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Phase 1 N=76 Randomized Prevention

Adaptive Physical Activity for Chronic Stroke

Stroke

Enrolled (actual)
76
Serious AEs
0.0%
Results posted
Aug 2016
Primary outcome: Primary: 6 Minute Walk Test (6MWT) — 189; 172; 211; 170 meters — p=<0.25

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
APA-Stroke (Behavioral); Sittercise (Behavioral)
Age
Adult, Older Adult · 40+ yrs
Sex
All
Sponsor
VA Office of Research and Development
Primary completion
Feb 2014

Outcome Measures

OutcomeResultp-value
PRIMARY
6 Minute Walk Test (6MWT)
189; 172; 211; 170; 228; 167 <0.25
SECONDARY
Balance as Measured by the Berg Balance Scale (BBS)
44.8; 43.0; 46.5; 43.0; 47.6; 41.6 .47
SECONDARY
Short Physical Performance Battery (SPPB)
6.60; 6.10; 6.76; 5.92; 7.12; 5.96 .98
SECONDARY
Stroke Impact Scale (SIS)
467; 491; 463; 576; 562; 579 .98

Summary

This study will compare the Adaptive Physical Activity program (APA) to a less vigorous group exercise program, (Sittercise) to see if APA leads to greater improvements in walking endurance, quality of life, and participation in social activities.

Eligibility Criteria

Inclusion Criteria

  • evidence of stroke (ischemic or hemorrhagic) minimum 6 months prior in men or women ages 40 or older;
  • residual hemiparetic gait deficits;
  • already completed all conventional inpatient and outpatient physical therapy;
  • ability to rise from a chair unaided and without an assistive device

Exclusion Criteria

  • cardiac history of active unstable angina, recent (less than 3 months) myocardial infarction, or congestive heart failure (NYHA category II or higher);
  • orthopedic, circulatory, or chronic pain conditions restricting exercise;
  • active cancer; poorly controlled hypertension ( greater than 180/100 on 2 readings separated by 5 minutes rest);
  • dementia;
  • severe receptive or global aphasia with inability to follow 2-step commands;
  • co-morbid non-stroke neurological disorder that impairs mobility (e.g. multiple sclerosis or Parkinson's);
  • untreated clinical depression;
  • inability to complete the "6-Minute Walk" test during baseline testing
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00773370). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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