Ischemic stroke Hemorrhagic stroke Mild stroke Poststroke functional recovery Stroke Rehabilitation Activities of Daily Living Quality of Life
Conditions
Interventions
Participants with mild stroke who have a Barthel Index score between 15 and 19.,Participants with mild stroke who have a Barthel Index score of 20
Health Services Research,Health Services Research
Mild disability group,Independent group
Sponsors
Faculty of Medicine Siriraj Hospital, Mahidol University
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1.Adult patients aged 18 years or older. 2.Diagnosed for the first time with ischemic or hemorrhagic stroke confirmed by World Health 3.Organization (WHO) criteria within one month after onset. 4.Having mild disability with Barthel Index score 15 or higher. 5.Thai Mental State Examination (TMSE) score 20 or higher. 6.Able to communicate and understand Thai language. 7.Independent in activities of daily living before stroke onset. 8.Basic Activities of Daily Living (BADL) performed independently. 9.Ambulation classified as Functional Ambulation Categories (FAC) level 4 or 5
Exclusion criteria
Exclusion criteria: 1.Unstable medical conditions including acute heart failure chronic heart failure with New York 2.Heart Association NYHA class 3 or higher acute myocardial infarction within the past 3 months or chronic lung disease requiring oxygen therapy or dyspnea on exertion. 3.Uncontrolled epilepsy. 4.Unable or unwilling to provide informed consent. 5.Unable to attend the follow up visit at 3 months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Functional independence Baseline, 3 months post stroke Barthel Index (BI),Mobility performance Baseline, 3 months post stroke Timed Up and Go test (TUG), Short Physical Performance Battery (SPPB), Functional Ambulation Categories (FAC), and 6-Minute Walk Test (6MWT).,Lower limb strength Baseline, 3 months post stroke Motricity Index (MI),Hand grip strength Baseline, 3 months post stroke Hand Grip Strength (HGS) measured by hand dynamometer in kilograms.,Cognitive function Baseline, 3 months post stroke Montreal Cognitive Assessment (MoCA), Thai version,Depression Baseline, 3 months post stroke Patient Health Questionnaire-9 (PHQ-9),Quality of life Baseline, 3 months post stroke EQ-5D-5L and Instrumental Activities of Daily Living (iADL).,Return to work Baseline, 3 months post stroke Work Ability Index (WAI) questionnaire. | — |
Secondary
| Measure | Time frame |
|---|---|
| Outcome Name: Comparison of physical performance, cognitive function, depression, and quality of life between mild disability and independent stroke patients Baseline, 3 months post stroke Physical performance assessed by TUG, SPPB, 6MWT, and FAC; cognitive function by MoCA; depression by PHQ-9; and quality of life by EQ-5D-5L. | — |
Countries
Thailand
Contacts
Public ContactChamaipon Chanprang
Faculty of Medicine Siriraj Hospital, Mahidol University
Outcome results
None listed