Stroke Clinical Trial
— TExT-MEOfficial title:
Dose-Response Effects of Transformative Exercise in Improving Health and Function in Adults With Spinal Cord Injury and Multiple Sclerosis
Verified date | August 2019 |
Source | University of Alabama at Birmingham |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The specific aim of the study in our example is to conduct a feasibility translational home-based exercise trial established in the LEADERS (R2) project with the TExt-ME tele-exercise training system for participants with neurologic disability. We hypothesize that participants in this home-based tele-exercise training program will achieve similar gains in health and function outcomes as the onsite exercise training program. Further, there will be no difference in adverse side effects (safety) between the home-based and onsite exercise treatment groups.
Status | Completed |
Enrollment | 27 |
Est. completion date | May 31, 2019 |
Est. primary completion date | May 31, 2019 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 65 Years |
Eligibility |
Inclusion Criteria: - Diagnosed with stroke - MS - mild to moderate disability (Patient Determined Disease Steps Score 0-6) - Able to use arms or arm/legs for exercise - Ambulatory or use manual wheelchair Exclusion Criteria: - Cognitive impairment (Mini-Mental State Exam score < 24) - Recent weight change (+/- 25 pounds in 1 year) - Poorly controlled blood pressure - Cardiovascular disease event within the past six months - Severe pulmonary disease - Renal failure - Current tobacco user or quit within the last six months - Current use of medications for psychosis - Active pressure ulcers |
Country | Name | City | State |
---|---|---|---|
United States | Lakeshore Foundation | Birmingham | Alabama |
Lead Sponsor | Collaborator |
---|---|
University of Alabama at Birmingham | Lakeshore Foundation |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Cardiorespiratory Fitness as measured by sub-maximal VO2 | Submax VO2 is assessed by the six minute walk test or the six minute push test. Participants wear a portable metabolic cart while walking or pushing | 12 weeks | |
Primary | Pain as measured by PROMIS Pain Interference Short Form 8a | PROMIS Pain Interference Short Form 8a Questionnaire | 12 weeks | |
Primary | Fatigue as measured by PROMIS Fatigue Short Form 8a | PROMIS Fatigue Short Form 8a Questionnaire | 12 weeks | |
Primary | Grip Strength as measured by hand grip dynamometer | Participants exert as much force as possible using a Jamar hand grip dynamometer | 12 weeks | |
Primary | Strength as measured by Biodex System 3 Multijoint dynamometer | Upper body strength is measured using a closed chain push/pull protocol. Lower body strength is measured using the knee flexion/extension protocol. | 12 weeks | |
Primary | Balance as measured by the Timed Up and Go | The Timed to Up and Go test is performed using a chair with arms. The participants stand up from the chair, walk to a mark measured three meters from the chair then return back to the seat. A score of greater than or equal to 14 seconds (average) has been shown to indicate a high risk of falling. | 12 weeks | |
Primary | Balance as measured by Biodex Limits of Stability | The Limits of Stability test is performed on the Biodex SD balance machine using the limits of stability protocol created by Biodex. | 12 weeks | |
Primary | Balance as measured by Repeated Chair Stands | The repeated chair stands test is performed by asking participants to stand up and sit down 5 times as fast as possible. A score of greater than or equal to 14 seconds (average) has been shown to indicate a high risk of falling. | 12 weeks | |
Primary | Walking velocity as measured by the GaitRite | 20 meter walk is completed on the GaitRite mat | 12 weeks | |
Secondary | Health Biomarkers as measured by blood analysis (insulin) | Participants undergo a fasted blood draw to assess insulin | 12 weeks | |
Secondary | Health Biomarkers as measured by blood analysis (lipids) | Participants undergo a fasted blood draw to assess lipids | 12 weeks | |
Secondary | Health Biomarkers as measured by blood analysis (fasting glucose) | Participants undergo a fasted blood draw to assess glucose | 12 weeks | |
Secondary | Anthropometric measurements (BMI) | height and weight are assessed to compute BMI | 12 weeks | |
Secondary | Circumference measurements to be reported as composite ratios (waist circumference, hip circumference, neck circumference) | circumference measures are completed at the neck, hip, and waist. Waist to hip ratios are computed (A/G ratio) | 12 weeks | |
Secondary | Physical Function with Mobility Aid as measured by PROMIS Physical Function with Mobility Aid 455b | PROMIS Physical Function with Mobility Aid 455b questionnaire | 12 weeks | |
Secondary | Anxiety as measured by PROMIS Emotional Distress-Anxiety Short Form 8a | PROMIS Emotional Distress-Anxiety Short Form 8a questionnaire | 12 weeks | |
Secondary | Depression as measured by PROMIS Emotional Distress-Depression Short Form 8a | PROMIS Emotional Distress-Depression Short Form 8a questionnaire | 12 weeks | |
Secondary | Sleep Disturbance as measured by PROMIS Sleep Disturbance Short Form 8a | PROMIS Sleep Disturbance Short Form 8a questionnaire | 12 weeks | |
Secondary | Ability to participate in social roles and activities as measured by PROMIS Ability to Participate in Social Roles and Activities Short Form 8a | PROMIS Ability to Participate in Social Roles and Activities Short Form 8a questionnaire | 12 weeks | |
Secondary | Nutrition Self-Efficacy as measured by the Nutrition Self-Efficacy Scale | Nutrition Self-Efficacy Scale | 12 weeks | |
Secondary | Physical Exercise Self-Efficacy as measured by the Physical Exercise Self Efficacy Scale | Physical Exercise Self Efficacy Scale | 12 weeks | |
Secondary | Pain intensity is measured by the PROMIS Pain Intensity Short Form | PROMIS Pain Intensity Short Form questionnaire | 12 weeks | |
Secondary | Body Composition as measured using a DEXA scan | GE Lunar Dual X-ray Absorptiometry is used to assess total body composition | 12 weeks | |
Secondary | Loneliness as measured by the Three-item loneliness scale | Three item loneliness scale | 12 weeks |
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