Cardiovascular Function in Sub Maximal Exercise and Performance in Three Daily Activity Tests After Stroke
17 juillet 2011 mis à jour par: Hillel Yaffe Medical Center
Cardiovascular Function in Sub Maximal Exercise and Performance in Three Daily Activity Tests in Persons With Post Stroke Conditions
The purpose of this study is to explore the relationship between cardiovascular function of persons with post stroke conditions and their performance in three field tests. This is a validation study, aiming to determine during which of two activities VO2 measurements better express the functional restrictions caused by stroke, And to find out whether the Total Heart Beat Index can be used in the case of stroke survivors for the prediction of mechanical efficiency when measured during stair-climbing and of energy cost during treadmill walking.
The hypothesis is that Stair Climbing (STC) is a more suitable form of exercise capacity testing compared to Treadmill Walk (TMW) since it potentially requires a greater amount of external work, and therefore will show stronger correlation with functional tests demonstrating the same ability, whereas TMW does not utilize the movement capability of participants to the fullest.
Another hypothesis is that cardiac response to the exertion can be used as a predictor of those measures during these exertions in the post stroke population.
Aperçu de l'étude
Statut
Inconnue
Les conditions
Type d'étude
Observationnel
Inscription (Anticipé)
30
Contacts et emplacements
Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.
Coordonnées de l'étude
- Nom: Galia Modai
- Numéro de téléphone: 972-54-6477737
- E-mail: galiamodai@gmail.com
Lieux d'étude
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Ramat Gan, Israël
- Recrutement
- Israel Sport Center for the Disabled
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Contact:
- Yeshayahu Hutzler, Dr.
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Critères de participation
Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.
Critère d'éligibilité
Âges éligibles pour étudier
40 ans à 69 ans (Adulte, Adulte plus âgé)
Accepte les volontaires sains
Non
Sexes éligibles pour l'étude
Tout
Méthode d'échantillonnage
Échantillon non probabiliste
Population étudiée
Participants are recruited in community centers designated for Disabled populations.
They are leading a physically active life style, usually facilitated by an assistant.
La description
Inclusion Criteria:
- Having acquired stroke at least 1 year before testing
- Chronic weakness and/or spasticity of the affected side
- Independent stair-climbers (with hand-rail)
- Received medical clearance from a physician
- With cognitive level sufficient to comprehend instructions
- Participants' age will range between 40-69
- Use of walking aid is permitted as long as the participant is able to walk on a treadmill with hand-rail.
Exclusion Criteria:
- Unable to understand instructions
- Unable to ambulate
- Severe aphasia
- Heart failure or other medical conditions that preclude participation in the study.
Plan d'étude
Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.
Comment l'étude est-elle conçue ?
Détails de conception
Cohortes et interventions
Groupe / Cohorte |
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People with Post Stroke Conditions
(a) having acquired stroke at least 1 year before testing.
(b) Chronic weakness and/or spasticity of the affected side.
(c) Independent stair-climbers (with hand-rail).
(d) With cognitive level sufficient to comprehend instructions.
(e) age range between 40-69.
(f) Use of walking aid is permitted as long as the participant is able to walk on a treadmill with hand-rail.
(g) No heart failure or other medical conditions that preclude participation in the study.
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Délai |
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Exercise VO2
Délai: 60 days
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60 days
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Exercise HR
Délai: 60 days
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60 days
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Mechanical efficiency
Délai: 60 days
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60 days
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Time for-Up-and-go (TUG) Test
Délai: 60 days
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60 days
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Time for 10 m walk test
Délai: 60 days
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60 days
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Distance for 6 min walk test
Délai: 60 days
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60 days
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Collaborateurs et enquêteurs
C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.
Parrainer
Collaborateurs
Les enquêteurs
- Chaise d'étude: Yeshayahu Hutzler, Dr., The Wingate Institute for Physical Education and Sports
- Chercheur principal: Avraham Katz, MD, Israel Sport Center for the Disabled
- Directeur d'études: Galia Modai, The Wingate Institute for Physical Education and Sports
Publications et liens utiles
La personne responsable de la saisie des informations sur l'étude fournit volontairement ces publications. Il peut s'agir de tout ce qui concerne l'étude.
Publications générales
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- Waters RL, Mulroy S. The energy expenditure of normal and pathologic gait. Gait Posture. 1999 Jul;9(3):207-31. doi: 10.1016/s0966-6362(99)00009-0.
- Gordon NF, Gulanick M, Costa F, Fletcher G, Franklin BA, Roth EJ, Shephard T; American Heart Association Council on Clinical Cardiology, Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention; the Council on Cardiovascular Nursing; the Council on Nutrition, Physical Activity, and Metabolism; and the Stroke Council. Physical activity and exercise recommendations for stroke survivors: an American Heart Association scientific statement from the Council on Clinical Cardiology, Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention; the Council on Cardiovascular Nursing; the Council on Nutrition, Physical Activity, and Metabolism; and the Stroke Council. Circulation. 2004 Apr 27;109(16):2031-41. doi: 10.1161/01.CIR.0000126280.65777.A4. No abstract available.
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- Donnan GA, Davis SM. Breaking the 3 h barrier for treatment of acute ischaemic stroke. Lancet Neurol. 2008 Nov;7(11):981-2. doi: 10.1016/S1474-4422(08)70230-8. No abstract available.
