Hydrotherapy, Stroke
Conditions
Keywords
circuit class therapy, ICF model, aquatic therapy, neuro-rehabilitation
Brief summary
The objective of this study is to investigate the relative effectiveness of CCT on water versus on land in stroke patients. Additionally, the study will to determine if there are differences in the results obtained, between two CCT programs in the following parameters: gait, balance and dexterity
Detailed description
This study is a randomized controlled trial of the effectiveness of a structured CCT program in water versus a structured CCT program on land in the rehabilitation of stroke survivors.
Interventions
OTHERcircuit class therapy in water
The circuit, the main part of the session, include a series of 10 different workstations, arranged to progress in complexity, in order to work several segments of the body, oriented towards a functional recovery objective. These stations will be made up of task-specific activities for gait, balance and dexterity. Time in each workstation will be 5 minutes divided as follows: 4 minutes work period and 1 minute rest period, of these, last 30 seconds will be change period for crossing from one workstation to the next. After 50 minutes, each patient will have covered the 10 workstations, thus working in all of the objectives pursued in the realization on this CCT: gait, balance and dexterity.
OTHERcircuit class therapy on land
The circuit, the main part of the session, include a series of 10 different workstations, arranged to progress in complexity, in order to work several segments of the body, oriented towards a functional recovery objective. These stations will be made up of task-specific activities for gait, balance and dexterity. Time in each workstation will be 5 minutes divided as follows: 4 minutes work period and 1 minute rest period, of these, last 30 seconds will be change period for crossing from one workstation to the next. After 50 minutes, each patient will have covered the 10 workstations, thus working in all of the objectives pursued in the realization on this CCT: gait, balance and dexterity.
Sponsors
Universidade da Coruña
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* Patients with diagnosis of stroke (ischemic or hemorrhagic) onset ≤ 3 years; with hemiparesis secondary; * age ≥18 to ≤ 90; * provide a written informed consent; * able to walk for at least 10 m without assistance
Exclusion criteria
* patients with uncontrolled or risky conditions (acute myocardial infarction, arrhythmia, heart failure, uncontrolled hypertension or unstable cardiovascular state); * with infectious diseases, ulcers or urinary and / or faecal incontinence; * additional neurological and / or orthopedic deficits that alter ambulation; * unable to follow treatment (cognitive, visual ...).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 10 meters walk test | 60 seconds |
Secondary
| Measure | Time frame |
|---|---|
| Berg Balance Scale (BBS) | 20 minutes |
| Romberg Test | 1 minute |
| Fugl-Meyer Assessment | 15 minutes |
| Test Up & Go | 5 minutes |
| Box and block test | 5 minutes |
| Self-efficacy Scale | 5 minutes |
| Activities-Specific Balance Confidence Scale (ABC) | 10 minutes |
| Functional Reach Test (FRT) | 10 minutes |
Outcome results
None listed