Telerehab Exerbrain: Bridging Physical and Cognitive Therapy in Stroke

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age20-80
SponsorChiang Mai University

About this trial

The goal of this clinical trial is to learn if a web-based exercise and cognitive training (physical-cognitive) program works to improve movements and brain function in adults with long-term stroke. It will also learn whether the program is safe and enjoyable.

The main questions it aims to answer are:

Does the program improve walking, balance, strength, and reduce fall risk? Does the program improve cognitive skills such as memory, attention, and problem-solving? Researchers will compare the online exercise-and-cognitive training program to usual care to see if the program leads to greater improvements.

Participants will:

* Be randomly assigned to either the online training group or the usual care group * If in the training group, complete the home-based program for 12 weeks. * Take part in physical and cognitive tests before and after the program

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

diagnosed with ischemic or hemorrhagic stroke at least 6 months before enrollment

aged between 20 and 80 years

able to walk at least 10 meters with or without assistive devices

able to perform sit-to-stand safely with or without assistive devices

Disqualifiers

have medical conditions or complications that would be unsafe to exercise

have neglect, impaired communication, or uncorrected visual problems [30], or - have severe spasticity of the upper or lower extremities (Modified Ashworth Scale ≥ 3)

Trial design

Design model

Parallel

Treatments tested in this trial

  • Web-Based Physical-Cognitive Telerehabilitation Exergaming

    Behavioral

    Perform a physical-cognitive exergame via ExerbrainCMU web-based platform at home setting for 60 min/session, 3 sessions/week for 12 weeks.

Treatment groups

52 Participants
are divided into 2 treatment groups
Group A: Web-Based Physical-Cognitive Telerehabilitation ExergamingExperimental treatment 1 intervention
Group B: ControlNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Executive function

Trail Making Test (TMT) part B-A will be evaluated at baseline and 3 months.

Time frame
3 months
2

Fall risk

Fall risk will be assessed using the Timed Up and Go (TUG) test at baseline and 3 months. The time taken to complete TUG will be recorded in Sec.

Time frame
3 months
3

Gait speed

10-Meter Walk test (10MWT) will be used to assessed gait speed at baseline and 3 months.

Time frame
3 months.

Secondary outcomes

1

Global cognitive function

Montreal Cognitive Assessment (MoCA) test will used to measured global cognitive function at baseline and 3 months.The total scores range from 0-30 points with higher scores indicating better global cognitive function.

Time frame
3 months
2

Attention

Digit Span test will be used to assess memory and attention at baseline and 3 months.

Time frame
3 months
3

Motor function

Motor Assessment Scale (MAS) will be used to evaluate motor function at baseline and 3 months.

Time frame
3 months
4

Balance

Modified Functional Reach Test (MFRT) will be used to assessed balance at baseline and 3 months.

Time frame
3 months

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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