About this trial
The goal of this clinical trial is to learn if a web-based exercise and cognitive training (physical-cognitive) program works to improve movements and brain function in adults with long-term stroke. It will also learn whether the program is safe and enjoyable.
The main questions it aims to answer are:
Does the program improve walking, balance, strength, and reduce fall risk? Does the program improve cognitive skills such as memory, attention, and problem-solving? Researchers will compare the online exercise-and-cognitive training program to usual care to see if the program leads to greater improvements.
Participants will:
* Be randomly assigned to either the online training group or the usual care group * If in the training group, complete the home-based program for 12 weeks. * Take part in physical and cognitive tests before and after the program
Eligibility criteria
Qualifiers
diagnosed with ischemic or hemorrhagic stroke at least 6 months before enrollment
aged between 20 and 80 years
able to walk at least 10 meters with or without assistive devices
able to perform sit-to-stand safely with or without assistive devices
Disqualifiers
have medical conditions or complications that would be unsafe to exercise
have neglect, impaired communication, or uncorrected visual problems [30], or - have severe spasticity of the upper or lower extremities (Modified Ashworth Scale ≥ 3)
Trial design
Treatments tested in this trial
- Web-Based Physical-Cognitive Telerehabilitation Exergaming