Stroke
Conditions
Keywords
Stroke, Dance, Hemiparesis, Participation, Randomised controlled trial
Brief summary
The project will investigate the effects of a novel 12-week Movement Improvisation Skill-building and Adaptive Dance Intervention (MDI) on participation, balance, mobility, balance confidence, psychological well-being, and health-related quality of life in survivors with hemiparesis.
Detailed description
A 2-arm, assessor-blinded, randomised controlled trial will be conducted. Individuals who are 18-80 years old and have hemiparesis after a first-ever/recurrent ischaemic/haemorrhagic stroke will be recruited. The participants will be randomly allocated to the control group receiving usual care or the intervention group receiving MDI and usual care. Based on Bandura's principles of Self-efficacy and Outcome Expectation, MDI is an online/hybrid intervention aimed to assist survivors in developing body awareness, body sense, movement improvisational skills, and abilities in creating mental images of movements and balance during their transition of care from the acute settings to home. The outcomes will be assessed before the intervention, immediately post-intervention, and 3 and 6 months post-intervention.
Interventions
OTHERMovement Improvisation Skill-building and Adaptive Dance Intervention
The MDI is a hybrid in-person/online intervention aimed at developing body awareness, body sense, movement improvisational skills, and abilities in creating mental images of movements and balance among stroke survivors with hemiparesis.
Sponsors
Chinese University of Hong Kong
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* a first-ever/recurrent ischaemic/haemorrhagic stroke confirmed by imaging tests, * receiving in-patient care at an acute stroke unit, * a National Institutes of Health Stroke Scale (NIHSS) total score of \<16 (mild to moderate stroke), * hemiparesis after stroke with the affected limb(s) scoring 1-3 on the NIHSS motor arm and/or motor leg items, respectively (drift to no effort against gravity), * a modified Rankin Scale (mRS) score of 2-4 (slight to moderately severe disability), and * a Montreal Cognitive Assessment (MoCA) score of \>2nd percentile.
Exclusion criteria
* transient ischaemic attack, * subdural or epidural haemorrhage, * cerebrovascular event due to brain tumour or a head injury, * neurologic, orthopaedic, muscular, rheumatic or vestibular condition that can interfere with participation in the intervention such as seizure or spinal injury, * mental condition such as depression or schizophrenia, or * visual or auditory impairment that cannot be corrected by visual/hearing aids.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in the level of participation in daily and social activities | From baseline to immediately, 3 months and 6 months post-intervention | The Reintegration to Normal Living Index (Chinese version) will be used to assess participants' participation in daily and social activities. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in the level of balancing ability | From baseline to immediately, 3 months and 6 months post-intervention | The 14-item Mini- Balance Evaluation Systems Test will be used to measure participants' anticipatory postural adjustments, reactive postural control, sensory orientation, and dynamic gait. |
| Change in the level of mobility | From baseline to immediately, 3 months and 6 months post-intervention | The 6-minute walk test (MWT) will be performed according to the American Thoracic Society guidelines. |
| Change in the level of balance confidence | From baseline to immediately, 3 months and 6 months post-intervention | The Activities-specific Balance Confidence Scale (Chinese version) will be used to assess participants' confidence in balance when performing 16 daily functional activities. |
| Change in the level of psychological well-being | From baseline to immediately, 3 months and 6 months post-intervention | Participants' emotional well-being will be measured by the Hospital Anxiety and Depression Scale (Chinese version). |
| Change in the level of health-related quality of life | From baseline to immediately, 3 months and 6 months post-intervention | The EuroQoL 5 Dimension (Chinese version) will be used. It contains 5 dimensions (mobility, self-care, usual activities, pain/ discomfort, anxiety/depression), |
Countries
Hong Kong
Contacts
CONTACTSuzanne HS Lo, PhD
Outcome results
None listed