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A Randomised Controlled Trial of Family Mediated Exercises (FAME) Following Stroke (FAME)

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ClinicalTrials.gov Identifier: NCT00666744
Recruitment Status : Unknown
Verified April 2008 by University of Dublin, Trinity College.
Recruitment status was:  Recruiting
First Posted : April 25, 2008
Last Update Posted : October 29, 2008
Sponsor:
Collaborators:
Foundation for Medical Research
Friends of the Royal Hospital Donnybrook
Information provided by:
University of Dublin, Trinity College

Brief Summary:
The aim of the study is to evaluate the functional recovery in two groups of primary stroke patients presenting with moderate/severe disability over a six month period through the implementation of a randomised controlled trial. The first group or the experimental group will receive routine therapy and additional lower limb exercise therapy in the form of family assisted exercises. The second group or the control group will receive routine therapy with no additional formal input from their family members. A secondary aim of the project is to evaluate the impact of the FAME programme on the person with stroke and the individual (s) assisting in the delivery of exercises.

Condition or disease Intervention/treatment Phase
Weakness Balance Other: Family Mediated Exercise Therapy Phase 3

Detailed Description:

Participants with primary stroke eligible for inclusion to the study at 2 weeks post stroke will be randomised into either a 'control' group that will receive routine therapy or an 'experimental' group that will receive routine therapy AND additional 'family mediated exercise therapy.

Training will be provided to the nominated family member (s)/friends of participants in the 'intervention' group on a weekly basis by the research physiotherapist (R1). Family members/friends will be requested to keep an exercise diary on a daily basis to document completion of exercises. The trial will continue for eight weeks with an expectation that at least 1200 additional minutes of FAME therapy will be delivered over this time period. Each FAME session is expected to last 35-40 minutes.

Exercises will include repetitive sit to stand exercises with an emphasis on improving symmetry, weight bearing exercises during standing, bridging, straight leg raises, quadriceps strengthening exercises, active/active assisted range of movement exercises for the lower limb and walking. Outcome will be assessed by a blinded outcome assessor (R2) on entry to the study, at eight weeks (post-intervention) and again three months post-intervention (follow-up)

In addition, a semi-structured interview will be carried out with a random sample of the participants and their family member (s)/friends to gain a more qualitative insight into the impact of the programme on those involved. This interview will be completed by a person unknown to the participant. (R3)


Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 40 participants
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: A Randomised Controlled Trial of Family Mediated Exercises (FAME) Following Stroke
Study Start Date : April 2008
Estimated Primary Completion Date : March 2009
Estimated Study Completion Date : March 2009

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: 1
Exercise Intervention - additional lower limb exercises will be completed by the person with stroke with the assistance of his/her family for 35 minutes daily for a period of 8 weeks.
Other: Family Mediated Exercise Therapy
35 minutes of lower limb exercises to be completed by the person with stroke on a daily basis with the assistance of their family for a period of 8 weeks.

No Intervention: 2
Participants in this group will receive routine exercise therapy following stroke



Primary Outcome Measures :
  1. Fugl Meyer (FM) Assessment [ Time Frame: Baseline, post intervention and 3 month follow-up ]

Secondary Outcome Measures :
  1. Berg Balance Scale (BBS) [ Time Frame: Baseline, post intervention and 3 month follow-up ]
  2. Motor Assessment Scale (MAS) [ Time Frame: Baseline, post-intervention and 3 month follow up ]
  3. Six Minute Walk Test (SMWT) [ Time Frame: Baseline, post-intervention and 3 month follow up ]
  4. Barthel Index (BI) [ Time Frame: Baseline, post-intervention and 3 month follow up ]
  5. Re-integration into Normal Living Index (RNLI) [ Time Frame: Baseline, post-intervention and 3 month follow up ]
  6. Nottingham Extended Activities of Daily Living (EADL) [ Time Frame: Baseline, post-intervention and 3 month follow up ]


Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • diagnosis of first unilateral stroke
  • Patients who score between 3.2 and 5.2 on the Orpington Prognostic Scale
  • Patients participating in a physiotherapy programme
  • Patients willing to give informed written consent
  • Patients with family willing to participate in their assigned physiotherapy intervention programme

Exclusion Criteria:

  • hemiplegia of a non-vascular origin
  • discharged from hospital less than two weeks following stroke
  • pre-existing neurological disorder
  • any lower limb orthopaedic condition that may limit exercise capacity
  • aphasia
  • cognitive impairment
  • not willing to give written consent

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 ClinicalTrials.gov identifier (NCT number): NCT00666744


Contacts
Contact: Emma K Stokes, PhD 00 353 1 896 2127 estokes@tcd.ie
Contact: Rose Galvin, BSc 00 353 1 896 3613 rgalvin@tcd.ie

Locations
Ireland
Beaumont Hospital Recruiting
Dublin, Ireland
Contact: Julie Shanahan, BSc    00 353 1 809 2535    julieshanahan@beaumont.ie   
Sub-Investigator: Julie Shanahan, BSc         
MaterMisercordiae University Hospital Recruiting
Dublin, Ireland
Contact: Orla Friel, BSc    00 353 1 8034273    physiorehab@mater.ie   
Sub-Investigator: Orla Friel, BSc         
Sponsors and Collaborators
University of Dublin, Trinity College
Foundation for Medical Research
Friends of the Royal Hospital Donnybrook
Investigators
Principal Investigator: Emma Stokes, PhD University of Dublin, Trinity College
Principal Investigator: Tara Cusack, PhD University College Dublin

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Dr. Emma Stokes, University of Dublin, Trinity College
ClinicalTrials.gov Identifier: NCT00666744     History of Changes
Other Study ID Numbers: 08/19
Irish Heart Foundation - FAME
First Posted: April 25, 2008    Key Record Dates
Last Update Posted: October 29, 2008
Last Verified: April 2008

Keywords provided by University of Dublin, Trinity College:
exercise
frequency
duration