- ICH GCP
- Rejestr badań klinicznych w USA
- Badanie kliniczne NCT02550990
Synergistic Effects of Aerobic Exercise and Cognitive Training on Cognition in Stroke Patients With Cognitive Decline
Synergistic Effects of Aerobic Exercise and Cognitive Training on Cognition, Physiological Markers, Daily Function and Quality of Life in Stroke Patients With Cognitive Decline
Przegląd badań
Status
Typ studiów
Zapisy (Oczekiwany)
Faza
- Nie dotyczy
Kontakty i lokalizacje
Lokalizacje studiów
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Chiayi City, Tajwan, 613
- Rekrutacyjny
- Chiayi Chang Gung Memorial Hospital
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Kontakt:
- Shi-Zhe Lin, MS
- Numer telefonu: 2688 +886-5-3621000
- E-mail: apirlline@cgmh.org.tw
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Kaohsiung City, Tajwan, 83301
- Rekrutacyjny
- Kaohsiung Chang Gung Memorial Hospital
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Kontakt:
- Ku-Chou Chang, MD
- Numer telefonu: 2285 +886-7317123
- E-mail: kcchang@cgmh.org.tw
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Keelung City, Tajwan, 204
- Rekrutacyjny
- Keeling Chang Gung Memorial Hospital
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Kontakt:
- Chia-Ling Chen, PhD
- Numer telefonu: 8147 +886-3-3281200
- E-mail: ccl1374@adm.cgmh.com.tw
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Taipei City, Tajwan, 105
- Rekrutacyjny
- Taipei Chang Gung Memorial Hospital
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Kontakt:
- Chia-Ling Chen, PhD
- Numer telefonu: 8147 +886-3-3281200
- E-mail: ccl1374@adm.cgmh.com.tw
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Taoyuan City, Tajwan, 333
- Rekrutacyjny
- Taoyuan Chang Gung Memorial Hospital
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Kontakt:
- Chia-Ling Chen, PhD
- Numer telefonu: 8147 +886-3-3281200
- E-mail: ccl1374@adm.cgmh.com.tw
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Taoyuan
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Kwei-Shan, Taoyuan, Tajwan, 333
- Rekrutacyjny
- Chang Gung Memorial Hospital
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Kryteria uczestnictwa
Kryteria kwalifikacji
Wiek uprawniający do nauki
Akceptuje zdrowych ochotników
Płeć kwalifikująca się do nauki
Opis
Inclusion Criteria:
- Ischemic or hemorrhagic stroke occurring at least 6 months prior to enrollment
- Age range from 20 to 90 years
- MMSE score ≥ 19
- MoCA<26
- Self- or informant-reported memory or cognitive complaints or CDR scale ≤ 0.5
- Able to follow the study instruction
- Adequate cardiopulmonary function to perform aerobic exercise
- Able to walk with or without assistive devices
Exclusion Criteria:
- Unstable medical history (e.g., recent myocardial infarction) that might limit participation
- Concomitant with other neurological disorders (e.g., Parkinson's disease, amyotrophic lateral sclerosis, multiple sclerosis)
- Current participation in another interventional trial
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Leczenie
- Przydział: Randomizowane
- Model interwencyjny: Przydział równoległy
- Maskowanie: Pojedynczy
Broń i interwencje
Grupa uczestników / Arm |
Interwencja / Leczenie |
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Aktywny komparator: Cognitive training group
One 60-min session of cognitive training.
Before and after the treatment, a total of 2 evaluations were conducted, including clinical assessments and blood test (each 18c.c.).
A saliva sample (2 mL) will only be collected once from each subject.
A follow-up assessment of clinical outcomes will be conducted at six month after the end of the course of treatment.
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Aktywny komparator: Aerobic exercise training group
One 60-min session of aerobic exercise training.
Before and after the treatment, a total of 2 evaluations were conducted, including clinical assessments and blood test (each 18c.c.).
A saliva sample (2 mL) will only be collected once from each subject.
A follow-up assessment of clinical outcomes will be conducted at six month after the end of the course of treatment.
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Eksperymentalny: Sequential training group
One 30-min session of aerobic exercise training + one 30-min session of cognitive training. Before and after the treatment, a total of 2 evaluations were conducted, including clinical assessments and blood test (each 18c.c.). A saliva sample (2 mL) will only be collected once from each subject. A follow-up assessment of clinical outcomes will be conducted at six month after the end of the course of treatment. |
Co mierzy badanie?
