Skip to main content
OpenTrials
Completed

NCT Number: NCT02296268

Stepping up Aerobic Exercise to Improve Health Outcomes After Stroke

Stroke is a leading cause of chronic disability here in Nova Scotia and globally. Aerobic exercise is known to improve health by increasing energy levels, physical mobility, balance, bone health, cardiovascular risk reduction, mental well-being, cognition, sleep, and quality of life. Nonetheless, people remain woefully inactive after stroke, regardless if they are in hospital or at home. The current investigative team and others have shown that even during physiotherapy, exercise intensity is not adequate to increase physical fitness. Consequently, patients are often deprived of a treatment that could improve their recovery. Why does this gap between evidence and clinical practice persist? Through a national survey the current team found that an important contributing factor is lack of appropriate screening (especially stress tests) to ensure that patients are safe to engage in aerobic exercise. This project is designed to close this evidence-practice gap by establishing a state-of-the-art aerobic exercise screening and prescription clinic at the Nova Scotia Rehabilitation Centre (NSRC). The intent is to compare outcomes of stroke rehabilitation participants before and after the clinic is underway and determine if the clinic has a positive effect on the confidence of NSRC physiotherapists to use aerobic exercise safely and effectively in stroke rehabilitation.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

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

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

QEII Health Sciences Centre

Halifax, Nova Scotia, B3H3J5, Canada

About this study

Research question: To what extent does an on-site aerobic exercise screening and prescription clinic effect uptake of aerobic exercise and patient outcomes in in-patient stroke rehabilitation?

Design: Pre-post cohort design to explore real-world application and feasibility

Aim 1. Establish an aerobic exercise screening and prescription clinic (herein 'Aerobics Clinic') at the NSRC.

Aim 2. Assess the potential impact of the Aerobics Clinic on the self-efficacy of physiotherapists at NSRC regarding clinical utilization of aerobic exercise in in-patient stroke rehabilitation.

Method: An assessment of the physiotherapy participants' self-efficacy regarding the clinical utilization of aerobic exercise post-stroke will be conducted prior to, and after, implementation of the Clinic.

Aim 3: Assess the potential impact of the Aerobics Clinic on prescription and treatment practices regarding aerobic exercise among patients in stroke rehabilitation at the NSRC.

Method: Prior to, and after, implementation of the Clinic the actual utilization of aerobic exercise in the practices of the physiotherapy participants will be assessed using heart rate monitoring, activity monitoring, and health record review.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Male or female adults
  • Diagnosed with ischemic or hemorrhagic stroke
  • Referred to NSRC for stroke rehabilitation

Exclusion criteria

  • Have contraindications to exercise testing using American College of Sports Medicine guidelines

Treatment and study plan

Aerobic Exercise Screening and Prescription Clinic

Behavioral

Patients will be referred to the Clinic by their physiotherapist to be assessed regarding their safety and readiness to participate in aerobic training. If they are deemed to be safe and ready, an aerobic exercise prescription will be written to guide the implementation of a safe and effective training protocol. Patients deemed to be at moderate to high risk will need to be cleared for testing by a physician on the stroke service. A cardiologist will be consulted about specific concerns re cardiac status.

Primary outcomes

  1. Change from admission 6-Minute Walk Test at discharge

    Time frame: admission and discharge (baseline and 5-6 weeks later)

    To assess change between admission and discharge in distance walked without manual support in 6 minutes

Secondary outcomes

  1. Change from admission 10-Meter Walk at discharge

    Time frame: admission and discharge (baseline and ~5-6 weeks later)

    To assess change between admission and discharge in n walking speed over a 10-metre distance

  2. Change from admission resting blood pressure at discharge

    Time frame: admission and discharge (baseline and 5-6 weeks later)

    To assess change between admission and discharge in resting systolic and diastolic blood pressure

  3. Change from admission abdominal girth at discharge

    Time frame: admission and discharge

    To assess change between admission and discharge in waist circumference in relaxed standing position

  4. Change from admission Stroke-Specific Quality of Life at discharge

    Time frame: admission and discharge (baseline and 5-6 weeks later)

    To assess change between admission and discharge in quality of life questionnaire

  5. Change from admission Readiness for Physical Activity Scale at discharge

    Time frame: admission and discharge (baseline and 5-6 weeks later)

    To assess change between admission and discharge in readiness to engage in physical activity

  6. Change from admission Fatigue Severity Scale at discharge

    Time frame: admission and discharge (baseline and 5-6 weeks later)

    To assess change between admission and discharge in level of fatigue

Sponsors and collaborators

Lead sponsor

Nova Scotia Health Authority

Other

Registry information

Official study title

Stepping up Aerobic Exercise to Improve Health Outcomes After Stroke: Translating Research Into Clinical Care

Acronym: STROKE-TRIC

Important dates

Study start
2016
Primary completion
2018
Study completion
2018
First posted
Nov 20, 2014
Registry last updated
Mar 23, 2018

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.

Related clinical trials

Published trials that share one or more normalized conditions with this study.