NCT04069767

Innovative Physiotherapy in Stroke Rehabilitation

Innovative Physiotherapy in Stroke Rehabilitation During the Subacute Stage - a Prospective Randomized Single Blinded Controlled Trial and a Qualitative Study

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 60 (actual)
• Sponsor: Nordlandssykehuset HF · Academic / Other
• Sex: All
• Age: 18 Years – 85 Years
• Healthy volunteers: Not accepted

Summary

The current study has the potential to improve rehabilitation during the subacute phase of a stroke, aiming to reduce the individual's disabilities and risk of falling, enhance health promoting physical activity and independence in ADL.

Detailed description

The purpose of the RCT is to investigate the effects of an innovative physiotherapy intervention, called I-CoreDIST when applied in comprehensive rehabilitation after discharge from a stroke unit and throughout the rehabilitation chain.The project investigate: 1) effects on postural control and balance in various positions and functional activities. Effects on and level of physical activity, and 2) user's identifications of positive and negative features in content and coordination of physiotherapy integrated in post stroke rehabilitation. Function parameters of balance, gait and levels of physical activity at baseline and at 12 weeks will be compared to those obtained from the standard care group. Semistructured interviews will be conducted to identify patients' perceptions of key positive and negative features of content and coordination of I-CoreDIST and standard care rehabilitation after a stroke.

Conditions

• Stroke, Ischemic
• Stroke Hemorrhagic

Interventions

Type	Name	Description
PROCEDURE	ICoreDIST	The intervention consists of exercises that demand enhancement of dynamic trunk stability and functional movements, combined with the following: 1. Optimised alignment and adaptation to the base of support and often using an unstable reference point for the trunk (therapeutic ball) or the distal body parts. 2. Enhanced somatosensory integration of hands, feet and face, including reduced influence of vision to enhance somatosensory integration. 3. Proximal stability prior to selective task-oriented movement of limbs, head, eyes. 4. Inclusion of dual tasks (motor/motor and motor/cognitive) in exercises and activities such as walking indoors, out-doors and climbing stairs. 5. Specific hands-on interactions or other adaptations to optimise alignment and neuromuscular recruitment. 6. Exercises combining core activation and moderate increase in heart rate: in lying, sitting, standing and walking.
PROCEDURE	Standard Care	According to national guidelines for stroke care, every patient in Norway will receive in-patient rehabilitation, home-based and out-patient based physiotherapy.

Timeline

• Start date: 2019-09-09
• Primary completion: 2021-12-05
• Completion: 2021-12-05
• First posted: 2019-08-28
• Last updated: 2022-09-28

Locations

2 sites across 1 country: Norway