None listed
Conditions
Brief summary
The sustainability of the effects of circuit exercises has not been proven and the element of fun in existing circuit exercises is also very lacking. These exercises also have not been tested more functionally from a functional aspect, comprehensively in terms of quality of life, and their effects on motivation level and self-efficacy. Our novelty is to innovate a form of game and turns existing circuit exercise into game-based circuit exercise and to add to literature regarding the effectiveness of game-based circuit exercise on six important post-stroke outcomes of stroke survivors, namely lower limb strength, postural stability, aerobic capacity, motivation level, self-efficacy and quality of life. The research hypothesis is 12-week game-based circuit exercise is more effective conventional circuit exercise in improving physical functions, motivation level, self-efficacy and quality of life in stroke survivor. Thus, aim of this study is to evaluate the effectiveness of 12-week game-based circuit exercise in improving physical functions, motivation level, self-efficacy and quality of life among stroke survivor following game-based in comparison to conventional circuit exercise. This study also aims assess whether the outcomes gained from the two interventions could be sustained at 12-week and 24-weekpost trial. A total of 82 stroke survivors will be allocated either in the experimental group (participants received game-based circuit exercise) or the control group (participants will undergone conventional circuit exercise). Both group will be led by therapist, in-hospital; 24 therapy sessions, twice per week for 12 continuous weeks. Changes in physical functions, motivation level, self-efficacy and quality of life will be assessed using the 30-second Chair Rise test, Dynamic Gait Index, 6-minute Walk test, Intrinsic Motivation Inventory Questionnaire, Stroke Self-Efficacy Questionnaire and Short Form-36, respectively. The baseline status at 0-week, therapy outcomes at 12th-week and sustainability at 24th-week and 36th-week will be measured by an independent assessor. Finding from this study may be used as a therapy option in the rehabilitation of this patient population.
Interventions
The game-based circuit exercise perform in the experimental group 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.
This game-based circuit exercise pr
The game-based circuit exercise perform in the experimental group 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. This game-based circuit exercise program was designed specifically for this study. To play Checkercise board, 4 participants will be divided into 2 small group. “Each group puts their counter on the space that says 'start'. Take it in turns to roll the dice. Move their counter forward the number of spaces shown on the dice. Exercises performed by each group are depending on the landed counter. There is also possibility of punishment if their counter lands on the ‘fate’ such as they must slide back a few spaces, move to certain board number etc. The game is over when the group gets to the space that says 'finish'”. Exercise adherence and the level of exercise intensity (e.g. low, moderate, vigorous) will be monitored using session attendance checklists and Borg Scale Rate of Perceived Exertion, respectively. A researcher will supervise the participants performing the Checkercise board exercise in the form of 4 participants per session. Exercise duration in each space is 2-minute interspersed by 2-min rest with total of 10 exercises to be performed in average. All participants in this group will receive 24 x 40- minute sessions, twice/week for 12 weeks.
Sponsors
Assoc. Prof Dr Nor Azlin binti Mohd Nordin
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
55 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
Participants who are; 1) diagnosed either hemorhagic or ischemic by a Neurology physician who could be referred as early as 2 weeks after stroke which stable clinically, 2) able to perform basic instrumental activities of daily living such as walking, stepping up and turning with or without walking, hold a glass full of water with the non-affected hand, 3) an average Montreal Cognitive Assessment (MoCA) score of 22.1 and more will be recruited in this trial.
Exclusion criteria
Participants had, 1) Having other therapy such as home physiotherapy and traditional therapy; 2) Modified Rankin Scale score 4 to 6; 3) More than one stroke or had other neurologic disorders such as Parkinson’s Disease; 4) Severe medical illness such uncontrolled hypertension, diabetes and severe asthma; 5) Musculoskeletal conditions such as severe osteoarthritis and rheumatoid arthritis; 6) Visual field defects will be excluded
Outcome results
None listed