"Testing Adaptive Physical Activity in Stroke" tests the idea that adaptive physical activity (APA) will improve fitness, balance and walking function, daily step activity, and outcomes related to quality of life in individuals with chronic stroke. Adaptive physical activity is an exercise model that combines aerobic exercise with balance and gait training in a socially reinforcing group setting. Individualized homework assignments encourage integration of exercise into daily life routines. Our specific aims are: 1. to determine whether APA improves cardiovascular fitness and metabolic health 2. to measure the effects of APA on gait and balance, ambulatory activity, and ADL function 3. to determine whether APA affects self-reported outcomes related to self-efficacy, fatigue, and stroke-specific quality of life
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
54
Structured gait, balance, and progressive walking program performed in a group gym setting 3x/week for 6 months
Baltimore VAMC
Baltimore, Maryland, United States
RECRUITINGVO2 Peak
Time frame: baseline, 3 months, 6 months, and 3 months post-intervention
Berg Balance Scale
Time frame: baseline, 3 months, 6 months, and 3 months post-intervention
Dynamic Gait Index
Time frame: Baseline, 3 months, 6 months, and 3 months post intervention
Step Activity Monitoring
Time frame: Baseline, 3 months, 6 months, and 3 months post-intervention
6 Minute Walks
Time frame: Baseline, 3 months, 6 months, and 3 months post-intervention
Psychosocial questionnaires
Time frame: baseline, 3 months, 6 months, and 3 months post-intervention
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.