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

Study Description

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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 Design

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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

Arms and Interventions

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Outcome Measures

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

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

Eligibility Criteria

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

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

Criteria

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)

Contacts and Locations

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Locations

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

Investigators

Principal Investigator:	Susan R Barreca, PT, BA	Hamilton Health Sciences Corporation

More Information

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

ClinicalTrials.gov Identifier:	NCT00197509 History of Changes
Other Study ID Numbers:	04-359
First Posted:	September 20, 2005
Last Update Posted:	September 20, 2005
Last Verified:	September 2005

Keywords provided by Hamilton Health Sciences Corporation:

Long-Term Care; Clinical Protocols; Sit-To-Stand

Additional relevant MeSH terms:

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