The purpose of the first part of this study is to understand plastic brain mechanisms associated with successful gait-oriented stroke rehabilitation. Patients are randomized to receive intensive in-patient multiprofessional rehabilitation at different time points. One group will receive rehabilitation immediately after an acute care at the neurological clinic (8 days) and one group 5 weeks after the insult. Patients practise walking every workday for 60 min (actual 30min) either on a treadmill or on a gait trainer for four weeks, and receive also other physiotherapy. In addition to selected parameters measuring brain plasticity, detailed assessments of functional abilities including motor ability and quality of life will be performed. A novel tool, MR-image navigated transcranial magnetic stimulation (TMS) is utilized in assessing cortical excitability in relation to stroke, time, rehabilitation, and recovery.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
80
Patients practise walking every workday for 60 min (actual 30min) either on a treadmill or on a gait trainer for four weeks, and receive also other physiotherapy 60 min daily.Patients starts within 10 days since stroke onset.
Patients practise walking every workday for 60 min (actual 30min) either on a treadmill or on a gait trainer for four weeks, and receive also other physiotherapy 60 min daily.Patients starts five weeks after stroke onset.
Middle Finland central hospital and Kinkomaa hospital
Jyväskylä, Finland
NOT_YET_RECRUITINGKuopio University Hospital
Kuopio, Finland
RECRUITINGBrain Research and Rehabilitation Center Neuron
Kuopio, Finland
RECRUITINGTampere university hospital
Tampere, Finland
NOT_YET_RECRUITINGFunctional Ambulatory Category
Time frame: 4 measures during six months
Barthel Index
Time frame: 4 measures during 6 months
10 meters's walking speed
Time frame: 4 measures during 6 months
6 minutes' walking distance
Time frame: 4 measures during 6 months
Berg Balance Scale
Time frame: 4 measures during 6 months
Functional Status Questionnaire
Time frame: 4 measures during 6 months
Geriatric Depression Scale -15
Time frame: 4 measures during 6 months
Beck Depression Intervention modified by Raitasalo
Time frame: 4 measures during 6 months
Modified Motor Assessment Scale
Time frame: 4 measures during 6 months
Postural sway by Good Balance
Time frame: 3-4 measures during 6 months
spatio-temporal gait analysis by GaitRite
Time frame: 3-4 measures during 6 months
WHOQOF-BREF
Time frame: at end and at 6 months' follow-up
TMS responses (MT,MEPs,SP,SICI)
Time frame: 4 measures during 6 months
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