- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04069767
Innovative Physiotherapy in Stroke Rehabilitation
Innovative Physiotherapy in Stroke Rehabilitation During the Subacute Stage - a Prospective Randomized Single Blinded Controlled Trial and a Qualitative Study
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Bodø, Norway, 8009
- Nordlandssykehuset HF
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Levanger, Norway, 7600
- Sykehuset Levanger
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- A stroke diagnosis
- Can sit for 10 seconds without support
- Age 18-85
- Trunk Impairment Scale-Norwegian version (TIS-NV) < 15
- Pre-stroke modified Ranking Scale (mRS) 0-3
Exclusion Criteria:
- Dementia
- Unable to cooperate in physiotherapy
- On-going substance abuse
- Severe co-morbidity preventing rehabilitation, severe neurological diseases such as Parkinson disease, Multiple Sclerosis and brain tumor.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: ICoreDIST
The intervention starts with an assessment by the physiotherapist to identify the patient's movement problems in order to choose among the 48 exercises in the intervention.
Each session lasts for 60 minutes + exercises 5-10 minutes outside of therapy and is performed 5-6 days/per week in the rehabilitation units, and 3 sessions/week + home exercises 30 minutes 3 days per week in home based or outpatient treatment during the 12 weeks period.To allow for individualisation, each exercise contains five levels of difficulty.
All exercises demand enhancement of dynamic trunk stability and functional movements.
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The intervention consists of exercises that demand enhancement of dynamic trunk stability and functional movements, combined with the following:
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Active Comparator: Standard Care
Consists of standard inpatient rehabilitation, home-based and outpatient-based physiotherapy with the same dose as the intervention group.
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According to national guidelines for stroke care, every patient in Norway will receive in-patient rehabilitation, home-based and out-patient based physiotherapy.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Trunk Impairment Scale Norwegian Version
Time Frame: 12 weeks
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Validated scale to assess dynamic sitting balance.
The test consists of ordinal 6 sub scales summed to measure dynamic sitting balance and trunk coordination.The scale ranges from 0-16 points where higher score indicates better sitting balance
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12 weeks
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ActiGraph WgtX-BT
Time Frame: 13 weeks
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Accelerometer recording levels of physical activity and number of steps
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13 weeks
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Swedish Postural Assessment Scale For Stroke Norwegian Version
Time Frame: 12 weeks
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PASS is a validated postural assessment scale specifically designed to assess and monitor postural control after stroke.
It contains 12 four-level items (0-3 points) of varying difficulty for assessing ability to maintain or change a given lying, sitting, or standing posture.
The scale ranges from 0-36 points, sub-items are summed to calculate a total score.
Higher score indicates better postural control.
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12 weeks
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MiniBESTest
Time Frame: 12 weeks
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Validated scale to measure pro-and reactive balance in standing and walking
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12 weeks
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Bodyfitter seat sensor system
Time Frame: 12 weeks
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Pressure mat to register distribution of weight during sitting
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12 weeks
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Amti Force Platform
Time Frame: 12 weeks
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Device to register postural sway in standing
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12 weeks
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10 meter walk test
Time Frame: 12 weeks
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Validated test to assess walking speed
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12 weeks
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2 minute walk test
Time Frame: 12 weeks
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Validated test to assess walking distance
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12 weeks
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EQ-5D-3L
Time Frame: 12 weeks
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Survey to assess self-perceived quality of life. The EQ-5D-3L comprises the following five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 3 levels: no problems, some problems, and extreme problems. The patient is asked to indicate his/her health state by ticking the box next to the most appropriate statement in each of the five dimensions. This decision results into a 1-digit number that expresses the level selected for that dimension. The EQ VAS records the patient's self-rated health on a vertical visual analogue scale where the endpoints are labelled 'Best imaginable health state' and 'Worst imaginable health state'. The VAS can be used as a quantitative measure of health outcome that reflects the patient's own judgement. |
12 weeks
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Stroke Specific Quality of Life Scale
Time Frame: 1 day
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Survey to assess self-perceived quality of life.
Stroke-Specific Quality-of-Life (SSQOL) scale is designed to measure multiple effects in poststroke patients.
The scale consists of 49 questions grouped into 12 domains.
Each domain is assessed on 5-point Gutterman type scales.
Provides both summary and domain-specific scores.
Domain scores are composed of unweighted averages.
Summary scores are composed of an unweighted average of the 12 domain average scores.
Scores range from 49-245 and higher scores indicate better functioning.
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1 day
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Study Director: Petter Øien, Nordlandssykehuset HF
Publications and helpful links
General Publications
- Saunders DH, Mead GE, Fitzsimons C, Kelly P, van Wijck F, Verschuren O, Backx K, English C. Interventions for reducing sedentary behaviour in people with stroke. Cochrane Database Syst Rev. 2021 Jun 29;6(6):CD012996. doi: 10.1002/14651858.CD012996.pub2.
- Normann B, Arntzen EC, Sivertsen M. Comprehensive core stability intervention and coordination of care in acute and subacute stroke rehabilitation-a pilot study. European Journal of Physiotherapy; DOI: 10.1080/21679169.2018.1508497, 2018.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- StrokeCoreDIST
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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