Client Centred 'Tune-ups': do They Enhance Community Reintegration After Stroke?
2016年4月3日 更新者：Dr. Brenda Brouwer、Queen's University
Client Centred 'Tune-ups': do They Enhance Community Reintegration and Mobility in Stroke Survivors?
Once discharged from hospital many stroke survivors deteriorate medically, physically and in their mobility function and many report their level of function and quality of life to be poor 12 months after inpatient rehabilitation.
There is an identified need for follow-up examinations of community dwelling stroke survivors to monitor changes in function and it has been suggested that maintenance therapy could curtail declines in function.
The purpose of this trial is to determine whether brief periods of intense client-centered rehabilitation therapy (tune-ups) provided at 6 month intervals can alter the natural progression of impairment (physical capacity), function and community reintegration following stroke.
研究概览
详细说明
The extent to which impairment (physical capacity) and function influence community reintegration is unclear.
One of the challenges is that physical parameters change over time as does the person's awareness and perception of what activities are important to be able to engage in at the community level.
Interventions have led to gains in physical capacity, function and community reintegration, but the benefits have been shown to dissipate within three to six months.
It has been suggested that maintenance therapy (tune-ups) for stroke survivors post-discharge could prevent or curtail decline in function of aging stroke survivors and enhance quality of life and well being; constructs that relate strongly to community reintegration.
This study will determine whether tune-ups can alter the time course and magnitude of changes in physical capacity and function and their influence on community reintegration.
Stroke survivors discharged from rehabilitation will be followed for a 15 month period with laboratory or home assessments conducted at 3 month intervals.
Assessors will be blind to whether the subject is receiving a tune up.
Evaluations conducted after the tune-up at 9 months and 12 months post-discharge will allow us to determine if the tune-up effectively reduced physical impairment, improved function and resulted in better community reintegration compared to control.
研究类型
介入性
注册 (实际的)
103
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
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Ontario
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Kingston、Ontario、加拿大、K7L 3N6
- Queen's University School of Rehabilitation Therapy
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London、Ontario、加拿大、N6G 1H1
- School of Physical Therapy, University of Western Ontario
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参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
18年 及以上 (成人、年长者)
接受健康志愿者
不
有资格学习的性别
全部
描述
Inclusion Criteria:
- first major unilateral hemispheric stroke,
- english speaking,
- adequate verbal communication,
- discharged home or residential care
Exclusion Criteria:
- serious comorbidities (eg. cancer, mobility limiting arthritis, leg amputation)
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：单身的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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无干预：Control
natural progression post-stroke
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实验性的：Intervention
two weeks of goal directed intensive physical rehabilitation therapy at 6 months (and one year)
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two weeks intensive physical rehabilitation
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Subjective Index of Physical and Social Outcome (SIPSO)
大体时间：baseline and 1 year
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The SIPSO is a 10-item measure developed specifically for stroke that includes a Physical Integration Subscale relating to activities and daily living and a Social Integration subscale relating to social adaptation.
Each item is assessed on an ordinal scale from 0 (cannot perform the task or activity/completely dissatisfied) to 4 (no difficultly/completely satisfied) such that the minimum score is 0 and the maximum for each subscale is 20 and the maximum total score is 40 (sum of subscales).
The total score reflects reintegration.
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baseline and 1 year
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Subjective Index of Social Integration (Subscale of SIPSO)
大体时间：baseline and one year
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see Subjective Index of Physical and Social Outcome (SIPSO) above
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baseline and one year
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Subjective Index of Physical Integration (Subscale of SIPSO)
大体时间：baseline and one year
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see 'Subjective Index of Physical and Social Outcome (SIPSO) above
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baseline and one year
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Mobility Function
大体时间：baseline and 1 year
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Timed up and go - participants stand from a seated position on a chair with armrests, walk 3 meters, turn and return to a seated position (measured in seconds)
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baseline and 1 year
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Physical Capacity
大体时间：baseline and 12 months
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6 minute walk test (6MWT).
Subjects were instructed to walk as far as possible over 6 minutes with rests as needed and the distance traveled was recorded.
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baseline and 12 months
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Health-related Quality of Life - Physical
大体时间：baseline and one year
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The SF-36 contains 36 questions pertaining to 8 health-related domains (physical and social function, emotional and physical limitation (role-emotional/role-physical), mental health, vitality, bodily pain, and general health).
The derivation of the Physical component summary (PCS) score takes into account the physical health domains (physical function, role-physical and bodily pain) and scores self-reported physical health on a scale from 0 to 100, where 0 is the lowest rating of physical health and 100, the highest or best.
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baseline and one year
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Health-related Quality of Life - Mental
大体时间：baseline and one year
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The SF-36 contains 36 questions pertaining to 8 health-related domains (physical and social function, emotional and physical limitation (role-emotional/role-physical), mental health, vitality, bodily pain, and general health).
The derivation of the Mental component summary (MCS) score takes into account the mental health domains (social function, role-emotional and mental health) and scores self-reported mental health on a scale from 0 to 100, where 0 is the lowest rating of mental health and 100, the highest.
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baseline and one year
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员：Brenda J Brouwer, PhD、Queen's University
- 首席研究员：Jayne Garland, Ph.D、Western University, Canada
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
一般刊物
- Brouwer B, Bryant D, Garland SJ. Effectiveness of Client-Centered "Tune-Ups" on Community Reintegration, Mobility, and Quality of Life After Stroke: A Randomized Controlled Trial. Arch Phys Med Rehabil. 2018 Jul;99(7):1325-1332. doi: 10.1016/j.apmr.2017.12.034. Epub 2018 Apr 3.
- Cohen JW, Ivanova TD, Brouwer B, Miller KJ, Bryant D, Garland SJ. Do Performance Measures of Strength, Balance, and Mobility Predict Quality of Life and Community Reintegration After Stroke? Arch Phys Med Rehabil. 2018 Apr;99(4):713-719. doi: 10.1016/j.apmr.2017.12.007. Epub 2018 Jan 6.
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始
2006年12月1日
初级完成 (实际的)
2011年11月1日
研究完成 (实际的)
2012年1月1日
研究注册日期
首次提交
2006年11月16日
首先提交符合 QC 标准的
2006年11月16日
首次发布 (估计)
2006年11月17日
研究记录更新
最后更新发布 (估计)
2016年5月5日
上次提交的符合 QC 标准的更新
2016年4月3日
最后验证
2016年4月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.
physical rehabilitation的临床试验
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IRCCS Eugenio Medea招聘中