Complex Exercise Program for Stroke Patients
Study Details
Study Description
Brief Summary
The physical and social effects of exercise programs and daily exercise have already been demonstrated in stroke. However, stroke survivors have shown a passive attitude towards the exercise program and there was little guideline and experience of the stroke exercise program in the community. Therefore, the study provides patients with an adequate guide to a complex exercise program after discharge based on the medical records.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Intervention group Group with exercise program |
Behavioral: Complex exercise program
Stretching exercise, aerobic exercise, strengthening and balancing exercise
|
| No Intervention: Control group Group without exercise program |
Outcome Measures
Primary Outcome Measures
- Peak VO2 [Baseline evaluation]
Maximal VO2 from cardiopulmonary exercise test
- Peak VO2 [Follow-up evaluation after 4 weeks of exercise program]
Maximal VO2 from cardiopulmonary exercise test
Secondary Outcome Measures
- Functional ambulation category (0-5) [Baseline evaluation]
6-point functional walking test that evaluates ambulation ability
- Functional ambulation category (0-5) [Follow-up evaluation after 4 weeks of exercise program]
6-point functional walking test that evaluates ambulation ability
- Berg balance scale (0-56) [Baseline evaluation]
Objectively determine a patient's ability to safely balance during a series of predetermined tasks
- Berg balance scale (0-56) [Follow-up evaluation after 4 weeks of exercise program]
Objectively determine a patient's ability to safely balance during a series of predetermined tasks
- Timed up and go [Baseline evaluation]
To determine fall risk and measure the progress of balance
- Timed up and go [Follow-up evaluation after 4 weeks of exercise program]
To determine fall risk and measure the progress of balance
- Grip strength [Baseline evaluation]
measure of muscular strength or the maximum force/tension generated by one's forearm muscles
- Grip strength [Follow-up evaluation after 4 weeks of exercise program]
measure of muscular strength or the maximum force/tension generated by one's forearm muscles
- 6-minute walk test [Baseline evaluation]
practical simple test that requires a 100-ft hallway but no exercise equipment or advanced training for technicians
- 6-minute walk test [Follow-up evaluation after 4 weeks of exercise program]
practical simple test that requires a 100-ft hallway but no exercise equipment or advanced training for technicians
- Figure-of-eight walk test [Baseline evaluation]
Measurement tool that assesses the ability to walk on a curved path
- Figure-of-eight walk test [Follow-up evaluation after 4 weeks of exercise program]
Measurement tool that assesses the ability to walk on a curved path
- Sit-and-reach test [Baseline evaluation]
Measure of flexibility, and specifically measures the flexibility of the lower back and hamstring muscles
- Sit-and-reach test [Follow-up evaluation after 4 weeks of exercise program]
Measure of flexibility, and specifically measures the flexibility of the lower back and hamstring muscles
- Chair sit-to-stand test [Baseline evaluation]
Testing leg strength and endurance in older adults
- Chair sit-to-stand test [Follow-up evaluation after 4 weeks of exercise program]
Testing leg strength and endurance in older adults
- Fugl-Meyer assessment (0-226) [Baseline evaluation]
Stroke-specific, performance-based impairment index
- Fugl-Meyer assessment (0-226) [Follow-up evaluation after 4 weeks of exercise program]
Stroke-specific, performance-based impairment index
- Manual function test (0-32) [Baseline evaluation]
Evaluate unilateral manual performance in hemiparetic patients after stroke
- Manual function test (0-32) [Follow-up evaluation after 4 weeks of exercise program]
Evaluate unilateral manual performance in hemiparetic patients after stroke
- Modified Barthel Index (Korean version) (0-100) [Baseline evaluation]
Measure of physical disability used widely to assess behaviour relating to activities of daily living
- Modified Barthel Index (Korean version) (0-100) [Follow-up evaluation after 4 weeks of exercise program]
Measure of physical disability used widely to assess behaviour relating to activities of daily living
- Body composition analysis [Baseline evaluation]
Percentage of fat, bone, and muscle in the body
- Body composition analysis [Follow-up evaluation after 4 weeks of exercise program]
Percentage of fat, bone, and muscle in the body
- Korean Mini-Mental Status Examination (K-MMSE) (0-30) [Baseline evaluation]
Screening of dementia and to investigate the possible changes of optimal cutoff scores
- Korean Mini-Mental Status Examination (K-MMSE) (0-30) [Follow-up evaluation after 4 weeks of exercise program]
Screening of dementia and to investigate the possible changes of optimal cutoff scores
- Euro-Quality of Life-5 Dimension (EQ-5D) [Baseline evaluation]
A brief and simple instrument measuring health related quality of life
- Euro-Quality of Life-5 Dimension (EQ-5D) [Follow-up evaluation after 4 weeks of exercise program]
A brief and simple instrument measuring health related quality of life
- Getriatic depression scale (0-15) [Baseline evaluation]
Assessment of depression in the elderly
- Getriatic depression scale (0-15) [Follow-up evaluation after 4 weeks of exercise program]
Assessment of depression in the elderly
- International Physical Activity Questionnaire [Baseline evaluation]
27-item self-reported measure of physical activity for use with individual adult patients aged 15 to 69 years old
- International Physical Activity Questionnaire [Follow-up evaluation after 4 weeks of exercise program]
27-item self-reported measure of physical activity for use with individual adult patients aged 15 to 69 years old
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Community indwelling stroke patients discharged from Pusan National University Yangsan Hospital
-
Independent ambulator (FAC over 4)
-
Independent daily activities (Modified Rankin Scale less than 2)
-
No apparent spasticity on hemiplegic side (Modified Ashworth scale less than 1)
-
Hemiplegic side motor grades (Manual muscle testing, MMT) more than 3
Exclusion Criteria:
-
MMSE less than 18
-
BBS less than 41
-
Severe aphagia who cannot communicate
-
Severe cardiovascular conditions inhibiting exercise programs
-
Musculoskeletal problems inhibiting exercise programs
-
Other medical conditions considered by physiatrists
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Pusan National University Yangsan Hospital | Yangsan | Gyeongnam | Korea, Republic of | 50612 |
Sponsors and Collaborators
- Pusan National University Yangsan Hospital
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- SHKo