times a week for 8 weeks at 60% of heart rate reserve. Total dose of treadmill walking is 12 hours. Participants will be individually monitored throughout the treadmill sessions by a physiotherapist. (2) Chronic Disease Self Management (CDSM) - During the same 8 week period that participants are receiving treadmill training, they will also receive a CDSM program. This will involve 5-10 minute sessions, 3 times a week for 8 weeks. The sessions will be delivered individually to the participants by the physiotherapists prior to or during the treadmill sessions. Participants will be taught behaviour change techniques such as goal setting and action planning to encourage initiation and maintenance of physical activity. (3) Usual care - Participants will also receive usual physiotherapy and rehabilitation during this time although treadmill training will replace over-ground gait retraining.
Sponsors
The University of Queensland
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Within 2 months of stroke Aged over 18 years Able to walk independently for 10m with or without an aid Able to understand 3-stage commands
Exclusion criteria
Unable to walk independently prior to current stroke Have co-morbidities that might limit walking (e.g., arthritis, brain injury, Parkinson's Disease) Unstable cardiac status Unable to understand/follow instructions Unable to return for assessment or training Unable to give informed consent
Outcome results
None listed