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 volunteersQualifiers
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
Parallel
Treatments tested in this trial
Web-Based Physical-Cognitive Telerehabilitation Exergaming
BehavioralPerform a physical-cognitive exergame via ExerbrainCMU web-based platform at home setting for 60 min/session, 3 sessions/week for 12 weeks.
Treatment groups
Trial outcomes
Primary outcomes
Executive function
Trail Making Test (TMT) part B-A will be evaluated at baseline and 3 months.
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.
Gait speed
10-Meter Walk test (10MWT) will be used to assessed gait speed at baseline and 3 months.
Secondary outcomes
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.
Attention
Digit Span test will be used to assess memory and attention at baseline and 3 months.
Motor function
Motor Assessment Scale (MAS) will be used to evaluate motor function at baseline and 3 months.
Balance
Modified Functional Reach Test (MFRT) will be used to assessed balance at baseline and 3 months.
Locations
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
This trial is not recruiting at the moment. You can still explore other options: