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Completed

NCT Number: NCT04875910

Effectiveness of Telerehabilitation in Improving Walking and Balance Among Stroke Survivors?

A good rehabilitation program may not be accessible for all individuals living with stroke due to cost, transportation and compliance. Telerehabilitation is an alternative health care program that may help in overcoming this issue. In this study we aim to find if the use of telerehabilitation in Saudi Arabia would improve balance and walking in stroke survivors during this pandemic.

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Key information

Conditions

Stroke Brain Diseases Cardiovascular Diseases Central Nervous System Diseases Cerebrovascular Disorders Nervous System Diseases Vascular Diseases

Age range

40 year–85 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

King Saud university

Riyadh, 11451, Saudi Arabia

About this study

Background: Rehabilitation program is commonly provided after stroke to improve functional outcomes. A good rehabilitation program may not be accessible for all individuals living with stroke due to cost, transportation and compliance. Telerehabilitation is an alternative health care program that has been used to provide therapy for stroke survivors living in rural areas. With COVID-19 pandemic, many stroke survivors have lost their access to rehabilitation. Therefore, telerehabilitation may help in overcoming this issue. In this study we aim to find if the use of telerehabilitation in Saudi Arabia would improve balance and walking in stroke survivors during this pandemic.

Methods: 2 stroke survivors ( male and female/ >6 months post stroke) are included in this case study. Participants will receive a task-specific activity training (3days/week moderate exercises for 4 weeks) Both participants will provide feedback through questionnaires pre and post the 4 weeks intervention. We will use the Activities- specific balance confidence (ABC) scale, Lower limb functional scale (LEFS) and Stroke severity quality of life scale ( SS-Qol).

  • Intervention: The participants will follow a home-based exercise through videos with follow up from the therapists for 4 weeks.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Subjects who have been diagnosed with stroke 6 months or more.
  • Either right or left hemiparesis.
  • Subjects able to walk with or without assistive device.
  • age between 40-70. 5) Subjects can understand and follow commands.

Exclusion criteria

  • subjects with uncontrolled Blood pressure, heart rate or breathing problems.
  • Having an orthopedic problem or pain that limits walking and standing.
  • Subject with vestibular disorders.
  • Subjects with cognitive disorders. 5) Subjects with hemi spatial neglect

Treatment and study plan

Home-based exercise program

Other

The exercise program will include task specific training to improve balance and the training will progress every two weeks. A Physical therapist will be following up and monitoring the participants adherence to the training by audio or video call.

The exercise program for Week 1: Sit to Stand 5 times, Steps forward, backward and to the sides 5 times, 10 meters walk. 45 minutes session /3 times per week. Week 2: Sit to stand 10 times, Steps forward, backward and to the sides 5 times , Sit and reach 5 min for each hand and walk for 15 meters. 45 minutes session, 3 times per week. Week3 Sit to stand 10 times, Step on bench 5 times, Stand and reach 5 and walk for 15 meters. 45 minutes session, 3 times per week. Week 4 Stand and reach 5 times, Step on bench 10 times, climbing stairs (5 steps flight stairs up and down) and walk for 20 meters. 50 minutes session, 3 times per week.

Primary outcomes

  1. Change of balance confidence -The Activities- specific balance confidence (ABC) scale

    Time frame: pre and post intervention (1st and 4th week)

    Consists of 16 items scored from 0% to 100%, with 0 % equate no confidence and 100% equate total confidence. The higher score indicates higher balance confidence

Secondary outcomes

  1. Change in lower extremity function - The lower extremity functional scale (LEFS)

    Time frame: pre and post intervention (1st and 4th week)

    consisted of 20 question to evaluate the lower limb functional impairment.The lower score equates greater disability

  2. Change in Quality of life - Stroke Specific Quality Of Life scale (SS-QOL

    Time frame: pre and post intervention (1st and 4th week)

    measure aspects related to quality of life and designed specifically for stroke survivors

Sponsors and collaborators

Lead sponsor

King Saud University

Other

Registry information

Official study title

Could Telerehabilitation be a Promising Tool in Improving Walking and Balance Among Stroke Survivors? "Case Study"

Important dates

Study start
2021
Primary completion
2021
Study completion
2021
First posted
May 6, 2021
Registry last updated
May 6, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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