[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100464147":3},{"organization":4,"armGroups":7,"interventions":31,"overallOfficials":47,"centralContacts":51,"locations":56,"responsibleParty":74,"collaborators":77,"id":87,"slug":88,"hasResults":89,"nctId":90,"briefTitle":91,"officialTitle":92,"acronym":93,"eligibilityCriteria":94,"healthyVolunteers":89,"sex":95,"minAge":96,"maxAge":97,"enrollmentInfo":98,"targetDuration":36,"studyType":101,"phases":102,"briefSummary":104,"conditions":105,"keywords":109,"overallStatus":59,"whyStopped":36,"lastUpdateSubmitDate":113,"lastUpdatePostDateStruct":114,"startDateStruct":117,"completionDateStruct":119,"leadSponsor":121,"locationsCount":122},{"fullName":5,"class":6},"Charles University, Czech Republic","OTHER",[8,14,19,25],{"label":9,"type":10,"description":11,"interventionNames":12},"Neuroproprioceptive \"facilitation, inhibition\"","ACTIVE_COMPARATOR","According to the doctor's indication, a multidisciplinary team participates in the program. The practitioner from each clinical field (rehabilitation and physical medicine, physiotherapy, occupational therapy, clinical speech therapy and psychology) selects appropriate treatment methodologies for each patient (three hours). In addition, participants undergoes one hour a day of individual physiotherapy on a neurophysiological basis - neuroproprioceptive \"facilitation, inhibition\", which, by combining appropriate stimuli in a suitable time sequence, maintains optimal motor pathway function and optimal irritability of control or regulation structures.",[13],"Behavioral: Neuroproprioceptive \"facilitation, inhibition\"",{"label":15,"type":10,"description":16,"interventionNames":17},"Technology based physical therapy","According to the doctor's indication, a multidisciplinary team participates in the program. The practitioner from each clinical field (rehabilitation and physical medicine, physiotherapy, occupational therapy, clinical speech therapy and psychology) selects appropriate treatment methodologies for each patient (three hours). In addition, they will undergo physiotherapy for an hour a day using the implementation of modern technologies based on the principles of sensorimotor learning, i.e. repeating specific and targeted functions in different environments \u002F conditions in order to strengthen the memory footprint and initiate structural changes in the central nervous system. According to the indication, participants will be offered one of the robotic systems using an exoskeleton (Gloreha, Erigo and Meditutor, Lokomat and Ekso) or a therapy using virtual environment.",[18],"Behavioral: Technology based physical therapy",{"label":20,"type":21,"description":22,"interventionNames":23},"Effectively managed rehabilitation implementing the recommendations of the World Health Organization","EXPERIMENTAL","The concept of therapy implementing the ICF model is based on a comprehensive, so-called biopsychosocial approach to the patient and his\u002Fher disease (four hours). The key is to set individual goals of the therapy together with the rehabilitator and with the use of so-called ICF core sets, which individually take into account the given situation of the rehabilitated person. This approach includes interdisciplinary diagnosis of the current condition, i.e. not only based on the diagnosis, but also on the functional status and activities performed, it also takes into account the socio-psychological background of the patient.",[24],"Behavioral: Effectively managed rehabilitation implementing the recommendations of the World Health Organization",{"label":26,"type":27,"description":28,"interventionNames":29},"Control group","PLACEBO_COMPARATOR","Participants will undergo standard care.",[30],"Behavioral: Standard care",[32,37,40,43],{"type":33,"name":9,"description":34,"armGroupLabels":35,"otherNames":36},"BEHAVIORAL","Participants will undergo a standard comprehensive intensive rehabilitation