This study will determine the acceptability of delivering seated exercises online and if seated exercises can improve balance, mobility, quality of life, and cardiometabolic health in those living with a stroke related mobility impairment. Participants will be allocated to either a 10-week seated exercise program or a delayed 2-week Boot Camp program. All seated exercises sessions and assessments will be conducted virtually.
The study will be a virtual 10-week multi-site, assessor-blinded, randomized controlled trial with an embedded qualitative component. The study will be conducted in real time using secure videoconferencing software (Zoom). Participants will be randomized 1:1 to a 10-week Seated Exercise group or a delayed 2-week Seated Exercise Group (Boot Camp). Seated exercise sessions will be delivered and supervised by a trained instructor. Participants will use their own computer, laptop, or tablet for the zoom sessions. No Zoom sessions will be recorded. Caregivers will be invited to attend each exercise session to provide support and assistance but are not obliged to attend. A caregiver, friend, or family member will be required for each assessment to participate in the study.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
100
The seated exercise program includes a variety of upper and lower limb strengthening, core strengthening, agility (fast arm and leg movements), and flexibility exercises. Participants will be supervised during each session thru videoconferencing by a trained instructor.
GF Strong Rehabilitation Centre
Vancouver, British Columbia, Canada
RECRUITINGUniversity of Manitoba
Winnipeg, Manitoba, Canada
RECRUITINGNova Scotia Health
Halifax, Nova Scotia, Canada
RECRUITINGWestern University
London, Ontario, Canada
RECRUITINGUniversity of Saskatchewan
Saskatoon, Saskatchewan, Canada
RECRUITING30 Second Sit-to-Stand
Assessment of balance and lower extremity strength.
Time frame: Immediately post-intervention (following 10-week trial)
Timed Up and Go
Participants stand up from a chair, walk 3 metres, turn around and then sit back down. The TUG assesses balance, mobility and turning ability
Time frame: Immediately post-intervention, and retention (2-months post-intervention)
Tandem Stance
Measures balance in standing as reported in the Short Physical Performance Battery Protocol
Time frame: Immediately post-intervention, and retention (2-months post-intervention)
Modified Telehealth Fugl-Meyer
The modified virtual Fugl-Meyer assess lower extremity impairments in those with stroke
Time frame: Immediately post-intervention, and retention (2-months post-intervention)
Stroke Impact Scale
A self-reported measure of stroke-related disability. There are 8 domains with each item rated using a 5-point Likert scale, where lower scores mean greater difficulty to complete the item.
Time frame: Immediately post-intervention, and retention (2-months post-intervention)
Activities-Specific Balance Confidence (ABC)
The ABC scale is a 16-item questionnaire where a participant rates their confidence in performing activities from 0% to 100% (higher percentages indicate greater self-efficacy).
Time frame: Immediately post-intervention, and retention (2-months post-intervention)
Fatigue Severity Scale
Questionnaire assessing the impact of fatigue on daily tasks and activities. There are 9 questions, each scored from 1 to 7 (1 = strongly disagree; 7 = strong agreement).
Time frame: Immediately post-intervention, and retention (2-months post-intervention)
Quality of Life (EQ-5D-5L)
The EQ-5D-5L assess self-care, mobility, depression/anxiety, pain, and usual activities. Each is scored with 5 levels (1=no problems, 5=major problems). Overall health on the day is scored from 0% (worst health) to 100% (best health).
Time frame: Immediately post-intervention, and retention (2-months post-intervention)
Patient Health Questionnaire-4 (PHQ-4)
The PHQ-4 focuses on depression and anxiety. Questions are scored from 0 to 3 (0=not at all; 3 = Nearly every day).
Time frame: Immediately post-intervention, and retention (2-months post-intervention)
Montreal Cognitive Assessment scale (MoCA-BLIND)
The MoCA-BLIND assess six different cognitive domains (excludes visual stimulus) over the phone: memory, attention, language, abstraction, delayed recall, and orientation. The MoCA-BLIND is scored from 0-22 (22 = no cognitive impairments).
Time frame: Immediately post-intervention, and retention (2-months post-intervention)
Lipid Profiles
Blood samples will be collected following a 12-hour over-night fast
Time frame: Immediately post-intervention, and retention (2-months post-intervention)
Fasting Glucose
Blood samples will be collected following a 12-hour over-night fast
Time frame: Immediately post-intervention, and retention (2-months post-intervention)
Glucose (HbA1c)
Blood samples will be collected following a 12-hour over-night fast
Time frame: Immediately post-intervention, and retention (2-months post-intervention)
30 Second Sit-to-Stand
Assessment of balance and lower extremity strength.
Time frame: Retention (2-months post-intervention)
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