Program, Communication, Sports Physical Therapy, Stroke
Conditions
Brief summary
The physical and social effects of exercise programs and daily exercise have already been demonstrated in stroke. However, stroke survivors have shown a passive attitude towards the exercise program and there was little guideline and experience of the stroke exercise program in the community. Therefore, the study provides patients with an adequate guide to a complex exercise program after discharge based on the medical records.
Interventions
BEHAVIORALComplex exercise program
Stretching exercise, aerobic exercise, strengthening and balancing exercise
Sponsors
Pusan National University Yangsan Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
Randomized, open-label, case-control study
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Community indwelling stroke patients discharged from Pusan National University Yangsan Hospital * Independent ambulator (FAC over 4) * Independent daily activities (Modified Rankin Scale less than 2) * No apparent spasticity on hemiplegic side (Modified Ashworth scale less than 1) * Hemiplegic side motor grades (Manual muscle testing, MMT) more than 3
Exclusion criteria
* MMSE less than 18 * BBS less than 41 * Severe aphagia who cannot communicate * Severe cardiovascular conditions inhibiting exercise programs * Musculoskeletal problems inhibiting exercise programs * Other medical conditions considered by physiatrists
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Peak VO2 | Baseline evaluation | Maximal VO2 from cardiopulmonary exercise test |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Functional ambulation category (0-5, the higher the better) | Baseline evaluation | 6-point functional walking test that evaluates ambulation ability |
| Berg balance scale (0-56, the higher the better) | Baseline evaluation | Objectively determine a patient's ability to safely balance during a series of predetermined tasks |
| Timed up and go | Baseline evaluation | To determine fall risk and measure the progress of balance |
| Grip strength | Baseline evaluation | measure of muscular strength or the maximum force/tension generated by one's forearm muscles |
| 6-minute walk test | Baseline evaluation | practical simple test that requires a 100-ft hallway but no exercise equipment or advanced training for technicians |
| Figure-of-eight walk test | Baseline evaluation | Measurement tool that assesses the ability to walk on a curved path |
| Korean Mini-Mental Status Examination (K-MMSE) (0-30, the higher the better) | Baseline evaluation | Screening of dementia and to investigate the possible changes of optimal cutoff scores |
| Euro-Quality of Life-5 Dimension (EQ-5D) (5-25, the higher the better) | Baseline evaluation | A brief and simple instrument measuring health related quality of life |
| Chair sit-to-stand test | Baseline evaluation | Testing leg strength and endurance in older adults |
| Fugl-Meyer assessment (0-226, the higher the better) | Baseline evaluation | Stroke-specific, performance-based impairment index |
| Manual function test (0-32, the higher the better) | Baseline evaluation | Evaluate unilateral manual performance in hemiparetic patients after stroke |
| Modified Barthel Index (Korean version) (0-100, the higher the better) | Baseline evaluation | Measure of physical disability used widely to assess behaviour relating to activities of daily living |
| Body composition analysis | Baseline evaluation | Percentage of fat, bone, and muscle in the body |
| Getriatic depression scale (0-15, the higher the more depressive) | Baseline evaluation | Assessment of depression in the elderly |
| International Physical Activity Questionnaire (No scores) | Baseline evaluation | 27-item self-reported measure of physical activity for use with individual adult patients aged 15 to 69 years old |
| Sit-and-reach test | Baseline evaluation | Measure of flexibility, and specifically measures the flexibility of the lower back and hamstring muscles |
Countries
South Korea
Contacts
Primary ContactSung-Hwa Ko, PhD
Backup ContactSungchul Huh
Outcome results
None listed