- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06185023
Effects of High-intensity Exercise Training on Physical Fitness, Cognition, Language in Post-stroke Aphasia
December 14, 2023 updated by: Maria Ivanova, University of California, Berkeley
Exercising Language: Behavioral and Neurophysiological Changes After High-intensity Exercise Training in Post-stroke Aphasia
The goal of this clinical trial is to establish the feasibility and fidelity of a high-intensity exercise program for individuals with post-stroke aphasia. The main questions it aims to answer are:
- Is it feasible for stroke survivors with aphasia to participate in a long in-person physical exercise program?
- Does participation in a physical exercise program lead to physical fitness, cognitive, language and/or psychological changes?
Participants can take part in two different physical exercise interventions:
- Low intensity intervention (control intervention);
- High-intensity physical exercise intervention (target intervention).
Study Overview
Status
Recruiting
Intervention / Treatment
Study Type
Interventional
Enrollment (Estimated)
12
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Maria Ivanova, PhD
- Phone Number: 4156389880
- Email: ivanova@berkeley.edu
Study Locations
-
-
California
-
Berkeley, California, United States, 94720
- Recruiting
- University of California Berkeley
-
Contact:
- Maria Ivanova, PhD
- Phone Number: 415-638-9880
- Email: ivanova@berkeley.edu
-
Hayward, California, United States, 94542
- Recruiting
- California State University East Bay
-
Contact:
- Michelle Gravier, PhD
- Email: michelle.gravier@csueastbay.edu
-
San Francisco, California, United States, 94143
- Not yet recruiting
- University of California San Francisco
-
Contact:
- Cathra Halabi, MD
- Email: Cathra.halabi@ucsf.edu
-
San Francisco, California, United States, 94118
- Recruiting
- University of San Francisco
-
Contact:
- Christian J Thompson, Ph.D.
- Email: cjthompson@usfca.edu
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- aphasia following left hemisphere ischemic or hemorrhagic stroke;
- at least 6 months from the last stroke;
- proficient in English before the stroke;
- at least 8 years of education;
- between the ages of 18 and 80;
- independent with ambulation without a device (single-point cane accepted);
- medically stable with no contraindications to participate in regular physical exercise as determined by the patient's own primary care provider or other treating provider.
Exclusion Criteria:
- prior history of dementia, neurologic illness (other than stroke), or substance abuse;
- significant visual or hearing disabilities (e.g., neglect, uncorrected visual or hearing loss) that interfere with testing;
- per self-report uncontrolled cardiorespiratory and/or metabolic disorders incompatible with exercise.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Low-intensity physical exercise
The participants will participate in a low-intensity non-aerobic exercise program for 2 weeks.
|
As an active control intervention, a low-intensity non-aerobic exercise program was selected that mirrors more closely the standard-of-care physical therapy currently provided to stroke patients.
This control intervention will offer the same level of participant involvement and type of exercises, but without the intensity element, i.e., it will not incorporate the cardiovascular and the strengthening components.
|
Experimental: High-intensity physical exercise
The participants will take part in a high-intensity Aphasia Physical EXercise (APEX) intervention designed specifically for individuals with chronic post-stroke aphasia for 8 weeks.
|
We have developed a new exercise program specifically designed for individuals with post-stroke aphasia, Aphasia Physical EXercise (APEX), to provide a safe, stroke- and aphasia-friendly physical exercise intervention to achieve optimal physical fitness and cognitive/language gains.
This intervention, based on published research and clinical practice recommendations, is a high-intensity interval training full-body workout optimized to accommodate the range of motor abilities and general deconditioning observed in stroke survivors.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change on the Western Aphasia Battery (WAB) - Aphasia Quotient
Time Frame: Baseline and immediately after the intervention (3rd week for the low-intensity arm and 9th week for the high-intensity arm)
|
The Aphasia Quotient from the Western Aphasia Battery (a standardized language test) measures overall severity of language impairment in aphasia and ranges from 0 to 100, with lower scores indicative of more severe aphasia.
|
Baseline and immediately after the intervention (3rd week for the low-intensity arm and 9th week for the high-intensity arm)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in Maximal Aerobic Capacity
Time Frame: Baseline and immediately after the intervention (3rd week for the low-intensity arm and 9th week for the high-intensity arm)
|
This is a measure of cardiorespiratory and metabolic fitness.
Maximal Aerobic Capacity (VO2 Max) is the ability of the body to utilize oxygen to produce energy and is measured via a graded exercise test until volitional fatigue, while measuring consumption of oxygen with a computerized metabolic system.
Typically measured on a treadmill, VO2 Max has also been found to be accurately and safely measured in stroke survivors on a recumbent stepper, which will be used in this study.
