The investigators will conduct a proof-of-concept study to provide preliminary evidence of efficacy of physical exercise dose on ambulatory function in adults undergoing sub-acute stroke rehabilitation.
Participants admitted for stroke rehabilitation will be randomly assigned to either the Stroke Management Group, Stroke Monitoring Group or Stroke Supplementary Group. All three groups will receive usual care, in addition to the intervention. The Stroke Management Group will be provided with periodic information about their progress in the area of mobility using specialized activity monitors. The Stroke Monitoring Group will be progressed according to customized protocols using feedback from specialized activity monitors. The Stroke Supplementary Group will receive the same as the Stroke Monitoring Group, but will also receive one additional hour of daily (5 times per week) physical exercise
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
75
Participants will have usual care, and in addition, be provided with periodic information about their progress in the area of mobility using specialized activity monitors
Participants will have usual care, and in addition, be progressed according to customized protocols using feedback from specialized activity monitors
Participants will have usual care, and in addition, will receive the same as the Stroke Monitoring Group, and also receive one additional hour of daily (5 times per week) physical exercise
Fanning Centre
Calgary, Alberta, Canada
Foothills Medical Centre
Calgary, Alberta, Canada
Laurel Place
Surrey, British Columbia, Canada
Surrey Memorial Hospital
Surrey, British Columbia, Canada
GF Strong Rehab Centre
Vancouver, British Columbia, Canada
Holy Family Hospital
Vancouver, British Columbia, Canada
Riverview Health Centre
Winnipeg, Manitoba, Canada
Toronto Rehabilitation Institute
Toronto, Ontario, Canada
Ambulatory function measured by the Six Minute Walk Test
Time frame: Rehabilitation discharge (average 4-5 weeks post admission)
Ambulatory Function from the Six Minute Walk Test
Time frame: 6 and 12 months post-stroke
Ambulatory function from the 5 Meter Walk Test
Time frame: Rehabilitation discharge (average 4-5 weeks post admission) , 6 and 12 months post-stroke
Balance function from the Berg Balance Scale
Time frame: Rehabilitation discharge (average 4-5 weeks post admission), 6 and 12 months post-stroke
Ambulatory function from the Functional Ambulation Classification
Time frame: Rehabilitation discharge (average 4-5 weeks post admission), 6 and 12 months post-stroke
Quality of life measured with EuroQol
Time frame: Rehabilitation discharge (average 4-5 weeks post admission), 6 and 12 months post-stroke
Cognition measured by the Montreal Cognitive Assessment
Time frame: Rehabilitation discharge (average 4-5 weeks post admission), 6 and 12 months post-stroke
Cognition measured by the Digit Symbols Substitution Test
Time frame: Rehabilitation discharge (average 4-5 weeks post admission) , 6 and 12 months post-stroke
Cognition measured by the Trail Making Test
Time frame: Rehabilitation discharge (average 4-5 weeks post admission), 6 and 12 months post-stroke
Depression measured by Patient Health Questionnaire-9
Time frame: Rehabilitation discharge (average 4-5 weeks post admission) , 6 and 12 months post-stroke
Heart rate measured during the intervention sessions
Time frame: From 10 intervention sessions within the 4-week intervention
Step count measured during the intervention sessions
Time frame: From 10 intervention sessions within the 4-week intervention
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