None listed
Conditions
Interventions
None listed
Sponsors
Kangwon National University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: ¦ Adults =20 years with physician-diagnosed stroke (ischemic or hemorrhagic) in the chronic phase (e.g., =6 months post-onset). ¦ Community-dwelling, medically stable, and deemed capable of participating in home-based, moderate-intensity exercise by the treating clinician. ¦ Able to perform basic sit-to-stand and short-distance walking, with or without assistive devices, within safe limits. ¦ Access to an internet-enabled device with camera and microphone for video sessions, or caregiver support to facilitate device use. ¦ Willing to comply with the intervention schedule (16 weeks, twice weekly) and attend baseline and post-intervention assessments, providing written informed consent. ¦ Sufficient communication and comprehension to follow study instructions, with caregiver assistance as needed.
Exclusion criteria
Exclusion criteria: ¦ Acute or subacute stroke with onset < 6 months. ¦ Medically unstable conditions: myocardial infarction or unstable angina within 3 months, uncontrolled hypertension (=180/110 mmHg), uncontrolled arrhythmia, moderate-to-severe heart failure (NYHA III–IV), uncontrolled diabetes, acute infection/fever, or any contraindication to exercise. ¦ Exercise safety concerns/high risk: surgery or fracture within 3 months, severe musculoskeletal pain/instability, recurrent syncope, or marked ataxia with very high fall risk. ¦ Severe cognitive or communication impairment that precludes following study instructions (e.g., Mini-Mental State Examination < 20 or clinician judgment). ¦ Severe visual field defect/unilateral neglect or severe aphasia rendering participation unsafe. ¦ Uncontrolled epilepsy or seizure within the past 6 months. ¦ Unstable psychiatric illness (e.g., uncontrolled major depressive disorder, psychotic symptoms) judged inappropriate for participation. ¦ Concurrent interventional trial participation or intensive rehabilitation within the past 3 months likely to confound study outcomes. ¦ Inability to participate in remote sessions due to lack of suitable internet-enabled device/environment or absence of necessary caregiver support. ¦ Any other condition for which the investigator judges participation unsafe or infeasible due to safety or adherence concerns.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Berg Balance Scale;Timed Up and Go Test | — |
Secondary
| Measure | Time frame |
|---|---|
| 30-Second Chair Stand Test;Korean Falls Efficacy Scale;Korean version of the Center for Epidemiologic Studies Depression Scale;EuroQol Five-Dimension Three-Level index;Barthel index | — |
Countries
Korea, Republic of
Contacts
Public ContactKyeongbong Lee
Kangwon National University
Outcome results
None listed