Stroke
Conditions
Keywords
Stroke, Early Ambulation, Rehabilitation, Physical Therapy, Randomized controlled trial
Brief summary
The purpose of this study is to evaluate the effectiveness of a rehabilitation (physiotherapy) program in patients with acute ischemic stroke in Acute Vascular Unit and in general ward of Hospital de Clínicas de Porto Alegre, and to verify the degree of disability at fourteenth and third month, functional improvement at third month, the frequency of deaths and incidence of complications due to immobility and quantify the time spent in hospital.
Interventions
OTHEREarly mobilization
The Intervention Group - Early Mobilization - will follow the early physiotherapy program within the first 24 - 48 hours after acute ischemic stroke, five times per week for 30 minutes plus time to spent out of bed (sitting).
Sponsors
Hospital de Clinicas de Porto Alegre
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients with clinical diagnosis of acute ischemic stroke (first or recurrent) confirmed by CCT or MRI admitted to the Acute Vascular Unit of HCPA between the first 48 hours of onset of symptoms. * Patients older than 18 years. * Patients clinically and hemodynamically stable (SBP 120-220 mmHg, SatO2 up to 92% with or without supplementation, HR between 60 and 100 bmp, body temperature below 38 and RR below 25 bpm). * Patients are able to react to verbal commands even without being fully alert (Glasgow Scale above 8). * Prior Rankin until 3 * Motor deficit and / or coordination measured by the NIHSS
Exclusion criteria
* Patients with clinical and / or hemodynamic instability * Patients with hemorrhagic stroke or TIA (transient ischemic attack). * Patients with progressive neurological disease and acute coronary disease and / or unstable.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Disability | three months | Outcome measure are assessed by Modified Rankin Scale. Good outcome was predefined as an mRS score of 0 to 2 and poor outcome of 3 to 6. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Minimum or no Disability | three months | Measured by the modified Ranking Scale with score of 0 to 1. |
| Independence in activities of daily living | three months | Measured by the modified Barthel Index, where score \< 75 indicate dependence and score \> 75 is independence. |
| Long of stay at hospital | three month | Number of days in hospital |
| Death | three month | Determined by a blinded review of the clinical details by the investigators. |
| Incidence of complications | three month | Number of complications (pneumonia and deep vein thrombosis) at three month |
Countries
Brazil
Contacts
Primary ContactSimone RP Gobbato, Physiotherapist
Backup ContactSheila CO Martins, Physician
Outcome results
None listed