Community Rollout of Technology Enriched Rehabilitation After Stroke: An Implementation Study
ConditionStroke
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Strathclyde
About this trial
The minimum guideline recommendations for rehabilitation after stroke are not being met. This compromises individual recovery and increasing the global burden of disability. A multi-technology solution, co-created with people living with stroke, has been shown to be feasible in both sub-acute and chronic populations but has not been implemented as an integrated rehabilitation service.
The aim of this implementation study is to assess the ability of a technology enriched model of rehabilitation to deliver guideline recommendations in a range of NHS and local authority settings that provide rehabilitation services to stroke survivors at different stages of their recovery. The findings will be used to co-create a scalable, adaptable, and sustainable model that meets rehabilitation guidelines.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosis of stroke
Currently well
Suitable for rehabilitation (motor/ciommunication and or/cognitive impairment(
Able to attend the programme for two hours at least twice a week
Disqualifiers
Absolute contradictions to physical activity
Recent (6 weeks) deterioration in health
Change in medication
Currently unwell
Trial design
Design model
Single group
Treatments tested in this trial
Technology Enriched Rehabilitation
Other interventionThe intervention is an 8-week long rehabilitation programme delivered entirely through technology, including virtual reality (immersed and non-immersed), treadmills, weight suspension and movement resistance, and power assistance equipment located in a gym-like space on a university campus. Individual programs are designed, supervised, and reviewed by a physiotherapist using principles of intensity, feedback, cognitive engagement, and aerobic activity to address the goals identified by the participant and scores from outcome measures at baseline. Participants should attend a minimum of two times per week and can more frequently for the two hour group based circuit class.
Treatment groups
120 Participants
are divided into 1 treatment groupGroup A: Technology enriched rehabilitation: InterventionExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
10-meter walk test (10mWT)
Time to walk 10 metres
Time frame
Three time points; 1) Two weeks before intervention starts at the initial induction meeting,2) immediately before the intervention, and 4) immediately after intervention ends2
Five times sit to stand movement
Time to complete five sit to stand movements safely.
Time frame
Three time points; 1) Two weeks before intervention starts, at the induction meeting,2) immediately before the intervention and 3) immediately after intervention endsSecondary outcomes
1
Stroke Impact Scale
Quality of life index for people after stroke
Time frame
Two time points; 1) Two weeks before intervention starts and 2) immediately after intervention ends2
Action Research Arm Test (ARAT)
19 item observational measure to assess upper extremity performance (coordination, dexterity and functioning) after stroke
Time frame
Two time points; 1) Two weeks before intervention starts and 2) immediately after intervention endsOther outcomes
1
Communication Outcome after Stroke (COAST) scale
Patient-centred measure of communication effectiveness for people with aphasia after stroke
Time frame
Two time points; 1) Two weeks before intervention starts and 2) immediately after intervention endsLocations
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
University of Strathclyde
Lead sponsor
NHS Lothian
Collaborator
NHS Lanarkshire
Collaborator
Dundee Leisure and Culture
Collaborator
Source ClinicalTrials.gov
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