Enhanced Physical Therapy for Stroke

Overseen By Shannon Lim, PhD

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: University of British Columbia

Disqualifiers: Serious gait disorder, Neurological condition, Uncontrolled diabetes, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 4

306 Participants Needed

Trial Summary

What is the purpose of this trial?

The aim of this study is to assess the effect of implementing best practices into current stroke rehabilitation physical therapy on walking outcomes. Participants will also be provided an activity monitor to help them track and target their walking practice to determine if this can improve walking ability.

Research Team

Janice J Eng, PhD

Principal Investigator

University of British Columbia

Eligibility Criteria

This trial is for adults over 19 who've had a stroke within the last 12 weeks and want to improve their walking. They should be medically stable, able to take at least five steps with or without help, and not have a normal walking speed. People can't join if they're in another exercise study, have severe pain that limits exercise, had certain conditions before their stroke like serious gait disorders or neurological diseases, or are in an experimental drug study.

Inclusion Criteria

I walk slower than most people.

I can walk at least 5 steps with minimal help or a device.

Improving my walking is one of my rehab goals.

Exclusion Criteria

I had a neurological condition or serious medical issue like uncontrolled diabetes before my stroke.

I have severe pain in my body or joints that stops me from exercising.

I am expected to undergo less than 2 weeks of daily rehab.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Usual Care

Participants receive usual physical therapy care at the start of the study

Varies by site

Regular visits as per usual care schedule

Enhanced Usual Care

Implementation of best practice physical therapy for locomotor retraining

12 months

Regular visits as per enhanced care schedule

Follow-up

Participants are monitored for safety and effectiveness after treatment

12 months

Follow-up assessments at 4 weeks and 12 months post-stroke

Treatment Details

Interventions

• Enhancing Physical Therapy Usual Care
• Physical Therapy Usual Care

Trial Overview The trial is testing whether adding best practices to usual care physical therapy helps people walk better after a stroke compared to just usual care. Participants will also use an activity monitor during the trial to see if it aids in improving their walking ability.

Participant Groups

Group I: Enhanced Physical Therapy Usual Care Experimental Treatment 1 Intervention

Best practice implemented

Group II: Usual Physical Therapy Care Active Control 1 Intervention

Physical Therapists continue usual care

Who Is Running the Clinical Trial?

University of British Columbia

Lead Sponsor

Trials

1,506

Recruited

2,528,000+