Sit-to-Stand Training for Survivors of Stroke in a Long-Term Care Setting

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00197509
Recruitment Status : Unknown
Verified September 2005 by Hamilton Health Sciences Corporation.
Recruitment status was:  Active, not recruiting
First Posted : September 20, 2005
Last Update Posted : September 20, 2005
Ontario Ministry of Health and Long Term Care
Information provided by:
Hamilton Health Sciences Corporation

Brief Summary:
The purpose of this study is to see if providing training using a Sit-to-Stand protocol for residents of Long-Term Care Facilities who have had a stroke will increase their independence in performing Sit-to-Stand.

Condition or disease Intervention/treatment Phase
Cerebrovascular Accident Behavioral: Sit-To-Stand Protocol and Extra Practice in Sit-To-Stand Phase 2

Detailed Description:

The implementation of a sit-to-stand protocol and extra practice has been previously validated in a rehabilitation setting, where 68% of survivors of stroke who received the training, learned to stand safely and independently from a 16" surface (the height of a regular toilet). Our findings have been supported by other research that have shown that rising from sitting is a maneuver that has been advocated for strengthening the lower extremities of elderly individuals and patients with specific disorders such as stroke. During the acute care and rehabilitation phases, considerable effort is spent to maximize a person's functional abilities following a stroke; however, continued strengthening and activity appears to stop once an individual is admitted to a LTC facility.

The main purpose of this randomized controlled trial is to examine the efficacy of implementing the Sit-to-Stand (STS) protocol with or without extra sit-to-stand practice for survivors of stroke residing in Long-Term Care (LTC) facilities on (1) their ability to learn how to stand safely and independently from a 16" surface; (2) the number of staff injuries; (3) the number of residents' falls; (4) the quality of life of the residents and staff; and (5) the translation and maintenance of knowledge of the STS protocol by staff into their daily routines.

Study Type : Interventional  (Clinical Trial)
Enrollment : 120 participants
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Task Specific Training for Stroke Patients
Study Start Date : January 2005
Study Completion Date : February 2006

Primary Outcome Measures :
  1. Ability to independently perform Sit-To-Stand at 12 weeks and 24 weeks
  2. Score on quality of life measure (COOP) at 12 and 24 weeks
  3. Score on stroke assessment (CMSA) at 12 and 24 weeks

Secondary Outcome Measures :
  1. Number of resident falls at 12 and 24 weeks
  2. Number of staff injuries at 12 and 24 weeks
  3. Knowledge of staff on STS protocol immediately post-training, 12 and 24 weeks
  4. Score on quality of life measure (SF-20) at 12 and 24 weeks

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Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Diagnosis of cerebrovascular accident
  • Reside in Long-Term Care Facility
  • Have physician approval to participate in the study
  • Are unable to stand up independently from a 16" surface without using their hands
  • Have given informed consent

Exclusion Criteria:

  • Expect to be leaving the facility in less than 24 weeks
  • Have a terminal illness
  • Have a total hip replacement or other orthopedic complication that prevents them from being able to safely use protocol
  • Have pain that prevents their participation
  • Are at higher risk for falling (i.e. blood pressure disorder/postural hypotension, vestibular disorder)

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00197509

Canada, Ontario
Hamilton Health Sciences, Chedoke Site
Hamilton, Ontario, Canada, L8N 3Z5
Sponsors and Collaborators
Hamilton Health Sciences Corporation
Ontario Ministry of Health and Long Term Care
Principal Investigator: Susan R Barreca, PT, BA Hamilton Health Sciences Corporation Identifier: NCT00197509     History of Changes
Other Study ID Numbers: 04-359
First Posted: September 20, 2005    Key Record Dates
Last Update Posted: September 20, 2005
Last Verified: September 2005

Keywords provided by Hamilton Health Sciences Corporation:
Long-Term Care
Clinical Protocols

Additional relevant MeSH terms:
Cerebrovascular Disorders
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Vascular Diseases
Cardiovascular Diseases