program three hours a day for three weeks and moreover one hour a day of neuroproprioceptive \"facilitation, inhibition\" physical therapy.",[9],null,{"type":33,"name":15,"description":38,"armGroupLabels":39,"otherNames":36},"Participants will undergo a standard comprehensive intensive rehabilitation program three hours a day for three weeks and moreover one hour a day of technology based physical therapy.",[15],{"type":33,"name":20,"description":41,"armGroupLabels":42,"otherNames":36},"Participants will undergo a four hour a day for three weeks of effectively managed comprehensive intensive rehabilitation implementing the recommendations of the World Health Organization.",[20],{"type":33,"name":44,"description":45,"armGroupLabels":46,"otherNames":36},"Standard care","Participants will undergo standardly provided care including face to face physiotherapy (bed mobility, transfers, gait, therapeutic exercises, positioning, education).",[26],[48],{"name":49,"affiliation":5,"role":50},"Kamila Řasová, Dr.","PRINCIPAL_INVESTIGATOR",[52],{"name":49,"role":53,"phone":54,"phoneExt":36,"email":55},"CONTACT","+420604511416","kamila.rasova@gmail.com",[57],{"facility":58,"status":59,"city":60,"state":36,"zip":61,"country":62,"countryCode":36,"cosmosGeoPoint":63,"geoPoint":68,"contacts":69},"Thomayer University Hospital","RECRUITING","Prague","140 59","Czechia",{"type":64,"coordinates":65},"Point",[66,67],14.42076,50.08804,{"lat":67,"lon":66},[70],{"name":71,"role":53,"phone":72,"phoneExt":36,"email":73},"Tom Philip, MD, Ph.D.","+420737273589","tom.philipp@ftn.cz",{"type":50,"investigatorFullName":75,"investigatorTitle":76,"investigatorAffiliation":5,"oldNameTitle":36,"oldOrganization":36},"Kamila Řasová","associate professor PhDr. Kamila Řasová, Ph.D.",[78,79,82,85],{"name":58,"class":6},{"name":80,"class":81},"Academy of Science Czech Republic","UNKNOWN",{"name":83,"class":84},"Ministry of Health, Czech Republic","OTHER_GOV",{"name":86,"class":6},"Vascular surgery, University hospital Královské Vinohrady, Prague","100464147","comprehensive-intensive-stroke-rehabilitation-100464147",false,"NCT05323916","Comprehensive Intensive Stroke Rehabilitation","Motor Recovery Following the Comprehensive Intensive Rehabilitation Program After Stroke Implementing the International Classification of Functioning, Disability and Health Model: A Randomized Controlled Trial Protocol","COMIRESTROKE","Inclusion Criteria:\n\n* adults\n* after first ischemic stroke\n* early sub-acute phase\n* slight to moderately severe disability \\[2 - 4 on the Modified Rankin Scale\\]\n* 0 - 2 on the Pre-Stroke Modified Rankin Score\n* potential to accept 4 hours of comprehensive rehabilitation per day and to profit from physiotherapy\n* minimal or moderate motor deficit of upper or lower extremities (on NIHSS Item 5 or 6 scores 1-3 points)\n* able to perform activities of daily living prior to stroke event (0 - 2 on the Pre-Stroke Modified Rankin Score)\n* Czech is participants' native language or its knowledge is at the level of the mother tongue\n\nExclusion Criteria:\n\n* low level of consciousness (vegetative state and\u002For minimally conscious state); severe cognitive decline that would interfere with administration of the tests, premorbid illiteracy, severe visual and\u002For auditory deficit that would prevent proper completion of the tests\n* behavioural disorders and\u002For lack of cooperation with therapist\n* 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)","ALL","18 Years","85 Years",{"count":99,"type":100},280,"ESTIMATED","INTERVENTIONAL",[103],"NA","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.",[106,107,108],"Stroke","Rehabilitation","Physical Therapy Modalities",[110,111,112],"Technology","Goals","Neuroproprioceptive \"facilitation and inhibition\"","2024-08-19",{"date":115,"type":116},"2024-08-20","ACTUAL",{"date":118,"type":116},"2022-05-01",{"date":120,"type":100},"2026-01-15",{"name":5,"class":6},1]