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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00108030
Registration number
NCT00108030
Ethics application status
Date submitted
12/04/2005
Date registered
13/04/2005
Date last updated
3/12/2015
Titles & IDs
Public title
PBWST (Partial Body-Weight Supported Treadmill Training) and Muscle Power Training After Sub-acute Stroke
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Scientific title
A RCT of Power Training and Treadmill Training to Improve Walking Ability in Sub-acute Stroke Patients
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Secondary ID [1]
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Australia: NHMRC 301974
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Secondary ID [2]
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NHMRC 301974
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Stroke
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Condition category
Condition code
Stroke
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Haemorrhagic
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Stroke
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Ischaemic
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Distance walked in 6-min
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Assessment method [1]
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Timepoint [1]
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Secondary outcome [1]
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Other walking variables and balance variables: *The total number of steps taken during waking hours, using an accelerometer with a large capacity data logger. *Temporal and spatial variables associated with walking, as well as balance will be assessed.
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Assessment method [1]
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Timepoint [1]
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Secondary outcome [2]
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Lower limb muscular strength, power and endurance will be assessed using the pneumatic resistance machines.
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Assessment method [2]
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Timepoint [2]
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Secondary outcome [3]
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Cardiorespiratory fitness will be assessed from variables collected during a maximal effort cycle test and a multistage exercise test.
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Assessment method [3]
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Timepoint [3]
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Secondary outcome [4]
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Scales and questionnaires will provide an assessment of changes in the subject's psychological and functional states.
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Assessment method [4]
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Timepoint [4]
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Secondary outcome [5]
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Scales include a stroke impact scale, a self-efficacy scale, health related qualify of life questionnaire, and a geriatric depression scale.
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Assessment method [5]
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Timepoint [5]
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Eligibility
Key inclusion criteria
* First stroke resulting in hemiplegia;
* Mini-Mental State Exam score > 15;
* Distance walked in 6-min walk test is less than the lower limit of 'normal' according to reference equations for healthy adults (adjusted for gender, age, BMI [Body Mass Index])
* Score on walking subscale of the Motor Assessment Scale of = 2.
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Minimum age
45
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Unstable cardiac disease,
* Known un-repaired aortic or cerebral aneurysm
* Hemorrhagic stroke, symptomatic hernias, symptom limiting peripheral vascular disease,
* End-stage congestive cardiac failure,
* Any of the exclusion criteria contraindicating moderate exercise as outlined by American College of Sports Medicine guidelines for cardiac disease rehabilitation or for frail and elderly adults.
* Significant musculotendinous or bony restrictions of either limb,
* Any serious chronic disease independently causing significant disability or profound atrophy of the affected limb will comprise further exclusion criteria.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Factorial
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/03/2004
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/12/2006
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Sample size
Target
102
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Rehabilitation Research Centre, University of Sydney - Sydney
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Recruitment hospital [2]
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School of Physiotherapy, University of Sydney - Sydney
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Recruitment hospital [3]
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Coorabel Brain Injury Unit, Royal Rehabilitation Centre Sydney - Sydney
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Recruitment postcode(s) [1]
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2141 - Sydney
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Recruitment postcode(s) [2]
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- Sydney
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Funding & Sponsors
Primary sponsor type
Other
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Name
University of Sydney
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The specific aim of this project is to improve walking ability in persons following stroke using 'treadmill training plus power training'. This modality addresses the two major impairments followings stroke: weakness and incoordination, as well as loss of fitness. Importantly, this training will be presented at higher intensity and greater volume than is currently received. Furthermore, to ensure that persons continue to maintain the level of improvement from an intensive exercise program, we will also implement a behavioral change for long-term maintenance of exercise behavior in a less supervised environment. A randomized controlled clinical trial will be conducted in 102 sub-acute stroke patients to ascertain the efficacy of this approach to improving walking ability. Hypotheses: 1. Walking endurance will be increased to a greater degree in a patient group receiving treadmill plus muscle power training compared with a treadmill training only group, or 'usual care' group. 2. Gait stability, muscle function, aerobic fitness and balance will improve more in a group receiving treadmill plus muscle power training, than either those in treadmill training or usual care patient groups. 3. Habitual activity levels will be higher in the group receiving treadmill plus muscle power training compared with a treadmill training only group or 'usual care' group. 4. The change in 6-minute walk distance will be positively related to changes in muscle power, strength and endurance, aerobic fitness, gait mechanics, and balance. 5. Baseline depression and low self-efficacy will be associated with less robust adaptations to all types of training and lower rates of long-term compliance to the exercise prescription in the experimental groups.
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Trial website
https://clinicaltrials.gov/study/NCT00108030
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Sharon L Kilbreath, PhD
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Address
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University of Sydney
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Country
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Phone
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Fax
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Email
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Contact person for public queries
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Address
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Country
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00108030
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