Fast Muscle Activation and Stepping Training (FAST) Post-stroke
The purpose of this study is to determine whether FAST (Fast muscle Activation and Stepping Training) exercises will improve walking balance in individuals after stroke to a greater extent than usual care.
Hypothesis: The primary hypothesis is that improvements in walking balance will be larger following 12 sessions of FAST exercise retraining compared to usual care in persons in the sub-acute phase after stroke.
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment
|Official Title:||Effectiveness of Fast Muscle Activation and Stepping Training (FAST) on Balance and Mobility Post-stroke|
- Community Balance and Mobility Scale [ Time Frame: Pre treatment and Post treatment (6 weeks) ] [ Designated as safety issue: No ]
- Gait assessment [ Time Frame: Pre treatment, Post treatment (6 weeks) and Retention (+1 month after treatment) ] [ Designated as safety issue: No ]Self selected speed and changes in electromyography
- Physiological balance assessment by internal and external perturbations [ Time Frame: Pre treatment, Post treatment (6 weeks) and Retention (+1 month after treatment) ] [ Designated as safety issue: No ]Electromyography and Center of pressure changes
- Activities-specific Balance Confidence Scale [ Time Frame: Pre treatment, Post treatment (6 weeks) and Retention (+1 month after treatment) ] [ Designated as safety issue: No ]
- Community Balance and Mobility Scale [ Time Frame: Post treatment and Retention (+1 month after treatment) ] [ Designated as safety issue: No ]
|Study Start Date:||November 2012|
|Estimated Study Completion Date:||June 2017|
|Estimated Primary Completion Date:||March 2017 (Final data collection date for primary outcome measure)|
Active Comparator: Usual care
The usual care will consist of strength training, endurance, range of motion, patient education, weight shifting in standing and gait re-training.
Behavioral: Usual Care
The Usual Care program will consist of 2 sessions a week for 45 minutes for a 6 week duration.
Experimental: FAST protocol
The Fast muscle activation and stepping training will be the Experimental arm of this trial. This program will be exercises emphasizing speed of movement.
Behavioral: FAST protocol
The Fast muscle activation and Stepping Training (FAST protocol) will be exercises emphasizing speed, small squats and protective steps, that will be progressed. This program will be 2 sessions a week for 45 minutes for 6 weeks in duration.
It is estimated that 75-80% of individuals who have had a stroke will survive the acute event and be left with residual disability. Regaining independence in standing and walking is of utmost importance for patients recovering from stroke. Walking balance requires muscles in the legs and trunk to contract quickly if people lose their balance. Physical therapy plays a key role in the rehabilitation of walking balance in individuals after stroke. Given that maintaining one's balance requires fast muscle activity, rehabilitation post-stroke should focus on speed of movement. Thus we are proposing to compare a program that emphasizes speed of movement, Fast muscle Activation and Stepping Training versus an active control (usual care).
Please refer to this study by its ClinicalTrials.gov identifier: NCT01573585
|Contact: Kimberly Miller, PhDfirstname.lastname@example.org|
|Canada, British Columbia|
|Lions Gate Hospital||Recruiting|
|North Vancouver, British Columbia, Canada, V7L 2L7|
|Contact: Moya Stokes, BScPt 604-984-5746 email@example.com|
|Holy Family Hospital||Recruiting|
|Vancouver, British Columbia, Canada, V5P 3L6|
|Contact: Rebecca Shook, MRSc, PT 604-321-2661 ext 22332 firstname.lastname@example.org|
|Principal Investigator:||S. Jayne Garland, PT, PhD||University of British Columbia|