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
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Change scores of Montreal Cognitive Assessment (MoCA)
Ramy czasowe: Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Change scores of Wechsler Memory Scale - Third Edition (WMS-III)
Ramy czasowe: Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Change scores of Wechsler Adult Intelligence Scale - Third Edition (WAIS-III)
Ramy czasowe: Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Change scores of Useful Field of View (UFOV)
Ramy czasowe: Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Change scores of Stroop Color-Word test
Ramy czasowe: Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Change scores of Dual-task test
Ramy czasowe: Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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The dual-task tests will be assessed to determine the ability for an individual to perform 2 tasks simultaneously.
The investigators will assess the dual-task performance during walking and performing box and block test.
The results of the dual-task tests will provide information regarding to whether the 2 tasks compete for the same class of neural resources or one of the tasks can be carried out automatically.
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Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
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Zmień wyniki markera antyoksydacyjnego
Ramy czasowe: Linia bazowa, posttest (oczekiwana średnia z 3 miesięcy)
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Do odzwierciedlenia zmian w stresie oksydacyjnym zostaną użyte markery antyoksydacyjne.
W szczególności będziemy analizować całkowitą pojemność antyoksydacyjną (TAC).
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Linia bazowa, posttest (oczekiwana średnia z 3 miesięcy)
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Zmień wyniki poziomu lipidów w osoczu
Ramy czasowe: Linia bazowa, posttest (oczekiwana średnia z 3 miesięcy)
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Stosunek cholesterolu (cholesterol całkowity podzielony przez lipidy o dużej gęstości) zostanie oceniony w celu odzwierciedlenia poziomu lipidów we krwi.
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Linia bazowa, posttest (oczekiwana średnia z 3 miesięcy)
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Change scores of serum BDNF level
Ramy czasowe: Baseline, posttest (an expected average of 3 months)
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Baseline, posttest (an expected average of 3 months)
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Change scores of Glucose indicator
Ramy czasowe: Baseline, posttest (an expected average of 3 months)
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HbA1C level will be tested to investigate the relationships between blood glucose level and aerobic exercise.
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Baseline, posttest (an expected average of 3 months)
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Change scores of Functional Independence Measure (FIM)
Ramy czasowe: Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Change scores of Lawton Instrumental Activities of Daily Living Scale (Lawton IADL)
Ramy czasowe: Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Change scores of Stroke Impact Scale (SIS)
Ramy czasowe: Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Change scores of Caregiver Burden (CB) scale
Ramy czasowe: Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Change scores of EuroQol (EQ)-5D questionnaire
Ramy czasowe: Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Change scores of Timed up and go test (TUG)
Ramy czasowe: Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Change scores of Six-minute walk test (6MWT)
Ramy czasowe: Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Change scores of Mobility level
Ramy czasowe: Baseline, posttest (an expected average of 3 months)
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Baseline, posttest (an expected average of 3 months)
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Change scores of International Physical Activity Questionnaires (IPAQ)
Ramy czasowe: Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Change scores of Fugl-Meyer Assessment (FMA)
Ramy czasowe: Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Change scores of Rivermead Mobility Index (RMI)
Ramy czasowe: Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Change scores of muscle strength
Ramy czasowe: Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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We will evaluate isometric knee flexors and extensors muscle strength using handheld dynamometer.
Also, we will use hand dynamometer to measure grip strength of the affected and less affected hand while the participant is seated, with the elbow at 90-degree flexion.
We will record the mean value of 3 attempts.
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Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Change scores of Community Integration Questionnaire (CIQ)
Ramy czasowe: Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Change scores of Geriatric Depression Scale (GDS)
Ramy czasowe: Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Baseline, posttest (an expected average of 3 months), follow-up (up to 9 months)
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Genotyping of the BDNF val66met polymorphism
Ramy czasowe: Between baseline and posttest (an expected average of 3 months)
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Between baseline and posttest (an expected average of 3 months)
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Współpracownicy i badacze
Sponsor
Publikacje i pomocne linki
Publikacje ogólne
- Gibson E, Koh CL, Eames S, Bennett S, Scott AM, Hoffmann TC. Occupational therapy for cognitive impairment in stroke patients. Cochrane Database Syst Rev. 2022 Mar 29;3(3):CD006430. doi: 10.1002/14651858.CD006430.pub3.
- Yeh TT, Wu CY, Hsieh YW, Chang KC, Lee LC, Hung JW, Lin KC, Teng CH, Liao YH. Synergistic effects of aerobic exercise and cognitive training on cognition, physiological markers, daily function, and quality of life in stroke survivors with cognitive decline: study protocol for a randomized controlled trial. Trials. 2017 Aug 31;18(1):405. doi: 10.1186/s13063-017-2153-7.
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów
Zakończenie podstawowe (Oczekiwany)
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Oszacować)
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Oszacować)
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Dodatkowe istotne warunki MeSH
Inne numery identyfikacyjne badania
- 104-4892A3
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