Status:

COMPLETED

Strength Training Effectiveness Post-Stroke (STEPS)

Lead Sponsor:

University of Southern California

Collaborating Sponsors:

Physical Therapy Clinical Research Network

Conditions:

Cerebrovascular Accident

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

The purpose of this study is to determine if treadmill training with body weight-support (BWST) is more effective at improving walking in individuals post-stroke than a resisted leg-cycling exercise p...

Detailed Description

Impaired walking ability is a hallmark residual deficit that contributes to post-stroke walking disability . Impairment in lower extremity muscle strength is a significant contributor to decreased wal...

Eligibility Criteria

Inclusion

  • age 18 years or older
  • 4 months to 5 years after first-time onset of a ischemic or hemorrhagic cerebrovascular accident (CVA) confirmed by CT, MRI, or clinical criteria
  • able to ambulate at least 14 meters with assistive and/or orthotic device and one person assist (minimum Functional Ambulation Classification Level II
  • self-selected walking velocity of ≤1.0 meters/second
  • approval of primary care physician to participate.

Exclusion

  • resting systolic blood pressure greater than 180mmHg and/or diastolic blood pressure greater than 110mmHg and/or resting heart rate greater than 100 beats/minute;
  • lower limb orthopedic conditions such as prior joint replacement or range of motion limitations;
  • spasticity management that included Botox injection (\< 4 months earlier) or phenol block injection (\< 12 months earlier) to affected lower extremity and intrathecal Baclofen or oral Baclofen (within past 30 days);
  • Mini-Mental State Exam score \< 24;
  • currently receiving lower extremity strengthening exercises or gait training,
  • past participation in any study examining the effects of long term (\>4 weeks training) body weight support treadmill training; limb loaded pedaling, or lower extremity strengthening;
  • plans to move out of the area in the next year,
  • no transportation to the study site for all evaluations and intervention sessions.

Key Trial Info

Start Date :

May 1 2004

Trial Type :

INTERVENTIONAL

End Date :

October 31 2010

Estimated Enrollment :

80 Patients enrolled

Trial Details

Trial ID

NCT00389012

Start Date

May 1 2004

End Date

October 31 2010

Last Update

April 6 2017

Active Locations (3)

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Page 1 of 1 (3 locations)

1

Rancho Los Amigos

Downey, California, United States, 90242

2

University of Southern California

Los Angeles, California, United States, 90089

3

Northwestern University

Chicago, Illinois, United States, 60611