Stroke
Conditions
Brief summary
Determine if attaining aerobic fitness is beneficial in producing cortical neuroplasticity in individuals with chronic stroke.
Detailed description
Crossover clinical trial. Experimental group undergoes 3x/wk/6 months of aerobic conditioning. Control group performs usual daily activities. All participants will be assessed with cognitive and motor behavioral testing at baseline, 3, 6, 9 and 12 months.
Interventions
Rehab therapy is delivered for 8 weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
* Single ischemic stroke occuring 6-72 months prior * Fugl-Meyer score (upper + lower extremity) 45 or greater * Mini mental status score of \>23 * approval of the subject's medical doctor
Exclusion criteria
* already performing \>20 min of cardiovascular exercise 3x/wk or more * alcohol consumption of \>2 oz. liquor, 8 oz. wine or 24 oz beer/day * cardiac history of unstable angina, recent myocardia infarction within the last 3 months, congestive heart failure, significant valve dysfunction * medical history of recent hospitalization (\> 3 months) for medical illness * symptomatic peripheral arterial occlusive disease * orthopedic or chronic pain conditions restricting exercise * pulmonary or renal failure * active cancer * unstable hypertension (\>160/100 mmHg) * diabetes mellitus (fasting glucose \> 180 NG./dk, HgA1C \> 10%) that is unable to be controlled \< month * receptive or expressive aphasia as indicated on MMSE * multiple strokes or other neuromuscular conditions * major depression that is untreated using the Beck depression inventory
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Motor learning behavioral measures; executive function behavioral measures. | Baseline, 8 weeks, 12 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Peak V02 and other aerobic capacity measures. Physical disability measures. | Baseline, 8 weeks, 12 weeks |
Countries
United States