Stroke
Conditions
Brief summary
The intervention trial will examine the effectiveness and feasibility of integrating stroke survivors into an existing hospital-based cardiac rehabilitation program at Novant Health in Charlotte, NC. Stroke survivors will be recruited through hospital system providers and physical therapists (PTs) for entry into a multidisciplinary, three-month cardiac rehabilitation program. This program consists of three sessions per week of supervised cardiovascular endurance and strength training, stretching, relaxation and education. Participants will be stroke survivors, have completed formal physical and occupational rehabilitation (if applicable), and have treating provider approval.
Interventions
BEHAVIORALCardiac Rehabilitation
3 x week \ 1 hour of exercise + education
Sponsors
Novant Health Heart and Vascular Institute
American Physical Therapy Association
University of South Carolina
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Clinical diagnosis of stroke * Completion of physical and occupational therapy (if applicable) * Clearance by treating medical provider * Ability to walk at least 40 meters independently (with or without assistive device) * Ability to transfer sit to stand without assistance * Ability to follow instructions and provide information on exertion, pain and distress
Exclusion criteria
* Acute medical problem rendering exercise unsafe * Significant pain that prevents standing or interferes with movement * History of additional, non-stroke, neurological condition
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 6-minute walk Test | Change in 6-minute walk test at 3 months | Aerobic and Walking Capacity Measure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Timed Up and Go | Change in timed up and go at 3 months | Mobility Measure: timed movement from seated in a chair, walk 10 feet and return to sitting in a chair. |
| Stroke Impact Scale | Change in Stroke Impact Scale at 3 months | Quality of Life Questionnaire evaluating difficulty after stroke in 8 domains: strength, hand function, activities of daily living, mobility, communication, emotion, memory/thinking, participation/role function. Score is 0-100 in each domain and is transformed using the equation Domain score = (mean item score - 1)/4 \* 100. Higher Scores indicate less impact of stroke. |
| Fatigue Severity Scale | Change in Fatigue Severity Scale at 3 months | A scale measuring the perceived impact of fatigue on life activities. Total score is 9-63 with a higher score indicating more fatigue severity and impact. |
| Walking Speed | Change in Walking Speed at 3 months | Self-Selected walking speed for 10 meters |
| Readiness for Change Questionnaire | Change in Readiness/Confidence in Behaviors at 3 months | The readiness for change questionnaire evaluates self-perception of readiness and confidence in exercise, physical activity and overall wellness behaviors. Readiness score is 3-15 with higher scores indicating higher readiness, and confidence score 3-9 with a higher score indicating more confidence in behavior. |
| Patient Health Questionnaire 9 (PHQ9) | Change in PHQ9 at 3 months | The patient health questionnaire is a 9 question self report measure of depression and depression severity. The score is 0-27 with a higher score indicating more severe depression. |
| Ferrans and Powers Quality of Life Questionnaire | Change in Ferrans and Powers Quality of Life Questionnaire at 3 months | Ferrans and Powers Quality of Life questionnaire is a measure of satisfaction and importance of 7 domains (health, healthcare, self-care, energy, family/friends support, engagement in life activities, happiness). Raw scores are converted to overall scores by weighting satisfaction by importance and adjusting for unanswered questions. Total scores are 0-30 with higher scores indicating a higher quality of life. |
| Activities Specific Balance Confidence (ABC) Scale | Change in ABC Scale at 3 months | The Activities Specific Balance Confidence scale measures an individual's confidence in performing 16 activities without loss of balance. Possible scores are 0-100 with higher scores indicating higher balance confidence. |
Countries
United States
Outcome results
None listed