Telerehabilitation With Aims to Improve Lower Extremity Recovery Post-Stroke (TRAIL-RCT) (TRAIL-RCT)
Stroke, Stroke, Ischemic, Stroke Hemorrhagic
About this trial
This is an interventional treatment trial for Stroke focused on measuring Telerehabilitation, Lower Extremity, Self-Management, Education, Secondary Prevention, Stroke, Exercise
Eligibility Criteria
Inclusion Criteria:
- โฅ19 years of age, โค12 months post-stroke with lower extremity hemiparesis
- Able to walk โฅ10 meters with or without a gait aid and without physical assistance of another person
- Can tolerate 50 minutes of activity (including rest breaks)
- Has cognitive-communicative ability to participate, per clinical judgement
- Able to provide consent
- Has a caregiver, friend, or family member available to provide physical support during the assessment sessions
Exclusion Criteria:
- Currently participating in formal in- or out-patient stroke rehabilitation focusing on lower extremity training
- Living in long-term care
- Severe vision or hearing loss
- Significant musculoskeletal or other neurological conditions
- Not medically stable
- Comorbidities (e.g. limb amputation), pain or other symptoms that significantly impact lower extremity function
- Planned surgery that would preclude or affect participation in the protocol
Sites / Locations
- University of British ColumbiaRecruiting
- Dalhousie UniversityRecruiting
- Riverview Health CentreRecruiting
- Parkwood InstituteRecruiting
- University Health NetworkRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
TRAIL
EDUCATION
TRAIL is a 4-week progressive exercise and self-management intervention for lower extremity recovery delivered by a trained registered physical therapist, in a 2:1 participant-to-therapist ratio. Each participant grouping will receive two telerehabilitation sessions (60-90 minutes) each week for 4 weeks (total 8-12 hours).
The EDUCATION control arm is a 4-week education program focusing on stroke knowledge and risk factors. It will be delivered by health professionals who have experience working with individuals with stroke, knowledge of chronic disease self-management (e.g. physical or occupational therapists, nurses, kinesiologists), and who have completed study-specific training on the EDUCATION program Participants will receive video conferencing sessions with the same schedule and 2:1 participant-to-coach ratio as TRAIL. Each participant grouping will receive two educational telerehabilitation sessions (60-90 minutes) each week for 4 weeks (total 8-12 hours).