Cerebrovascular Accident (Stroke)
Conditions
Keywords
Exercise, Rehabilitation, leg function, in patient, RCT
Brief summary
This study would focus on a new method of adding extra leg homework exercises to the usual therapy delivered in the hospital. We propose to design an exercise program for the affected leg that would be given to the client as homework and done in the client's hospital room or ward. The program would be designed and monitored by a therapist that works in the hospital.
Detailed description
In total 120 participants admitted for stroke rehabilitation in the province British Columbia, Canada will be randomly assigned to either the Leg Exercise group or Leg Management group. The extra leg exercise group (experimental group) will receive usual therapy plus 60 minutes per day of self-directed leg exercises. This program will last for 4 weeks while the participant is in the hospital. The Leg Exercise program will include exercises of range of motion, leg strengthening, weight-bearing, and walking. The family will be encouraged to participate in the program with the participant. The control group (Leg Management group) will receive usual therapy and stroke education.
Interventions
BEHAVIORALLeg Exercise Program
Participants will engage in an extra 45-60 minutes per day of self-managed lower extremity homework exercises focused on improving strength, balance and walking ability.
BEHAVIORALLeg Management group
Therapist provides educational information about leg pain, recovery, bone density, and fall risk.
Sponsors
Heart and Stroke Foundation of Canada
University of British Columbia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
19 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Have been admitted to a hospital unit for stroke treatment * 19 years or older * Are experiencing difficulty using legs * Able to understand and follow instructions
Exclusion criteria
* Have uncontrolled hypertension or unstable cardio-vascular condition * Injuries to muscles, bones, or joints of the leg * Unable to verbally speak or understand the investigators when asked questions
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is gait speed | 4 weeks post-intervention |
Secondary
| Measure | Time frame |
|---|---|
| The secondary outcomes will assess the effect of the experimental intervention on balance and physical activity | 4 weeks post-baseline, then 6 and 12 months post-stroke |
Countries
Canada
Outcome results
None listed