None listed
Conditions
Brief summary
Despite being increasingly popular and heavily used in rehabilitation, the evidence on the effectiveness of circuit exercise among stroke survivor remains limited. Numerous studies have investigated the effectiveness of task-oriented circuit exercise towards the purpose of facilitating rehabilitation after stroke, either through in-patient or community-based, rehabilitation. Recently, the advancement of new technology has been taking place. Technology assisted therapy, therapist-led in hospital or home-based has been an increasingly popular method for enhancing physical functions and quality of life for stroke survivors. The research hypothesis is 12-week carer-mediated, in-home game-based circuit exercise is more effective than therapist-led, in-hospital in improving physical functions and quality of life in stroke survivor. Thus, aim of this study is to evaluate the effectiveness of 12-week carer-mediated, in-home game-based circuit exercise in improving lower limb strength, postural stability, aerobic endurance and quality of life in stroke survivor as compared to therapist-led, in-hospital. A total of 82 stroke survivors has been estimated using G*Power 3.1.9.7 software using F tests with ANOVA: Repeated measures, between group, All participants will be allocated either in the experimental group (participants received carer-mediated, in-home using web-based video link medium) or the control group (participants will undergone face-to-face intervention lead by therapist, in-hospital). Both group will perform game-based circuit exercises; 24 therapy sessions, twice per week for 12 continuous weeks. Changes in physical functions and quality of life will be assessed using the 30-second Chair Rise test, Dynamic Gait Index, 6-minute Walk test and Short Form-36, respectively. The baseline status at 0-week and therapy outcomes at 12th-week were measured by an independent assessor. A mixed model ANOVA will be used to analyze the time, group and interaction effects of the interventions. The significance level will be set at p value less than 0.05 and partial eta squared will be used to determine the effect size.
Interventions
The game-based circuit exercise perform in the experimental group will be in form of video link web/internet supported which is consisted of; a) resistance exercises including sit to stand, partial squat, step up down, hip raise and heel raise, b) balance exercises including figure of eight walking, tandem walking, backward walking, walking with instruction and walking with sudden change direction and c) aerobic exercises including punching jab, hook, cross straight and combination punching manu
The game-based circuit exercise perform in the experimental group will be in form of video link web/internet supported which is consisted of; a) resistance exercises including sit to stand, partial squat, step up down, hip raise and heel raise, b) balance exercises including figure of eight walking, tandem walking, backward walking, walking with instruction and walking with sudden change direction and c) aerobic exercises including punching jab, hook, cross straight and combination punching manuovers and squat/kicking. Exercise adherence and performance will be monitored using website analytic in a form of automatic reported activity diary and Borg Scale Rate of Perceived Exertion, respectively. A carer will supervise the participants performing this therapy on a one-to-one basis at their home (A carer will undergone 1 hour web/internet supported game-based circuit exercise hands on training session with researcher at the physiotherapy clinic earlier). All participants in this group will receive 24 x 1 hour sessions, twice/week for 12 weeks. This game-based circuit exercise program was designed specifically for this study.
Sponsors
Universiti Kebangsaan Malaysia
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
55 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
Participants who are; 1) diagnosed at least 2 months after stroke either hemorhagic or ischemic by a Neurology physician, 2) able to walk continuously for 10 meters independently with or without walking aid, 3) able to perform basic instrumental activities of daily living such as walking, stepping up and turning with or without walking aid, 4) able to hold a glass full of water with the non-affected hand and 5) able to follow 3 steps command and 6) physically healthy without disability based on Nagi’s concepts (Pope & Tarlov 1991) will be recruited in this trial.
Exclusion criteria
Participants had, 1) more than one stroke, 2) other neurologic disorders such as Parkinson’s Disease and traumatic brain injury, 3) an average Montreal Cognitive Assessment score of 22.1 and less, 4) severe orthopedic conditions such as joint deformities, osteoarthritis and rheumatoid, 5) visual field defects or 6) currently on medications which can caused giddiness such as anti-hypertensive (alpha-blockers) and medicine to lower hypercholesterol (amlodipine/atorvastatin) will be excluded.
Outcome results
None listed