- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05804006
High-Intensity Interval Training in the Early Subacute Stroke With a Semi-recumbent Bike
The Feasibility and Effects of Recumbent Cycling-based High-intensity Interval Training on Functional Performances, Cognitive Function, and Quality of Life in Early Subacute Stroke
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study design, setting, and ethical considerations:
This study will be a prospective pre-post study that will be conducted at the university hospital of Parakou in Benin. The study protocol will be submitted to the ethics committee of Hasselt University in Belgium and the local biomedical ethics committee of the University of Parakou, Republic of Benin.
Interventions:
The experimental protocol will be preceded by 30 minutes of conventional physiotherapy, including neuromuscular interventions (balance training, postural awareness), musculoskeletal interventions (passive range of motion, stretching, strengthening), and lower-intensity overground walking. The conventional physiotherapy will be followed by 15 min of the rest period, then the experimental protocol consisting of a HIIT program on a recumbent cycle SOLE R92 (HIIT-REC) will be performed three times per week for six successive weeks.21 Training will be performed on non-consecutive days, thereby permitting recovery between sessions. The HIIT procedure will start at 4-min at 30% of the peak workload interspersed with 1-min at 70% of the peak workload at 50 rpm for weeks 1-2 and increased by approximately 5 minutes every two weeks as tolerated to reach 30 minutes from week 5 (4 to 6 repetitions). The training intensity will progress similarly by 5% peak workload two weeks as tolerated to reach 4-min at 40% peak workload interspersed with 1-min 80% peak workload from week-5.22 All sessions will be supervised and performed individually with verbal encouragement.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Elogni R Amanzonwé, MSc
- Phone Number: +22995607820
- Email: renaud.amanzonwe@uhasselt.be
Study Contact Backup
- Name: Dominique Hansen, PhD
- Phone Number: +32 497 87 58 66
- Email: dominique.hansen@uhasselt.be
Study Locations
-
-
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Diepenbeek, Belgium, 3590
- Recruiting
- Faculty of Rehabilitation Sciences
-
Contact:
- Elogni R Amanzonwé, PhD
- Phone Number: +22995607820
- Email: renaud.amanzonwe@uhasselt.be
-
Contact:
- Peter Feys, PhD
- Email: peter.feys@uhasselt.be
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- first episode from an ischemic or hemorrhagic stroke confirmed by CT scan;
- muscular weakness of the leg on the hemiplegic side defined as NIHSS-Item 6 score between 1 and 3;
- Ashworth score of 0 or 1, indicating no spasticity or slight spasticity over the affected lower limb, respectively
- able to walk at least 5 meters independently with or without assistive devices and understand spoken instructions;
- living in Parakou or the surrounding area and wishing to undergo the program at the hospital.
Exclusion Criteria:
Participants:
- unable to perform a graded exercise test, i.e., unable to maintain the designated pedaling rate;
- cardiovascular diseases (uncontrolled arrhythmias, decompensated heart failure or recent myocardial injury, arteriopathy);
- primary orthopedic conditions (fractures, active rheumatoid arthritis);
- other neurological diseases such as (Parkinson's disease and Alzheimer's disease).
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: HIIT-REC
High-intensity interval training program on a recumbent cycle SOLE R92 (HIIT-REC)
|
The experimental protocol will be preceded by 30 minutes of conventional physiotherapy followed by 15 min the rest period; then the HIIT-REC procedure will start at 4-min at 30% of the peak workload interspersed with 1-min at 70% of the peak workload at 50 rpm for weeks 1-2 and increased by approximately 5 minutes every two weeks as tolerated to reach 30 minutes from week 5 (4 to 6 repetitions).
The training intensity will progress similarly by 5% peak workload two weeks as tolerated to reach 4-min at 40% peak workload interspersed with 1-min 80% peak workload from week-5
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Feasibility aspects
Time Frame: Up to 6 weeks
|
The feasibility aspects, include recruitment rates (eligible population / consented population x 100), program adherence (attended sessions / total number of sessions x 100), and the safety (percentage of participants who will experience adverse events)
|
Up to 6 weeks
|
The change in the credibility of the treatment and the expectations of the participants
Time Frame: Week 1 and Week 6
|
The treatment credibility and participant expectancy for improvement will be assessed with the Credibility and Expectancy Questionnaire (CEQ).
The CEQ includes six items assessing a cognitively based credibility factor and an affectively based expectancy factor
|
Week 1 and Week 6
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Berg Balance Scale
Time Frame: Week 1 and Week 6
|
The Berg Balance Scale will be used to assess balance impairment.
It is a 14 item list with each item consisting of a five-point ordinal scale ranging from 0 to 4, with 0 indicating the lowest level of function and 4 the highest level of function.
The minimum score is 0 and the maximum score is 56.
A score of 56 indicates functional balance and a score < 45 indicates a higher risk of falling.
|
Week 1 and Week 6
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5-Repetition Sit-To-Stand test
Time Frame: Week 1 and Week 6
|
We will evaluate functional lower extremity strength with the 5-Repetition Sit-To-Stand test.
The 5-Repetition Sit-To-Stand test measures the time taken to complete five repetitions of the sit-to-stand maneuver.
|
Week 1 and Week 6
|
modified Rankin Scale
Time Frame: Week 1 and Week 6
|
The modified Rankin Scale (mRS) will be used to evaluate the degree of disability in the daily activities.
The mRS is an ordered scale coded from 0 (no symptoms at all) through 5 (severe disability)
|
Week 1 and Week 6
|
6-min walk test
Time Frame: Week 1 and Week 6
|
The 6-min walk test will be used to assess walking endurance.
It assesses the distance a participant can walk as fast as possible for 6 min on a 30 m straight line with the option to stop for fatigue at any point.
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Week 1 and Week 6
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10 m walk test
Time Frame: Week 1 and Week 6
|
The 10mWT will be used to evaluate walking speed.
It assesses the walking speed in meters per second over a short distance
|
Week 1 and Week 6
|
Mini-Mental Stage Examination
Time Frame: Week 1 and Week 6
|
The cognitive functions will be evaluated with the MMSE.
It comprises thirty items providing information about orientation, attention, learning, calculation, delayed recall, and construction.
The MMSE scores are interpreted as followed: > 25 (normal cognitive status), 18-23 (Mild cognitive impairment), and 0-17 (Severe cognitive impairment)
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Week 1 and Week 6
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The 5-level EQ-5D version
Time Frame: Week 1 and Week 6
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We will use the EQ-5D-5L to assess the health-related quality of life (HRQoL).
It comprises five health dimensions such as mobility, self-care, usual activities, pain/discomfort, and anxiety/depression.
Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems, and extreme problems
|
Week 1 and Week 6
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Study Director: Oyene R Kossi, PhD, University of Parakou
- Study Director: Thierry R Adoukonou, MD, PhD, University of Parakou
- Principal Investigator: Peter R Feys, PhD, Hasselt University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
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
Additional Relevant MeSH Terms
Other Study ID Numbers
- 0557CLERB-UP/P/SP/R/SA
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
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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