Aerobic Training on Cardio-respiratory Fitness and Health Related Quality of Life

Impact of Aerobic Training on Cardio-respiratory Fitness and Health Related Quality of Life in Stroke Survivors

Stroke is a major health problem among Egyptian population; an obvious raise in stroke prevalence in all Egyptian governorates. Most stroke survivors commonly develop disabilities those were correlated with restricted physical activity levels. Stroke survivors' cardio-respiratory fitness has several negative impacts such as elevated risk of being affected by other cardiovascular diseases. So, the current study will be conducted to cover the lack in literature concerning the effect of aerobic training on cardiovascular endurance in stroke survivors aiming to faster recovery and reduce the risk of cardiac dysfunction and recurrent strokes.

Study Overview

• Status: Recruiting
• Conditions: Hemiplegia, Spastic
• Intervention / Treatment: Other: Aerobic training program; Other: Selected physical therapy program for post stroke patients

Detailed Description

Stroke as a cerebrovascular accident has a significant prevalence, as well it was addressed a one of major etiologies for other comorbidities, even mortality. Where, cardiac rehabilitation is a structured exercise program that almost designed to offer an opportunity to break the inactivity cycle, reduce associated cardiovascular risks, also improve perceived confidence and quality of life in stroke survivors . Therefore, aerobic training could be defined as a core component that focuses on cardio-respiratory fitness, walking speed and endurance for stroke survivors. Up on that, this clinical trial will be conducted to investigate the effect of aerobic training on cardiorespiratory fitness and health related quality of life in stroke survivors. It will be conducted on eighty post stroke patient (hemiplegic; 55-65 years old with functional ambulatory category more than 3) from Outpatient clinic of neurological department of El-Kasr El-Aini Hospital. They will be allocated into 2 groups; Group A will involves 40 patients will receive aerobic training program, plus traditional physical therapy program. While, Group B will involves 40 patients will receive traditional physical therapy program only. 6-Menutes walk test, Stroke impact scale are the outcome measures.

• Study Type: Interventional
• Enrollment (Estimated): 80
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Marihan A Mohamed, B.Sc; Phone Number: 105 +2035676103; Email: info@pt.cu.edu.eg
• Study Contact Backup: Name: Shimaa M Ali, PHD; Phone Number: 103 +2035676103; Email: info@pt.cu.edu.eg

Study Locations

• Egypt
  • Giza, Egypt, 002
    • Recruiting
    • El-Tahrir st.- in front of Ben El-Sarayat, Ad Doqi Al Giza, Giza Governate
    • Contact: Marihan A Mohamed, B.Sc; Phone Number: 105 +2035676103; Email: info@pt.cu.edu.eg
    • Contact: Shimaa M Ali, PHD; Phone Number: 103 +2035676103; Email: info@pt.edu.eg

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Both genders,
• Age range is 55-65 years old,
• Within one year post ischemic stroke,
• Right or left sided stroke,
• hemiplegic and hemiparetic patients,
• Medications include anti-spastics, Beta blockers, ACE inhibitors, and diuretics.
• Functional ambulatory category of three or more,
• Hemodynamic stable,
• Did not participate in any other research study within at least 3 months.

Exclusion Criteria:

• Sever anemia,
• Uncontrolled hypertension, or diabetes mellitus,
• Recent cardiothoracic surgeries,
• Cognitive disorders 'mini mental state exam less than 24'
• Auditory and visual problems,
• Dementia,
• Modified Rankin score 3 or more,
• Seizure,
• Musculoskeletal disorders,
• Stroke or serious head trauma within last 3 months,
• Vertrobrobasilar stroke,

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Quadruple

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Aerobic Training Group A; Forty post-stroke patients will receive aerobic training program, plus selected physical therapy program.	Other: Aerobic training program; Aerobic training program; on interval moderate mode, 3 session per week, for 16 weeks, along 30-40 minutes, plus 5-10 minutes of warm up and 5 minutes cooling down, with 50-80% of maximal heart rate for each patient based on age. that progress every month by 10% directed by rating of perceived exertion.; Other: Selected physical therapy program for post stroke patients; Selected neurorehabilitation for 1 hour session; 3 sessions per week, for 16 weeks. It involves weight shift side to side, reaching toward weak side, shoulder flexion overhead, shoulder external rotation, overhead press, shoulder internal rotation with Thera-band, heel slides, bridging, lying terminal knee extension, toe and heel raises, sensory reeducation exercises, and body awareness therapy.
Other: Control Group B; Forty post-stroke patients will receive selected physical therapy program.	Other: Selected physical therapy program for post stroke patients; Selected neurorehabilitation for 1 hour session; 3 sessions per week, for 16 weeks. It involves weight shift side to side, reaching toward weak side, shoulder flexion overhead, shoulder external rotation, overhead press, shoulder internal rotation with Thera-band, heel slides, bridging, lying terminal knee extension, toe and heel raises, sensory reeducation exercises, and body awareness therapy.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
6-Minutes walk test	A sub-maximal exercise test will be used to assess aerobic capacity and endurance, and functional capability of stroke survivors. 6-Minutes walk test requires stop watch, measuring/ trundle wheel, 30 meter stretch of unimpeded walk way, 2 cones, pulse oximeter, and Borg breathlessness scale. It has excellent reliability, validity, and responsiveness. Its' gained scoring values will be expressed in meters that if more indicates better recovery.	Baseline of the study, and after 16 weeks at the end of the study.

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Stroke Impact Scale	A stroke-specific, self-reported, health status measure. It is designed to assess multi-dimensional stroke outcomes involving strength (4 items), hand function (5 items), activities of daily living/ instrumental activities of daily living (10 items), mobility (9 items), communication (7 items), emotion (9 items), memory (7 items), and participation (8 items). The over score ranged from Zero indicating no recovery up to 100 indicating full recovery	Baseline of the study, and after 16 weeks at the end of the study.

Collaborators and Investigators

• Sponsor: Adly A Adam
• Investigators: Study Director: Ali F Rahmy, PHD, Professor of Cardiovascular, Respiratory Disorders

Study record dates

Study Major Dates

• Study Start (Actual): May 1, 2024
• Primary Completion (Estimated): August 1, 2025
• Study Completion (Estimated): October 1, 2025

Study Registration Dates

• First Submitted: July 29, 2024
• First Submitted That Met QC Criteria: August 1, 2024
• First Posted (Actual): August 6, 2024

Study Record Updates

• Last Update Posted (Actual): March 25, 2025
• Last Update Submitted That Met QC Criteria: March 20, 2025
• Last Verified: March 1, 2025

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Neurologic Manifestations; Nervous System Diseases; Paralysis; Hemiplegia
• Other Study ID Numbers: P.T.REC/012/003588

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No