Stroke
Conditions
Brief summary
A lot of patients suffer the balance and gait disorders after stroke. Many rehabilitation therapies have been provided to improve the balance and gait function in stroke patients. However, most rehabilitation therapies are performed in only hospitals, in spite of the difficulty of moving from home to hospitals for stroke patients. Home-based smart rehabilitation system (Uincare®, D-gate Co.) can provide the specific rehabilitation training program to stroke patients in their home. This study aims to investigate the effects of the home-based exercise program with smart rehabilitation system on balance and gait functions in stroke patients.
Detailed description
The total 100 patients with stroke will be divided into each the intervention group and the control group. The intervention group will be provided the home-based smart rehabilitation system for 4 weeks, and the control group will be educated the conventional home rehabilitation exercise at once. The immediate effects of the home-based smart rehabilitation system on the balance and gait function will be assessed at 4 weeks after exercise and the long-term carry-over effects will be also assesed at 4 weeks after cessation of exercise.
Interventions
OTHERHome-based exercise program with smart rehabilitation system ((Uincare®, D-gate Co.)
Home-based exercise program with smart rehabilitation system ((Uincare®, D-gate Co.) for more than 30 minutes per a day for 4 weeks
OTHERConventional home rehabilitation exercise
Conventional home rehabilitation exercise for more than 30 minutes per a day for 4 weeks
Sponsors
Samsung Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
19 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* adult stroke patients (more than 18 years old) * less than 6 months after stroke onset * discharged to home or the plan to discharge to home less than 3 days * independent ambulatory function on even level (4 or more than 4 in Functional Ambulatory Category)
Exclusion criteria
* Advanced liver, kidney, cardiac, or pulmonary disease * A terminal medical diagnosis consistent with survival \< 1 year) * Pre-existing and active major neurological disease * Pre-existing and active major psychiatric disease * Severe language disorders * Severe cognitive disorders (10 or less than 10 in K-MMSE)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Timed Up and Go test | Change from baseline Timed Up and Go test at 4 weeks | Assessment of balance and gait function |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Berg Balance scale | Change from baseline Timed Up and Go test at 4 weeks | Assessment of balance |
| Korean-Geriatric Depression Scale- Short Form | Change from baseline Timed Up and Go test at 4 weeks | Assessment of mood |
| Tinetti Performance Oriented Mobility Assessment | Change from baseline Timed Up and Go test at 4 weeks | Assessment of balance and gait function |
| Falls Efficacy Scale | Change from baseline Timed Up and Go test at 4 weeks | Assessment of fall risk |
| Korean version of Physical Activity Scale for the Elderly | Change from baseline Timed Up and Go test at 4 weeks | Assessment of physical activity |
| EQ-5D | Change from baseline Timed Up and Go test at 4 weeks | Assessment of quality of life |
Countries
South Korea
Outcome results
None listed