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Efficacy of multimodal training with several types of exercises to increase walking ability and improve heart function in people affected by stroke

Efficacy of Moderate to High-Intensity Multimodal Circuit Training to increase step count and improve cardiovascular function in individuals Post-Stroke: A randomized clinical trial

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
REBEC
Registry ID
RBR-2gf7h77
Enrollment
Unknown
Registered
2024-03-13
Start date
2023-08-11
Completion date
Unknown
Last updated
2025-10-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Stroke

Interventions

The present study is a randomized, single-blind clinical trial. To meet the methodological criteria, 98 volunteers will be included, with 49 participants per group. The interventions will take place a

Sponsors

Universidade Federal de São Carlos
Lead Sponsor
Irmandade Santa Casa de Misericórdia de São Carlos
Collaborator

Eligibility

Age
40 Years to 80 Years

Inclusion criteria

Inclusion criteria: Written informed consent was assigned; able to walk even with supervision or assistive walking devices; both women and men; age: 40 - 80 years old; diagnosis of unilateral stroke (= 6 months = 5 years); medical allowance to perform moderate to vigorous exercise; memory and cognition preserved (considering the Mini-Mental State Examination scored by age and scholar level); be physically inactive (< 7.500 steps per day); at least 2 doses of COVID-19 vaccines Do not attend to another rehabilitation program; no health issues that can cause symptoms and risks for the patients during the evaluations/training protocol (< 1-month acute myocardial infarct/cardiac; surgery or pulmonary obstructive/restrictive diseases); no other neurological diseases than stroke; no orthopedic disease that impossibility to walk

Exclusion criteria

Exclusion criteria: Withdraw the consent; present any severe symptoms during the assessments or intervention, such as prior cardiac surgery and/or acute myocardial infarction within one month; pacemaker utilization, obstructive or restrictive pulmonary diseases

Design outcomes

Primary

MeasureTime frame
We expect to increase the daily steps (measured by ActiviPAL4TM micro). Assessments are made 15 days before the treatment, one week after the treatment, and six weeks after reassessment. ;We expect to improve the endothelium function (measured by Flow Mediated Dilatation brachial artery). Assessments are made 15 days prior to the treatment, one week after the treatment, and 6 weeks after reassessment. ;We expect to improve cardiac function (left ventricular ejection). Assessments are made 15 days prior to the treatment, one week after the treatment, and 6 weeks after reassessment.

Secondary

MeasureTime frame
We expect to reduce the duration of Physical Inactivity (ActiviPAL4TM micro). Assessments are made 15 days before the treatment, one week after the treatment, and six weeks after reassessment. ;We expect to reduce the sedentary behavior (ActiviPAL4TM micro). Assessments are made 15 days prior to the treatment, one week after the treatment, and 6 weeks after reassessment. ;We expect to increase physical activity level (ActiviPAL4TM micro). Assessments are made 15 days prior to the treatment, one week after the treatment, and 6 weeks after reassessment. ;We expect to improve the marching cadence (ActiviPAL4TM micro). Assessments are made 15 days prior to the treatment, one week after the treatment, and 6 weeks after reassessment. ;We expect to improve the quality of Life (Stroke Specific Quality of Life Questionnaire). Assessments are made 15 days prior to the treatment, one week after the treatment, and 6 weeks after reassessment. ;We expect to reduce sensorimotor impairment (Fugl-Meyer). Assessments are made 15 days prior to the treatment, one week after the treatment, and 6 weeks after reassessment. ;We expect to improve the functional balance (Dynamic Gait Index and Timed Up and Go). Assessments are made 15 days prior to the treatment, one week after the treatment, and 6 weeks after reassessment. ;We expect to increase walking speed (Ten Meter Walk Test). Assessments are made 15 days prior to the treatment, one week after the treatment, and 6 weeks after reassessment. ;We expect to increase the lower limb strength (Five Times Sit-to-Stand Test). Assessments are made 15 days prior to the treatment, one week after the treatment, and 6 weeks after reassessment. ;We expect to improve the self-perceived assistance level, performance quality, and confidence (Lower Extremity Motor Activity Log). Assessments are made 15 days prior to the treatment, one week after the treatment, and 6 weeks after reassessment. ;We expect to increase the walk endurance (6-minute walk tes

Countries

Brazil

Contacts

Public ContactThiago de Russo

Universidade Federal de São Carlos

russo@ufscar.br+55-16-981172023

Outcome results

None listed

Source: REBEC (via WHO ICTRP)