Cerebrovascular Accident
Conditions
Keywords
Cerebrovascular Accident, Physical Therapy Techniques, Musculoskeletal Equilibrium, Rehabilitation
Brief summary
The aim of this study is to investigate whether additional task specific physiotherapy treatment and a self administrated home training program results in better balance compared to traditional follow up care.
Detailed description
Increased risk of falling is a major problem after stroke and impaired balance is one of the main reasons for falling. Early and intensive physiotherapy seems to be beneficial for functional outcome after stroke although it is still unknown whether one specific physiotherapy technique is better than another. Comparison: Traditional follow up care by the community health care system with additional task specific physiotherapy three times a week and a daily self administrated home training program compared to traditional follow up care by the community health care system.
Interventions
BEHAVIORALPhysical therapy technique and exercises
The experimental group receives task specific physical therapy three times a week for the first four weeks after discharge from hospital and one session pr week for the next eight weeks in addition to ordinary physical therapy The active comparator group receives only ordinary physical therapy during this period.
Sponsors
St. Olavs Hospital
Norwegian Fund for Postgraduate Training in Physiotherapy
Norwegian University of Science and Technology
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Admitted to the stroke unit with a diagnosis of stroke * Living in the city of Trondheim * Included 4 - 14 days after first sign of symptoms * Modified Rankin Scale \> 3 before admission to hospital * Scandinavian Stroke Scale (SSS) less than 58 points and more than 14 points * SSS leg item less than 6 points or SSS movement item less than 12 points * Discharged to home or a rehabilitation clinic * Mini Mental State Examination Score more than 20 points * Able and willing to provide informed consent
Exclusion criteria
* Seriously heart- and lung-diseases * Other diseases which makes it difficult to evaluate the function * Already included in the trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The Berg Balance Scale | Inclusion, four weeks follow-up, twelve weeks follow-up and six months follow-up |
Secondary
| Measure | Time frame |
|---|---|
| Scandinavian Stroke Scale | Inclusion |
| Motor Assessment Scale | Inclusion, four weeks follow-up, twelve weeks follow-up, six months follow-up |
| Timed Up and Go | Inclusion, four weeks follow-up, twelve weeks follow-up, six months follow-up |
| Step Test | Inclusion, four weeks follow-up, twelve weeks follow-up, six months follow-up |
| Mini Mental State Examination | Inclusion |
| Barthel Index | Inclusion, four weeks follow-up, twelve weeks follow-up, six months follow-up |
| Modified Rankin Scale | Inclusion, four weeks follow-up, twelve weeks follow-up, six months follow-up |
| Fall Efficacy Scale | Inclusion, four weeks follow-up, twelve weeks follow-up, six months follow-up |
| Stroke Impact Scale | Inclusion, four weeks follow-up, twelve weeks follow-up, six months follow-up |
| Walking speed | Inclusion, four weeks follow-up, twelve weeks follow-up, six months follow-up |
Countries
Norway
Outcome results
None listed