About this trial
In this study, the investigators aim to assess the effectiveness of the Comprehensive Intensive Rehabilitation Program After Stroke implementing the International Classification of Functioning, Disability and Health model, and to compare it with two cohorts receiving Comprehensive Intensive Rehabilitation Program After Stroke of the same length but different in physical therapy content (program implementing modern technological approach and neuroproprioceptive "facilitation and inhibition"). Moreover, control group will undergo standard care.
Eligibility criteria
Qualifiers
adults
after first ischemic stroke
early sub-acute phase
slight to moderately severe disability [2 - 4 on the Modified Rankin Scale]
Disqualifiers
low level of consciousness (vegetative state and/or minimally conscious state); severe cognitive decline that would interfere with administration of the tests, premorbid illiteracy, severe visual and/or auditory deficit that would prevent proper completion of the tests
behavioural disorders and/or lack of cooperation with therapist
severe medical problems with a poor prognosis, (e.g., severe frailty, advanced and incurable cancer, fracture, cardiovascular disorders as chronic heart failure NYHA III, IV, symptomatic coronary artery disease Angina Severity Class III, IV, respiratory insufficiency as chronic obstructive pulmonary disease GOLD IV, and other severe disease)
Trial design
Treatments tested in this trial
- Neuroproprioceptive "facilitation, inhibition"
- Technology based physical therapy
- Effectively managed rehabilitation implementing the recommendations of the World Health Organization
- Standard care
Treatment groups
Sponsors and collaborators
Charles University, Czech Republic
Lead sponsor
Thomayer University Hospital
Collaborator
Academy of Science Czech Republic
Collaborator
Ministry of Health, Czech Republic
Collaborator
Vascular surgery, University hospital Královské Vinohrady, Prague
Collaborator