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 feasibility and effectiveness of usual physiotherapy staff in rehabilitation implementing a combined high intensity treadmill training program with a self management approach to improve activity levels, mobility, cardiovascular risk profile in stroke survivors, increasing their independence and reducing the burden of care. In addition, this project will investigate the barriers and facilitators to physiotherapists implementing this approach to stroke management as part of their clinical practice.
Interventions
(1) Treadmill walking - 30 minute sessions, 3 times a week for up to 8 weeks at 60% heart rate reserve. Maximum possible total dose of treadmill training is 12 hours. Participants will be individually monitored throughout the treadmill sessions by a physiotherapist.
(2) Chronic Disease Self Management (CDSM) - During the same period that participants are receiveing treadmill training, they will also receive a CDSM program. This will involve 5-10 minute sessions, 3 times a week for up to 8 week
(1) Treadmill walking - 30 minute sessions, 3 times a week for up to 8 weeks at 60% heart rate reserve. Maximum possible total dose of treadmill training is 12 hours. Participants will be individually monitored throughout the treadmill sessions by a physiotherapist. (2) Chronic Disease Self Management (CDSM) - During the same period that participants are receiveing treadmill training, they will also receive a CDSM program. This will involve 5-10 minute sessions, 3 times a week for up to 8 weeks. The sessions will be delivered individually to the participants by the treating physiotherapist 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
University of Queensland
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Treatment
Masking
Open (masking not used)
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 Co-morbidities that might limit walking (e.g., arthritis, Parkinson's disease, brain injury) Unstable cardiac status Unable to understand instructions Unable to provide informed consent
Outcome results
None listed