A good VO2max varies greatly depending on age, and for older participants is typically between 30-40 ml/kg/min (higher values indicate greater fitness).
|
Baseline and immediately after the intervention (3rd week for the low-intensity arm and 9th week for the high-intensity arm)
|
Attendance
Time Frame: After the intervention (3rd week for the control intervention and 9th week for the experimental intervention)
|
Total number of physical exercise classes attended during the intervention.
|
After the intervention (3rd week for the control intervention and 9th week for the experimental intervention)
|
Change on the 30-second chair stands
Time Frame: Baseline and immediately after the intervention (3rd week for the low-intensity arm and 9th week for the high-intensity arm)
|
The number of full stands from a seated position that can be completed in 30 seconds with arms folded across the chest.
|
Baseline and immediately after the intervention (3rd week for the low-intensity arm and 9th week for the high-intensity arm)
|
Change on the 2-minute Step Test
Time Frame: Baseline and immediately after the intervention (3rd week for the low-intensity arm and 9th week for the high-intensity arm)
|
The number of knee raises completed in 2 minutes, raising each knee to a point midway between the patella (kneecap) and iliac crest (top hip bone).
|
Baseline and immediately after the intervention (3rd week for the low-intensity arm and 9th week for the high-intensity arm)
|
Change on the Timed Up-and-Go Test
Time Frame: Baseline and immediately after the intervention (3rd week for the low-intensity arm and 9th week for the high-intensity arm)
|
The number of seconds it takes to get up from a seated position, walk 3 m, turn, and return to a seated position.
|
Baseline and immediately after the intervention (3rd week for the low-intensity arm and 9th week for the high-intensity arm)
|
Change on the Functional Reach Test
Time Frame: Baseline and immediately after the intervention (3rd week for the low-intensity arm and 9th week for the high-intensity arm)
|
The number of inches reached forward with each arm with feet flat on the floor at hip width.
|
Baseline and immediately after the intervention (3rd week for the low-intensity arm and 9th week for the high-intensity arm)
|
Change in Gait Speed
Time Frame: Baseline and immediately after the intervention (3rd week for the low-intensity arm and 9th week for the high-intensity arm)
|
The speed in meters per second for the middle 6 m of the 10 m walkway.
|
Baseline and immediately after the intervention (3rd week for the low-intensity arm and 9th week for the high-intensity arm)
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change on the Philadelphia Naming Test (PNT)
Time Frame: Baseline and immediately after the intervention (3rd week for the low-intensity arm and 9th week for the high-intensity arm)
|
Aphasia naming test to assess word retrieval abilities.
The score ranges from 0 to 100, with a higher score indicating greater naming ability.
|
Baseline and immediately after the intervention (3rd week for the low-intensity arm and 9th week for the high-intensity arm)
|
Change on the Curtiss-Yamada Comprehensive Language Evaluation - Revised (CYCLE-R)
Time Frame: Baseline and immediately after the intervention (3rd week for the low-intensity arm and 9th week for the high-intensity arm)
|
A sentence-to-picture matching tasks that evaluates comprehension of sentences of varying complexity.
The scores range from 0 to 100%, with higher scores indicative of better comprehension abilities.
|
Baseline and immediately after the intervention (3rd week for the low-intensity arm and 9th week for the high-intensity arm)
|
Changes on the Center for Epidemiological Studies Depression Scale (CES-D)
Time Frame: Baseline and immediately after the intervention (3rd week for the low-intensity arm and 9th week for the high-intensity arm)
|
The 20-item self-rating questionnaire evaluates perceived mood and level of functioning within the past seven days.
The scores range from 0-60.
A score equal to or above 16 indicates a person at risk for clinical depression.
|
Baseline and immediately after the intervention (3rd week for the low-intensity arm and 9th week for the high-intensity arm)
|
Changes on the General Anxiety Disorder scale (GAD-7)
Time Frame: Baseline and immediately after the intervention (3rd week for the low-intensity arm and 9th week for the high-intensity arm)
|
The 7-item self-report scale is used to identify anxiety based on problems experienced in the last two weeks.
The scores range from 0-21, with higher scores indicative of more pronounced anxiety symptoms.
|
Baseline and immediately after the intervention (3rd week for the low-intensity arm and 9th week for the high-intensity arm)
|
Changes on the Pittsburgh Sleep Quality Index (PSQI)
Time Frame: Baseline and immediately after the intervention (3rd week for the low-intensity arm and 9th week for the high-intensity arm)
|
The self-rating scale used to measure the quality and patterns of sleep.
It differentiates "poor" from "good" sleep by measuring seven areas: subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping medication, and daytime dysfunction over the last month.
