Metabolic Costs of Walking Post Stroke

Completed · Not applicable

Conditions studied: Acute Stroke

In brief

This will be a randomized, matched-group study to compare the cardiopulmonary / metabolic benefits for persons post stroke that learn to walk utilizing early treadmill training post-acute stroke to persons post stroke that learn to walk utilizing non-treadmill based gait training during the same time period. Participants (n=30) will be adults who have completed acute rehabilitation following a stroke. Random assignment will be to either the ESTT or traditional gait training protocol during the outpatient rehabilitation phase. 1. Group A: Traditional outpatient therapy (n = 15) 2. Group B: Treadmill training (ESTT) outpatient therapy (n = 15)

Key facts

Study ID

NCT02108912

Run by

University of Texas Southwestern Medical Center

People needed

16

Starts

2014-03-01

Expected to finish

2017-01-01

Last updated by the study team

2019-03-01

Who can join

Age: 18 and older, up to 80. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• confirmed diagnosis of recent cerebrovascular accident (CVA) (less than 6 weeks post at the time of admission to inpatient rehabilitation)
• able to give informed consent independently or have family member or other authorized surrogate available to give consent
• first time stroke OR complete gait recovery from prior stroke
• sufficient support at home to participate in home-based fitness training program
• transportation to University of Texas Southwestern Medical Center Gait Disorders Clinic (UTSW GDC) for therapy and testing
• ability to follow one-part commands

You may not qualify if…

• non-ambulatory before onset of stroke (at time of admission to inpatient rehabilitation)
• bilateral stroke
• presence of severe cardiac problems (heart failure [New York Heart Association > Class 2], unstable or exercise-induced angina)
• other co-morbidities which could affect gait training (i.e. amputation, spinal cord injury, traumatic brain injury, etc.)
• recent myocardial infarct (within 4 weeks of date of inpatient rehabilitation admission)
• any uncontrolled health condition for which exercise is contraindicated
• severe lower extremity joint disease/pathology that would interfere with gait training
• subjects -with body mass index (BMI) greater than 40
• significant cognitive impairment (less than 2 on the Functional Independence Measure [FIM] cognitive sub-scale)
• age greater than 80 years or less than 18 years
• able to complete 5 or more full heel raises with the affected ankle in standing with the knee extended with no more than one or two fingers on support surface for balance

Where it is running

• UT Southwestern School of Health Professions — Dallas, Texas, United States

Full record on ClinicalTrials.gov

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