FIRST-Oslo Long-term Follow-up

Oslo University Hospital69 enrolled

Overview

The study aims to describe the functional level of the patients who received high intensity gait training during inpatient stroke rehabilitation at discharge, three, six and twelve months after stroke. These data will determine if the observed gains from the high-intensity gait training are retained after discharge from inpatient rehabilitation.

The study is a cohort-study that will have a prospective observational design. This design allows us to follow patients who presently have had a stroke and received high intensity stepping training over time. At this time little is known about the patient's functional trajectory the first 12 months after receiving high intensity stepping treatment as no study has examined long-term effects of high-intensity stepping training delivered in inpatient rehabilitation for stroke in Norway nor internationally.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Stroke

Interventions

High Intensity Gait TrainingOTHER

The intervention provided in this project is routinely delivered as a standard of care at the participating sites for patients after stroke that have a goal of walking improvement. The intervention consists of 45-60 minute, physical therapy sessions that occur five days per week (not weekends), focusing on prioritizing stepping practice at higher aerobic intensities during scheduled treatments (target training zone of 70-85% heart rate max (HRmax). Stepping is performed on treadmills and over ground, with safety harness systems and body weight support only as needed to ensure successful stepping. Tasks are progressed by increasing task difficulty as determined by the therapist. Accordingly, practice of non-walking tasks performed during physiotherapy, including bed mobility, transfers, and standing balance/ pre-gait activities, is limited.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Adults (\>18 years old) who are receiving inpatient rehabilitation for stroke * \< six months post-stroke * have the goal to improve walking function * provide written consent will participate in the study. Exclusion Criteria: * inability to consent * use of bracing or instrumentation (e.g. ventilator) that limits walking * independence in walking outdoors and on stairs (Functional Ambulation Category (FAC) at admission = 5) * uncontrolled cardiopulmonary, metabolic, infectious or psychiatric disorders

Locations (2)

Oslo University Hospital

Oslo, Norway

Oslo municipality - Enhanced Rehabilitation Aker

Oslo, Norway

Outcomes

Primary Outcomes

10 meter walk test

Walking speed

Time frame: 12 months

6-minute walk test

Walking distance

Time frame: 12 months

Berg balance scale

Balance measured on a scale 0-56 points, higher scores mean a better outcome

Time frame: 12 months

Steps

Number of Steps

Time frame: Daily through stay, average of 3 weeks

Intensity

Heart Rate during training

Time frame: Each PT session trough stay, and average of 3 weeks

Secondary Outcomes

Sit-to-stand x5

Functional strength, time to complete in sec

Time frame: 3 weeks

Sit-to-stand x5

Functional strength, time to complete in sec

Time frame: 3 months

Sit-to-stand x5

Functional strength, time to complete in sec

Time frame: 6 months

Sit-to-stand x5

Functional strength, time to complete in sec

Time frame: 12 months

Manual muscle testing

Data from ClinicalTrials.gov

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Strength of lower extremities, ordinal scale 0-5, higher score indicate better outcome

Manual muscle testing

Strength of lower extremities, ordinal scale 0-5, higher score indicate better outcome

Time frame: 3 months

Manual muscle testing

Strength of lower extremities, ordinal scale 0-5, higher score indicate better outcome

Time frame: 6 months

Manual muscle testing

Strength of lower extremities, ordinal scale 0-5, higher score indicate better outcome

Time frame: 12 months

Action-Research-Arm-Test (ARAT)

Evaluation tool for motot function in the upper extremity after neurological injuries. Ordinal scale 0-57, higher score indicate better outcome

Time frame: Weekly during inpatient stay, in average 3 weeks

Action-Research-Arm-Test (ARAT)

Evaluation tool for motot function in the upper extremity after neurological injuries. Ordinal scale 0-57, higher score indicate better outcome

Time frame: 3 weeks

Action-Research-Arm-Test (ARAT)

Evaluation tool for motot function in the upper extremity after neurological injuries. Ordinal scale 0-57, higher score indicate better outcome

Time frame: 3 months

Action-Research-Arm-Test (ARAT)

Evaluation tool for motot function in the upper extremity after neurological injuries. Ordinal scale 0-57, higher score indicate better outcome

Time frame: 6 months

Action-Research-Arm-Test (ARAT)

Evaluation tool for motot function in the upper extremity after neurological injuries. Ordinal scale 0-57, higher score indicate better outcome

Time frame: 12 months

EQ-5D-5L