Stroke
Conditions
Keywords
Stroke, Exercise, Balance, Dynamic Gait, Cardiovascular Fitness
Brief summary
Testing Adaptive Physical Activity in Stroke tests the idea that adaptive physical activity (APA) will improve fitness, balance and walking function, daily step activity, and outcomes related to quality of life in individuals with chronic stroke. Adaptive physical activity is an exercise model that combines aerobic exercise with balance and gait training in a socially reinforcing group setting. Individualized homework assignments encourage integration of exercise into daily life routines. Our specific aims are: 1. to determine whether APA improves cardiovascular fitness and metabolic health 2. to measure the effects of APA on gait and balance, ambulatory activity, and ADL function 3. to determine whether APA affects self-reported outcomes related to self-efficacy, fatigue, and stroke-specific quality of life
Interventions
Structured gait, balance, and progressive walking program performed in a group gym setting 3x/week for 6 months
Sponsors
Study design
Eligibility
Inclusion criteria
1. Ischemic stroke greater than or equal to 6 months prior in men or women ages 40- or older. Hemorrhagic stroke greater than or equal to one year prior in men or women ages 40-or older. 2. Residual hemiparetic gait deficits. 3. Already completed all conventional inpatient and outpatient physical therapy. 4. Adequate language and neurocognitive function to participate in exercise testing and training (specific screening instruments used.)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| VO2 Peak | baseline, 3 months, 6 months, and 3 months post-intervention |
| Berg Balance Scale | baseline, 3 months, 6 months, and 3 months post-intervention |
| Dynamic Gait Index | Baseline, 3 months, 6 months, and 3 months post intervention |
| Step Activity Monitoring | Baseline, 3 months, 6 months, and 3 months post-intervention |
| 6 Minute Walks | Baseline, 3 months, 6 months, and 3 months post-intervention |
Secondary
| Measure | Time frame |
|---|---|
| Psychosocial questionnaires | baseline, 3 months, 6 months, and 3 months post-intervention |
Countries
United States