Active Balance and Cardio Care Intervention on Physical and Cardiovascular Health in People With Chronic Stroke (ABCcare)
Chronic Stroke
About this trial
This is an interventional other trial for Chronic Stroke focused on measuring Chronic stroke, Dance-based exergaming
Eligibility Criteria
Inclusion Criteria: 45 to 90 years of age. Able to follow instructions provided in English. History of neurological impairment (Stroke) for at least 6 months prior to evaluation (self-report, confirmed by participant's physician). Able to stand and walk with or without assistive device or braces as part of their activities of daily living (self-report). Cognitive skills to actively participate (score of < 26 on Montreal cognitive assessment indicates cognitive impairment). Stroke - a) Upper extremity limb function (score of at least 25 on the Fugyl Myer Upper extremity test and Muscle performance grade on deltoid, pec major and and triceps of > or = 2/5). Exclusion Criteria: Cognitive or communicative impairment indicated by a score of > 26 on Montreal cognitive assessment and a score of <25 on Mini Mental State Exam Score; aphasia <71% on Mississippi Aphasia Screening Test >15 on Geriatric Depression Scale. unhealed pressure sores, active or untreated infection, thromboembolic disease, severe contractures, active heterotrophic ossification in the lower extremities, lower limb fractures, known history of peripheral nerve injury in the lower legs, history of cardiovascular or pulmonary complications, or with pacemakers and history of metabolic (endocrine, hepatic) or renal dysfunction, uncontrolled seizures (Self-report). History of any acute and significant cardiopulmonary, musculoskeletal or systemic diagnosis in the past 6 months or history of a recent major surgery (<6months) or hospitalization (<3months) and on any sedative drugs. Partcipants unavailable for 12 weeks of participation, Current participation in other treatment (i.e.- Botox) or other research studies during the phase of the study. Pregnancy. Uncontrolled pain >3/10 on VAS. Complains of shortness of breath Uncontrolled hypertension (systolic blood pressure (SBP) > 165 mmHg and/or diastolic blood pressure (DBP) > 110 mmHg during resting). Resting hear rate (HR) > 85% of age-predicted maximal heart rate (HRmax) (HRmax = 220 - age) [3]. Oxygen saturation (measured by pulse oximeter) during resting < 95%. Severe cardiac disease (New York Heart Association classification of IIIV) [1]. Exclusion Criteria for Laboratory Slip test. T score of < -2 on the Bone density, measured through via the heel ultrasound machine.
Sites / Locations
- University of Illinois at Chicago
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Virtual reality based dance group
Control
Virtual-reality based dance training - Participants received Virtual-reality based dance training for 10 weeks using the commercially available Kinect dance game (Microsoft Inc., Redmond, WA, U.S.A.) "Just Dance 3". The first six week session consisted of 5 sessions/week, next two weeks of 3 sessions/week and last two weeks of 2 sessions/week, for a total of 20 sessions. Participants played on 10 songs for the first 2 weeks, progressing to 12 songs during the 3nd and 4th weeks with an addition of 2 more songs of their choice during the last two weeks. Participants played on alternating slow- and fast-paced songs (each maximum of 4 minutes in duration) with a five minutes break after a set of one slow and fast song. The first 6 weeks are conducted in the laboratory. The next four weeks are conducted in the participants home via telerehabilitation. The four week sessions consisted of 3 sessions/week.
Participants in the control group will receive current standard of care: education on conventional exercise and fall prevention programs. The control and intervention groups will have the same duration of 10 weeks (1session/week), while the format of the contact (Tele) and session time of the contact will be proportional to the content delivered (30-45 minutes/session) in the control group; 80-90 minutes in the intervention group). Participants, regardless of randomization, will complete assessments and follow-ups with blinded outcome assessors.