Ischemic Attack, Transient
Conditions
Keywords
Walking capacity, Mental Fatigue, Quality of Life, Cognition, Motor activity, Exercise
Brief summary
The purpose of this study is to determine whether Physical Activation on Prescription can help patients with TIA to become more physically active. One group will receives Physical Activation on Prescription (PaP)and the other group will receives usual care. And to identify if persons with TIA presents with cognitive impairments.
Detailed description
Transient ischemic attack (TIA) is a transient episode of neurologic dysfunction caused by ischemia, i.e. loss of blood flow. The symptoms of a TIA typically resolve within 24 hours. Attacks lasting more than 30 minutes are unusual. TIAs and strokes present with the same symptoms such as sudden weakness, numbness, sudden dimming or loss of vision, aphasia, slurred speech, facial palsy and mental impairments. Subtle problems with cognitive functions and fatigue may not always be addressed before discharge. However, even subtle mental impairments are important to identify, given the problems they might pose.
Interventions
OTHERPhysical activation on Prescription
The advice on physical activity is patient oriented and based on FYSS (FYSS is a information bank that summarizes the up-to-date scientific knowledge on how to prevent and treat various diseases and conditions using physical activity). An individual prescription on physical activity is issued. The prescription form reminds of an ordinary drug prescription and provides specified types of physical activities including intensity, frequency and duration of the respective activities. The prescribed physical activity could be either self-monitored or organized by public physical activity organizations.
Sponsors
Karolinska Institutet
Tiohundra AB
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Understand Swedish language (also in and writing), living in Norrtälje community, * To participate in the assessment of cognitive function: no known cognitive impairments before the TIA event and history of stroke.
Exclusion criteria
* Presence of contraindications to exercise, and no history of stroke
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Physical activity over time | at discharge from hospital, 3, 6 and 12 month after the event | Physical activity measured with accelerometer (Time frame: Baseline, 3, 6, and 12 month). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in 6 MWT | 3, 6 and 12 months | Change in Walking endurance measured in 3, 6, 12 month measured with 6 MWT (six minutes Walking Test). |
| Change in self reported stages of change | 3, 6, 12 months | A self reported questionnaire that measures willingness to changes in physical activity over time. The scale has different levels of willingness for changes in physical activity. |
| Change in Cognition and Mental Fatigue | All measures at baseline 3, 6 and 12 month after the event | Change in mental conditions over time measured with self report of mental fatigue and related symptoms. This is a scale with 7 different steps for graduate mental fatigue. Less points indicate less mental fatigue. |
| BMI | 12 months | Body Mass Index is measured at the start and at the end of the study |
| Change in mental capacity over a period of time | 3, 6,12 months | Change in mental capacity measured with a assessment called Cognistat that indicates four different levels of mental capacity. |
| Change from baseline in systolic blood pressure at 12 months | 3, 6, 12 months | — |
Countries
Sweden
Outcome results
None listed