Hemorrhagic Stroke, Ischemic Stroke
Conditions
Keywords
Stroke, Telerehabilitation, Balance, Mobility
Brief summary
Telerehabilitation is an effective rehabilitation method that allows patients to receive physiotherapy remotely in their homes. The purpose of this study was to investigate the effects of home-based remote group training for balance and mobility on activities and body functions.
Detailed description
Patients in the chronic post-stroke phase will be assessed for balance and mobility before and after remotely conducted group training. The training will last for 6 weeks, with two 60-minute sessions of balance and mobility training per week. Two consecutive groups will participate. The participants's balance and weight-bearing symmetry will be comprehensive assessed, as well their sit-to-stand ability, walking speed, and satisfaction with the remote training. Detailed inclusion and exclusion criteria are specified in the appropriate section.
Interventions
The training will last for 6 weeks, with two 60-minute sessions of balance and mobility training per week. Two consecutive groups will participate.
Sponsors
Study design
Eligibility
Inclusion criteria
* chronic phase of ischemic or haemorrhagic stroke (\>6 months after stroke) * ability to walk independently on level ground or on all surfaces with or without a walking aid * mild balance deficit * sufficient cognitive and communicative abilities for participation * access to a personal computer with a camera, connected to the Internet
Exclusion criteria
* stroke in the brainstem or cerebellum * additional neurological condition * musculoskeletal impairments that would interfere with the training * advanced heart failure
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in balance | Assessment 1-5 days before and 1-5 days after the training | Assessed using Mini-Balance Evaluation Systems Test (scale score range 0-28; higher scores mean a better outcome) |
| Change in limits of stability | Assessment 1-5 days before and 1-5 days after the training | Assessed using a force plate |
| Change in weight-bearing symmetry | Assessment 1-5 days before and 1-5 days after the training | Assessed using a force plate |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in mobility | Assessment 1-5 days before and 1-5 days after the training | Assessed using 5 Times Sit-to-Stand test (measured in seconds; longer times a worse outcome) |
| Change in walking speed | Assessment 1-5 days before and 1-5 days after the training | Assessed using 10-Meter Walk Test (expressed in metres/second; higher speed means a better outcome) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Satisfaction with the remote training | Assessed 1-5 days after the training | Assessed using the Modified Physical Activity Enjoyment Scale (scale score expressed as percentage; higher scores mean a better outcome) |
Countries
Slovenia