- Gordon NF, Duncan JJ. Effect of beta-blockers on exercise physiology: implications for exercise training. Med Sci Sports Exerc. 1991 Jun;23(6):668-76.
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- Kelly-Hayes M, Robertson JT, Broderick JP, Duncan PW, Hershey LA, Roth EJ, Thies WH, Trombly CA. The American Heart Association Stroke Outcome Classification. Stroke. 1998 Jun;29(6):1274-80. doi: 10.1161/01.str.29.6.1274. No abstract available.
- Kollen B, van de Port I, Lindeman E, Twisk J, Kwakkel G. Predicting improvement in gait after stroke: a longitudinal prospective study. Stroke. 2005 Dec;36(12):2676-80. doi: 10.1161/01.STR.0000190839.29234.50. Epub 2005 Nov 10.
- Lamontagne A, Stephenson JL, Fung J. Physiological evaluation of gait disturbances post stroke. Clin Neurophysiol. 2007 Apr;118(4):717-29. doi: 10.1016/j.clinph.2006.12.013. Epub 2007 Feb 16.
- Lord SE, Rochester L. Measurement of community ambulation after stroke: current status and future developments. Stroke. 2005 Jul;36(7):1457-61. doi: 10.1161/01.STR.0000170698.20376.2e. Epub 2005 Jun 9.
- Meyring S, Diehl RR, Milani TL, Hennig EM, Berlit P. Dynamic plantar pressure distribution measurements in hemiparetic patients. Clin Biomech (Bristol, Avon). 1997 Jan;12(1):60-65. doi: 10.1016/s0268-0033(96)00050-2.
- IJzerman MJ, Baardman G, van 't Hof MA, Boom HB, Hermens HJ, Veltink PH. Validity and reproducibility of crutch force and heart rate measurements to assess energy expenditure of paraplegic gait. Arch Phys Med Rehabil. 1999 Sep;80(9):1017-23. doi: 10.1016/s0003-9993(99)90054-0.
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- Neptune RR, Sasaki K, Kautz SA. The effect of walking speed on muscle function and mechanical energetics. Gait Posture. 2008 Jul;28(1):135-43. doi: 10.1016/j.gaitpost.2007.11.004. Epub 2007 Dec 26.
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- Pohl PS, Duncan PW, Perera S, Liu W, Lai SM, Studenski S, Long J. Influence of stroke-related impairments on performance in 6-minute walk test. J Rehabil Res Dev. 2002 Jul-Aug;39(4):439-44.
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- Sims NR, Muyderman H. Mitochondria, oxidative metabolism and cell death in stroke. Biochim Biophys Acta. 2010 Jan;1802(1):80-91. doi: 10.1016/j.bbadis.2009.09.003. Epub 2009 Sep 12.
- Tang A, Sibley KM, Bayley MT, McIlroy WE, Brooks D. Do functional walk tests reflect cardiorespiratory fitness in sub-acute stroke? J Neuroeng Rehabil. 2006 Sep 29;3:23. doi: 10.1186/1743-0003-3-23.
- Teixeira-Salmela LF, Nadeau S, Mcbride I, Olney SJ. Effects of muscle strengthening and physical conditioning training on temporal, kinematic and kinetic variables during gait in chronic stroke survivors. J Rehabil Med. 2001 Mar;33(2):53-60. doi: 10.1080/165019701750098867.
- van de Port IG, Wood-Dauphinee S, Lindeman E, Kwakkel G. Effects of exercise training programs on walking competency after stroke: a systematic review. Am J Phys Med Rehabil. 2007 Nov;86(11):935-51. doi: 10.1097/PHM.0b013e31802ee464.
- Vanhees L, Fagard R, Amery A. Influence of beta adrenergic blockade on effects of physical training in patients with ischaemic heart disease. Br Heart J. 1982 Jul;48(1):33-8. doi: 10.1136/hrt.48.1.33.
- von Schroeder HP, Coutts RD, Lyden PD, Billings E Jr, Nickel VL. Gait parameters following stroke: a practical assessment. J Rehabil Res Dev. 1995 Feb;32(1):25-31.
- Werner C, Von Frankenberg S, Treig T, Konrad M, Hesse S. Treadmill training with partial body weight support and an electromechanical gait trainer for restoration of gait in subacute stroke patients: a randomized crossover study. Stroke. 2002 Dec;33(12):2895-901. doi: 10.1161/01.str.0000035734.61539.f6.
- Wevers L, van de Port I, Vermue M, Mead G, Kwakkel G. Effects of task-oriented circuit class training on walking competency after stroke: a systematic review. Stroke. 2009 Jul;40(7):2450-9. doi: 10.1161/STROKEAHA.108.541946. Epub 2009 May 21.
- Zamparo P, Francescato MP, De Luca G, Lovati L, di Prampero PE. The energy cost of level walking in patients with hemiplegia. Scand J Med Sci Sports. 1995 Dec;5(6):348-52. doi: 10.1111/j.1600-0838.1995.tb00057.x.
Dates d'enregistrement des études
Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.
Dates principales de l'étude
Début de l'étude
1 juin 2011
Dates d'inscription aux études
Première soumission
28 juin 2011
Première soumission répondant aux critères de contrôle qualité
17 juillet 2011
Première publication (Estimation)
19 juillet 2011
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Estimation)
19 juillet 2011
Dernière mise à jour soumise répondant aux critères de contrôle qualité
17 juillet 2011
Dernière vérification
1 juillet 2011
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- 54-2011
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