Effectiveness of Fast Muscle Activation and Stepping Training (FAST) on Balance and Mobility Post-stroke

Fast Muscle Activation and Stepping Training (FAST) Post-stroke

Sponsors

Lead sponsor: University of British Columbia

Collaborator: Heart and Stroke Foundation of Canada

Source University of British Columbia
Brief Summary

The purpose of this study is to determine whether FAST (Fast muscle Activation and Stepping Training) exercises will improve walking balance in individuals after stroke to a greater extent than usual care.

Hypothesis: The primary hypothesis is that improvements in walking balance will be larger following 12 sessions of FAST exercise retraining compared to usual care in persons in the sub-acute phase after stroke.

Detailed Description

It is estimated that 75-80% of individuals who have had a stroke will survive the acute event and be left with residual disability. Regaining independence in standing and walking is of utmost importance for patients recovering from stroke. Walking balance requires muscles in the legs and trunk to contract quickly if people lose their balance. Physical therapy plays a key role in the rehabilitation of walking balance in individuals after stroke. Given that maintaining one's balance requires fast muscle activity, rehabilitation post-stroke should focus on speed of movement. Thus we are proposing to compare a program that emphasizes speed of movement, Fast muscle Activation and Stepping Training versus an active control (usual care).

Overall Status Unknown status
Start Date November 2012
Completion Date June 2017
Primary Completion Date March 2017
Phase N/A
Study Type Interventional
Primary Outcome
Measure Time Frame
Community Balance and Mobility Scale Pre treatment and Post treatment (6 weeks)
Secondary Outcome
Measure Time Frame
Gait assessment Pre treatment, Post treatment (6 weeks) and Retention (+1 month after treatment)
Physiological balance assessment by internal and external perturbations Pre treatment, Post treatment (6 weeks) and Retention (+1 month after treatment)
Activities-specific Balance Confidence Scale Pre treatment, Post treatment (6 weeks) and Retention (+1 month after treatment)
Community Balance and Mobility Scale Post treatment and Retention (+1 month after treatment)
Enrollment 60
Condition
Intervention

Intervention type: Behavioral

Intervention name: Usual Care

Description: The Usual Care program will consist of 2 sessions a week for 45 minutes for a 6 week duration.

Arm group label: Usual care

Intervention type: Behavioral

Intervention name: FAST protocol

Description: The Fast muscle activation and Stepping Training (FAST protocol) will be exercises emphasizing speed, small squats and protective steps, that will be progressed. This program will be 2 sessions a week for 45 minutes for 6 weeks in duration.

Arm group label: FAST protocol

Eligibility

Criteria:

Study population: Subjects with a diagnosis of stroke

Inclusion Criteria:

- first stroke (<6 months ago)

- presence of hemiparesis in the lower extremity

- minimum Berg Balance Score (BBS) of 30/56

- cognitive ability to give informed consent

Exclusion Criteria:

- bilateral stroke, or a previous stroke in the other hemisphere

- severe co-morbidity that is likely to dominate the pattern of care

- co-existing peripheral neuropathies or disorders of the vestibular apparatus

- musculoskeletal problems

- global aphasia or receptive aphasia

Gender: All

Minimum age: 19 Years

Maximum age: N/A

Healthy volunteers: No

Overall Official
Last Name Role Affiliation
S. Jayne Garland, PT, PhD Principal Investigator University of British Columbia
Overall Contact

Last name: S. Jayne Garland, PT PhD

Phone: 604-827-5372

Email: [email protected]

Location
facility status contact
Lions Gate Hospital | North Vancouver, British Columbia, V7L 2L7, Canada Recruiting Delores Langford, MSc, BScPt 604 984 5746 [email protected]
Holy Family Hospital | Vancouver, British Columbia, V5P 3L6, Canada Recruiting Rebecca Shook, MRSc, PT 604-321-2661 22332 [email protected]
Location Countries

Canada

Verification Date

June 2016

Responsible Party

Responsible party type: Sponsor

Keywords
Has Expanded Access No
Condition Browse
Number Of Arms 2
Arm Group

Arm group label: Usual care

Arm group type: Active Comparator

Description: The usual care will consist of strength training, endurance, range of motion, patient education, weight shifting in standing and gait re-training.

Arm group label: FAST protocol

Arm group type: Experimental

Description: The Fast muscle activation and stepping training will be the Experimental arm of this trial. This program will be exercises emphasizing speed of movement.

Acronym FAST
Patient Data No
Study Design Info

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: Single (Outcomes Assessor)

Source: ClinicalTrials.gov