stroke, telerehabilitation, caregiver mediated exercises
Conditions
Interventions
The Armed4Stroke program consists of eight weeks of complementary exercise therapy done with a caregiver, supported by tele-rehabilitation, next to the usual therapy.
Complementary exercise therapy:
Sponsors
Amsterdam UMC
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion criteria for the patient will be: 1) 20 points) 9) Sufficiently motivated for CME Inclusion criteria for the caregiver: 1) 18 years or older 2) Written informed consent 3) Able to understand the Dutch language (on sufficient level to understand instructions and complete the questionnaires) 4) Sufficiently motivated for CME 5) Medically stable and physically able to perform the exercises together with the patient.
Exclusion criteria
Exclusion criteria: Exclusion criteria for both patient and caregiver will be a serious comorbidity that interferes with participation. To determine suitability of patient and partner, one exercise session with a trained therapist will be scheduled prior randomisation. The therapist will check the inclusion/exclusion criteria and judge if the exercises can be done adequately and safely.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mobility domain of the Stroke Impact Scale (SIS version 3.0), which measures self-reported health status. | — |
Secondary
| Measure | Time frame |
|---|---|
| For the patient: 1) Length of inpatient stay, for those patients that will be included during inpatient rehabilitation. 2) Self-reported health status, measured by the other domains of the Stroke Impact Scale and the Rivermead Mobility Index (RMI) 3) Extended Activities of daily living, measured by the Nottingham Extended ADL (NEADL). 4) Quality of life, measured with the EQ-5D. 5) Self-efficacy, measured by the stroke self-efficacy questionnaire. 6) Walking ability, assessed with Functional Ambulation Categories, the 10 metre walking speed and an instrumental 6 minute walking test using the MOX activity monitor. 7) Functional outcome, measured by Modified Rankin Scale (MRS) 8) Balance, assessed with the Berg Balance Scale (BBS) 9) Strength of the lower limb, assessed with the Motricity Index (MI). 10) The amount of daily activity during one week (MOX Activity monitor) 11) Community Ambulation Questionnaire. For the caregiver: 1) The experienced strain of the caregiver measured by the Caregiver Strain Index. (CSI). 2) Quality of life, measured with the CarerQOL. For both: 1) Care Transition Measure, short version CTM-4 2) Emotional functioning, measured with the Hospital Anxiety and Depression Scale (HADS) and Patient-Reported Outcomes Measurement Information System (PROMIS) Anxiety and Depression item banks, 3) Fatigue, measured by the Fatigue Severity Scale. 4) Self-efficacy, measured by the General Self-Efficacy Scale (GSES). 5) Family functioning, measured by the general functioning subscale of the McMaster Family Assessment Device (FAD). | — |
Contacts
Public ContactRinske Nijland
Postbus 58271
Outcome results
None listed