The overall score ranges from 0-21, with higher scores indicative of more acute sleep disturbances.
|
Baseline and immediately after the intervention (3rd week for the low-intensity arm and 9th week for the high-intensity arm)
|
Changes on the Stroke and Aphasia Quality of Life Scale - 39 (SAQOL-39)
Time Frame: Baseline and immediately after the intervention (3rd week for the low-intensity arm and 9th week for the high-intensity arm)
|
This questionnaire is specifically designed to assess quality of life in individuals with stroke and aphasia.
The overall quality of life score can range from 1 to 5, with higher values indicating better quality of life and overall well-being.
|
Baseline and immediately after the intervention (3rd week for the low-intensity arm and 9th week for the high-intensity arm)
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Investigators
- Principal Investigator: Maria Ivanova, PhD, University of California, Berkeley
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
December 12, 2023
Primary Completion (Estimated)
December 1, 2024
Study Completion (Estimated)
December 1, 2024
Study Registration Dates
First Submitted
December 14, 2023
First Submitted That Met QC Criteria
December 14, 2023
First Posted (Actual)
December 29, 2023
Study Record Updates
Last Update Posted (Actual)
December 29, 2023
Last Update Submitted That Met QC Criteria
December 14, 2023
Last Verified
December 1, 2023
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 056427-002
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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.
Clinical Trials on Aphasia
-
University of South CarolinaNational Institute on Deafness and Other Communication Disorders (NIDCD)CompletedStroke | Aphasia | Stroke, Ischemic | Aphasia, Broca | Aphasia, Anomic | Aphasia, Global | Aphasia, Fluent | Aphasia, Mixed | Aphasia, Jargon | Aphasia, Expressive | Aphasia, ConductionUnited States
-
University of Texas at AustinUniversity of California, San Francisco; National Institute on Deafness and...Active, not recruitingPrimary Progressive Aphasia | Aphasia | Semantic Dementia | Logopenic Progressive Aphasia | Semantic Memory Disorder | Nonfluent Aphasia, Progressive | Aphasia, ProgressiveUnited States
-
Institute for Bioengineering of CataloniaHospital Universitari Joan XXIII de Tarragona.; Universitat Pompeu FabraCompletedAphasia | Aphasia, Broca | Aphasia, Wernicke | Aphasia, Fluent | Aphasia, NonfluentSpain
-
Flint Rehabilitation Devices, LLCUniversity of TexasCompleted
-
Mayo ClinicNational Institute on Deafness and Other Communication Disorders (NIDCD)RecruitingPrimary Progressive Aphasia | Apraxia of Speech | PPA | Non-fluent Aphasia | Primary Progressive Non-fluent AphasiaUnited States
-
Mayo ClinicCompletedPrimary Progressive Aphasia | Aphasia | Semantic Dementia | Apraxia of Speech | Primary Progressive Nonfluent Aphasia | PPA | Non-fluent Aphasia | Progressive AphasiaUnited States
-
Montreal Heart InstituteActive, not recruitingNeurodegenerative Diseases | Primary Progressive Aphasia | Semantic Dementia | Logopenic Progressive Aphasia | Non-fluent AphasiaCanada
-
Johns Hopkins UniversityNational Institute on Aging (NIA)RecruitingPrimary Progressive Aphasia | Logopenic Progressive Aphasia | Non-Fluent Primary Progressive AphasiaUnited States, Canada
-
University of British ColumbiaTerminatedPrimary Progressive Nonfluent AphasiaCanada
-
Axon Neuroscience SEUnknownPrimary Progressive Nonfluent AphasiaGermany
Clinical Trials on Low-intensity physical exercise
-
Gunma PAZ CollegeKanazawa UniversityCompletedPhysical Activity | Hemiplegia | Motor ActivityJapan
-
Queen's UniversityRecruiting
-
University of Geneva, SwitzerlandUniversity Hospital, GenevaCompletedAcute Physical Exercise
-
Universidade Federal do CearaCompletedDiabetes MellitusBrazil
-
National Institute of Neurological Disorders and...TerminatedTraumatic Brain InjuryUnited States
-
University of Alabama at BirminghamNational Heart, Lung, and Blood Institute (NHLBI)WithdrawnMyocardial Ischemia | Heart Diseases | Cardiovascular Diseases | Coronary Disease
-
Thomas AdamsUniversity of Texas at AustinNot yet recruiting
-
Kessler FoundationNational Cancer Institute (NCI); Kessler Institute for RehabilitationCompletedBreast CancerUnited States
-
University of AlbertaAlberta Diabetes InstituteCompletedExercise Intensity, Glycemic Control and Abdominal Fat in People With Type 2 Diabetes: A Pilot StudyType 2 Diabetes MellitusCanada
-
Swinburne University of TechnologyNational Sports Institute of MalaysiaCompletedHealthy | Overweight | Physical InactivityMalaysia