Fast Muscle Activation and Stepping Training (FAST) Post-stroke (FAST)
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
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) ]
- Gait assessment [ Time Frame: Pre treatment, Post treatment (6 weeks) and Retention (+1 month after treatment) ]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) ]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) ]
- Community Balance and Mobility Scale [ Time Frame: Post treatment and Retention (+1 month after treatment) ]
|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.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01573585
|Contact: S. Jayne Garland, PT PhDfirstname.lastname@example.org|
|Canada, British Columbia|
|Lions Gate Hospital||Recruiting|
|North Vancouver, British Columbia, Canada, V7L 2L7|
|Contact: Delores Langford, MSc, 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|