A Randomized, Non-inferiority Clinical Trial of CVA Telerehabilitation Treatments - TelePhysioTaiChi

Université de Sherbrooke142 enrolled

Overview

Telerehabilitation is a promising alternative approach that can help improve access to rehabilitation services once patients are discharged home after stroke. The investigators therefore postulate a non-inferiority hypothesis of the telerehabilitation approach compared to home visits to improve balance problem related to stroke. The platform used will be based on a technological infrastructure that was developed and tested in previous telerehabilitation studies. The study is a randomized control trial (RCT).The study population of interest will target individuals who have had a stroke who stayed in a hospital or chronic stroke population. Participants will be recruited during the hospitalization period at each of the three sites or in the community. The investigators expect to recruit 240 participants, 120 per group. The first evaluation will be conducted at recruitment to establish the baseline measures. The two other evaluations will be conducted 2 months (T2) and four months (T3) following recruitment.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

142

Conditions

Stroke

Interventions

Eligibility

Sex: ALLMin age: 45 Years

Medical Language ↔ Plain English

Inclusion Criteria: * have had a stroke with a Rankin score of 2 or 3; * was not referred to an Intensive Functional Rehabilitation Unit (IFRU) and returned home following discharge from hospital; * understands instructions to allow participation in evaluations and interventions; * has a balance problem as evidenced by a score between 46 and 54 on the Berg Balance Scale96; * has a caregiver that would be available during the telerehabilitation sessions to ensure safety during exercises; * live in an area serviced by high speed Internet. Exclusion Criteria: * severe body hemineglect; * significant hemianopsia visual problems accompanied by hemineglect; * uncontrolled medical problems; * moderate to severe aphasia

Locations (3)

Hôpital Charles-LeMoyne

Longueuil, Canada

Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain

Montreal, Canada

Research Centre on Aging

Sherbrooke, Canada

Outcomes

Primary Outcomes

Change from baseline in mobility at 2 and 4 months

Community balance and mobility Scale.

Time frame: before the intervention, month 2 and month 4

Change from baseline in Balance at 2 and 4 months

Community balance and mobility Scale.

Time frame: before the intervention, month 2 and month 4

Secondary Outcomes

Change from baseline walking speed at 2 and 4 months

Speed: Timed up and go (TUG),

Time frame: before the intervention, month 2, month 4

Change from baseline Psychological Attitudes related to balance at 2 and 4 months

Self efficacy: General Perceived Self efficacy

Time frame: before the intervention, month 2, month 4

Change from baseline Quality of life at 2 and 4 month

Quality of life: Reintegration ti normal Living Index (RNLI)

Time frame: before the intervention, month 2, month 4

Change from Baseline Satisfaction with the care received at 2 and 4 months

Satisfaction with the care received = Health care satisfaction questionnaire

Time frame: before the intervention, month 2, month 4

Change from Baseline Cost of services from the perspective of the health system at 2 and 4 months

Cost of services from the perspective of the health system = "Cost-analysis of telemedicine" from the Minnesota University

Time frame: before the intervention, month 2, month 4

Change from baseline walking endurance at 2 and 4 months

distance in meters walked two minutes

Time frame: before the intervention, month 2 and month 4

Change from baseline aptitude for Balance at 2 and 4 months

Four-Squares Test

Time frame: before the intervention, month 2 and month 4

Change from baseline Strength of lower limbs at 2 and 4 months

Sit to Stand Test

Time frame: before the intervention, month 2 and month 4

Change from baseline Psychological Attitudes related to mobility at 2 and 4 months

fear of falling: Activities-specific Balance confidence scale

Time frame: before the intervention, month 2, month 4