Sequelae of Stroke Clinical Trial
Official title:
Phase 1 Study of the Effects of a Community-based Group Rehabilitation Program for Dynamic Balance and Mobility; as an Alternate to Out-patient Rehabilitation Post Stroke;
Stroke patients clearly benefit from intensive and coordinated inpatient care. While
inpatient rehabilitation care is the preferred form for many patients post-stroke, due to
access and financial barriers, many patients do not have this option. Community, outpatient
rehabilitation programs will allow the patients with moderately disabling strokes the
opportunity to maintain or augment gains achieved during inpatient stroke rehabilitation ,
while allowing some patients with mild disability to avoid inpatient rehabilitation
completely.
Objective: Phase 1 randomized control trial to test the efficiency and effectiveness of
treating adults who have suffered a single stroke using the following essential treatment
components; a) community setting, b) group activity program, c) flexible, task-specific,
computer-based exercise regime This program is designed to allow an extension of the
in-patient rehabilitation experience to a community-based setting, in a cost-effective
manner using paraprofessional staff and rehabilitation specialists, to provide a
challenging, functional program to promote recovery and independence from physical
impairments affecting balance and walking.
The specific objectives are to:
1. assess the benefits and feasibility of the multi-functional group exercise intervention
for balance and mobility in a community setting. Secondary objectives
2. identify effective combinations of exercises & activities that translate to increased
abilities and participation levels.
Hypothesis: Intense training targeting standing balance, and walking will significantly
improve stroke clients' functional mobility. Training in a group setting and incorporating
interactive and engaging computer gaming further provides the benefits of motivation and
peer support while providing treatment in a cost effective manner.
n/a
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment