Acute Stroke
Conditions
Brief summary
To investigate the difference between two models of an early intervention program (focused on mobility function) in the functional recovery 3 months post stroke in a group of patients with acute ischemic stroke while in acute inpatient ward hospitalization.
Detailed description
Patients with acute stroke admit into an acute inpatient ward who meet study criteria and provide institutional-reviewed consent form will be randomly assigned into either model 1 or model 2 of an early functional training program. Participants in model 1 group will receive 2 sessions of functional training per day whereas those in model 2 group will receive 1 session of functional training and 1 session of friendly visit and education per day. The following outcomes will be measured at admission, at discharge and at 3 months post stroke: Barthel index (BI), Postural Assessment Scale for Stroke (PASS), Mobility Scale for Acute Stroke (MASA), and usual gait speed (UGS). The rater is blinded to participants' group membership.
Interventions
functional training focused on mobility (bed mobility, sitting balance, standing balance, and ambulation)
friendly visit and education
Sponsors
Study design
Eligibility
Inclusion criteria
* patient with acute ischemic stroke / ICH * referred for early rehabilitation, * aged 20 years or more,
Exclusion criteria
* able to walk independently and safely at admission, * unable to understand three simple comments, * unable to recovery even with appropriate medical management, * serious condition require ICU care, * terminal illness for hospice care, * waiting to transfer to long term care facilities
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postural Assessment Scale for Stroke Patient (PASS) | Baseline | The total score range is 0 to 36 points. Higher score indicate better performance. |
| Barthel index (BI) | Baseline | The total score range is 0 to 100 points. Higher score indicate better performance. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Usual gait speed | Baseline | meters per second. Higher score indicate better performance. |
| Mobility Scale for Acute Stroke (MSAS) | Baseline | The total score range is 6 to 36 points. Higher score indicate better performance. |
Countries
Taiwan