Focused Intensive Repeated Stepping During Inpatient Rehabilitation Poststroke - A Quality Improvement Project
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-89
SponsorIndiana University
About this trial
The purpose of this quality improvement project was first to monitor usual physical therapy care (types \& cardiovascular intensity of interventions and amount of stepping practice provided) and outcomes. Following which educational training and support was provided to treating physical therapists to encourage implementation of evidence-based practices. Specifically, therapists were encouraged to prioritize the practice of walking, particularly at higher cardiovascular intensities during scheduled therapy sessions. Fidelity metrics in the form of chart audits and pedometer-based step counts were utilized to determine compliance with the evidence-based intervention and ultimately investigated for potential effects on patient outcome measures.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
< 2 months poststroke
Disqualifiers
restrictions in lower extremity weightbearing (e.g., amputation or lower limb fracture)
unable to ambulate > 50 m prior to their most recent stroke
discharged to home from inpatient rehabilitation after < 1 week
Trial population
Individuals admitted to the Rehabilitation Hospital of Indiana for acute inpatient rehabilitation poststroke
Trial design
Design model
Cohort
Time perspective
Other
Treatments tested in this trial
inpatient physical therapy poststroke
Other interventionroutine care
Treatment groups
2,000 Participants
are divided into 1 treatment groupGroup A: Patients undergoing inpatient rehabilitation poststroke1 intervention
Trial outcomes
Primary outcomes
1
Change in 10 meter walk test
Differences in time for individual to ambulate 10 meters (with middle 6 meters timed) with directions "walk at your usual, comfortable pace" from admission and discharge from inpatient rehabilitation
Time frame
Time from admission & discharge inpatient rehabilitation or approximately 20 days2
Change in 6 minute walk test
Differences in distance able to be ambulated during a 6 minute period with directions "cover as much ground as possible" from admission and discharge from inpatient rehabilitation
Time frame
Time from admission & discharge inpatient rehabilitation or approximately 20 days3
Change in 6 minute walk test level of assistance
Differences in amount of physical assistance provided by physical therapist during 6 minute walk test
Time frame
Time from admission & discharge inpatient rehabilitation or approximately 20 daysSecondary outcomes
1
Change in Berg Balance Scale
Differences in performance on a 14 item static balance assessment
Time frame
Time from admission & discharge inpatient rehabilitation or approximately 20 days2
Change in Functional Independence Measure - bed to chair transfer subscore
Differences in performance during task assessed using an ordinal score (0-7) for amount of physical assistance necessary to complete functional task
Time frame
Time from admission & discharge inpatient rehabilitation or approximately 20 days3
Change in Functional Independence Measure - toilet transfer subscore
Differences in performance during task assessed using an ordinal score (0-7) for amount of physical assistance necessary to complete functional task
Time frame
Time from admission & discharge inpatient rehabilitation or approximately 20 days4
Change in Functional Independence Measure - locomotion
Differences in performance during task assessed using an ordinal score (0-7) for amount of physical assistance necessary and distance covered during level overground ambulation
Time frame
Time from admission & discharge inpatient rehabilitation or approximately 20 daysOther outcomes
1
Incidence of significant adverse events
Includes death, new cerebrovascular events, or rehospitalization
Time frame
Throughout time from admission & discharge inpatient rehabilitation or approximately 20 days2
Incidence of falls without injuries
Medical documentation indicating a fall without an associated significant adverse event
Time frame
Throughout time from admission & discharge inpatient rehabilitation or approximately 20 daysSponsors and contacts
Click on the lead sponsor to view all of their trials.
Indiana University
Lead sponsor
ACL Administration for Community Living
Collaborator
Shirley Ryan AbilityLab
Collaborator
Source ClinicalTrials.gov