Evaluation of Early Standardized Task-Specific Training (ESTT) (ESTT)
1. september 2015 oppdatert av: Karen McCain, University of Texas Southwestern Medical Center
Evaluation of Early Standardized Task-Specific Training (ESTT) in Persons With Acute Stroke
A. Specific Aims:
1. There is one specific aim of this study. The aim is to evaluate the effectiveness of early standardized task-specific training (ESTT) in persons with acute stroke.
B. Hypothesis:
1. It is our hypothesis that subjects who receive ESTT will walk faster and more symmetrically than published reports of gait outcomes in persons with stroke.
Studieoversikt
Status
Avsluttet
Forhold
Intervensjon / Behandling
Detaljert beskrivelse
It is our contention that gait recovery after stroke is impacted by the interventions that are acutely utilized during training.
There is not a consensus about how to most effectively train individuals after stroke.
It is clear, however, that most persons are left with significant and often debilitating gait dysfunction after stroke so there is an urgent need to find more effective therapeutic methods.
Studietype
Intervensjonell
Registrering (Faktiske)
12
Fase
- Ikke aktuelt
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
-
-
Texas
-
Austin, Texas, Forente stater, 78705
- St. David's Rehabilitation Hospital
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Dallas, Texas, Forente stater, 75246
- Baylor Institute for Rehabilitation - Dallas
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Dallas, Texas, Forente stater, 75247
- Baylor Institute for Rehabilitation - Northwest
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Frisco, Texas, Forente stater, 75034
- Baylor Institute for Rehabilitation - Frisco
-
-
Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
16 år til 80 år (Barn, Voksen, Eldre voksen)
Tar imot friske frivillige
Nei
Kjønn som er kvalifisert for studier
Alle
Beskrivelse
Inclusion Criteria:
- Recent stroke (less than 6 weeks)
- Able to give conformed consent or have family member who can give consent
- first time stroke OR complete recovery from prior stroke
Exclusion Criteria:
- non-ambulatory before onset of stroke
- bilateral stroke
- presence of severe cardiac problems
- other co-morbidities which would affect gait training (i.e. amputation, spinal cord injury, traumatic brain injury, etc.)
- recent myocardial infarct (within 4 weeks)
- any uncontrolled health condition for which exercise is contraindicated
- severe lower extremity joint disease/pathology that would interfere with gait training
- subjects with BMI greater than 40
- significant cognitive impairment
- age greater than 80 years or less than 16 years
- able to complete 5 or more full heel raises with the affected ankle in standing with the knee extended with no more than one or two fingers on support surface for balance
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: N/A
- Intervensjonsmodell: Enkeltgruppeoppdrag
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
|
Eksperimentell: early standardized task training
Persons in the experimental group will receive ESTT (early standardized task specific training) for gait treatment after stroke.
|
Early standardized task training is a treatment approach using treadmill training applied very early after stroke onset.
Andre navn:
|
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Change in Walking Velocity From Initial Assessment to Completion of Study at 6 Months Post Enrollment
Tidsramme: This will be done at the time of discharge from inpatient rehabilitation (the initial assessment point of the study) and at 6-months post enrollment.
|
Computerized gait analysis is done by a mat system (GAITRite) that electronically calculates the velocity.
|
This will be done at the time of discharge from inpatient rehabilitation (the initial assessment point of the study) and at 6-months post enrollment.
|
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Change in Score on Stroke Rehabilitation Assessment of Movement (STREAM) Test From Initial Assessment to Discharge From Study.
Tidsramme: This test will be done at the initiation of the protocol (initial assessment) and at 6 months post enrollment
|
The Stroke Rehabilitation Assessment of Movement (STREAM) is a test of motor recovery after stroke.
There are 3 subsections of the test, an upper extremity section, a lower extremity section and a mobility section.
Each section is scored independently and is normed to 100 points.
Each of the 3 sections is then combined into a total overall function score which is also normed to 100.
Therefore, a score of 100 represents full recovery whereas a score of 50 represents about 50% recovery from the stroke.
|
This test will be done at the initiation of the protocol (initial assessment) and at 6 months post enrollment
|
Andre resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Change in 6-Minute Walk Test Distance From Time of Discharge From Rehabilitation (Initial Assessment) to 6 Months Post Enrollment
Tidsramme: This test will be done at the initiation of the protocol (initial assessment) and at 6 months post enrollment
|
The 6-Minute Walk Test is a test of walking endurance and walking velocity.
|
This test will be done at the initiation of the protocol (initial assessment) and at 6 months post enrollment
|
Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Etterforskere
- Hovedetterforsker: Karen J McCain, PT, DPT, NCS, UT Southwestern Medical Center
Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart
1. august 2012
Primær fullføring (Faktiske)
1. desember 2014
Studiet fullført (Faktiske)
1. desember 2014
Datoer for studieregistrering
Først innsendt
18. januar 2013
Først innsendt som oppfylte QC-kriteriene
18. januar 2013
Først lagt ut (Anslag)
23. januar 2013
Oppdateringer av studieposter
Sist oppdatering lagt ut (Anslag)
1. oktober 2015
Siste oppdatering sendt inn som oppfylte QC-kriteriene
1. september 2015
Sist bekreftet
1. september 2015
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- ESTT
Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .