Stroke, walking competency, task oriented training CVA, loopvaardigheid, taakgeorienteerde training
Conditions
Interventions
Experimental intervention:
Patients assigned to the fitness training (i.e, experimental) group (8-10 persons) will receive a structured progressive task-oriented circuit training program twice a wee
2) adding weights
3) increasing time or
4) increasing number of repetitions.
The cooling down phase will contain 10 minute stretching exercises and mat activities (plenary applied). The precise compilation of the tre
Sponsors
None listed
Eligibility
Inclusion criteria
Inclusion criteria: Eligible subjects will meet the following inclusion criteria: 1. Verified stroke following definition of WHO (21) 2. Ability to walk a minimum of 10 meters independently (using an aid or orthotic is allowed) 3. Discharged from a rehabilitation centre to home 4. Need to continue physical therapy in the community to improve walking competency and/or physical condition 5. Informed consent and motivated to participate 24 treatment sessions fitness training within 12 weeks or individual physiotherapy in the community.
Exclusion criteria
Exclusion criteria: Patients are excluded if they suffer from: 1. Severe cognitive deficits as evaluated by the Mini-Mental State Examination (<24 points) 2. Inability to communicate (i.e. < 4 points on the Utrecht Communication Observation) 3. Living beyond 20 km from the rehabilitation centre. There will be no restrictions with respect to age, ethnicity or social economic status of included patients.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| -Stroke Impact Scale (SIS 3.0)/ mobiliteits item -EuroQoL | — |
Secondary
| Measure | Time frame |
|---|---|
| - Hospital Anxiety and Depression Scale (HADS) The HADS is a simple measure to determine mood, emotional distress, anxiety, depression and emotional disorder. The HADS is a brief, valid and reliable widely used measure known to give meaningful results as a psychological screening tool. The HADS consists of 14 items (7 anxiety, 7 depression), each with a 4 point rating scale (0-3) and has shown to be responsive to change. The HADS will be assessed at baseline, 12 and 24 weeks post randomisation. - Fatigue Severity Scale (FSS) The FSS will be used to assess the impact of fatigue. The FSS consists of nine items and scores of each item range from 1 to 7. The total score of the FSS is the mean of the nine items. The FSS will be assessed at baseline, 12 and 24 weeks post randomisation. - Motricity Index (MI) The Motricity Index is a valid and reliable measure and will be used to determine strength of upper (MI arm) and lower paretic limb (MI leg). Scores range from 0 (no activity) to 33 (maximum muscle force) for each dimension. The test has been shown highly reliable and valid (34). The MI will be assessed at baseline, 12, and 24 weeks post randomisation. - Falls Efficacy Scale (FES) The FES is an instrument to measure fear of falling, based on the operational definition of this fear as "low perceived self-efficacy at avoiding falls during essential, nonhazardous activities of daily living.". The FES will be assessed at baseline, 12 and 24 weeks post randomisation. - Six minute walking test For investigating the effects of functional fitness training on gait performance and endurance, the 6 minute walking test (6-MWT) will be performed. The test will be assessed at baseline, 12 and 24 weeks post randomisation. - Five meters timed-walk Gait speed will be measured by the 5 meter comfortable walking speed test (20). In order to reduce measurement error the mean of three repeated walking speed measurements will be calculated. The patient will rest for about one | — |
Contacts
Public ContactIngrid Port, van de
Revant medisch specialistische revalidatie
Outcome results
None listed