Effects of a Community-based Group Rehabilitation Program for Dynamic Balance and Mobility Post Stroke
Sequelae of Stroke
About this trial
This is an interventional treatment trial for Sequelae of Stroke focused on measuring community-stroke-rehabilitation,, group-exercise,, balance-mobility-exercise,, instrumented treadmill
Eligibility Criteria
Inclusion Criteria:
- community dwelling individuals, who have suffered a single stroke of thrombic -embolic or hemorrhagic origin in the last 3-12 months and are waiting for outpatient rehabilitation ,
- Aged 50-70 years,
- Montreal Cognitive Assessment score greater than 26,
- English-speaking and possess the ability to understand the nature of the study and provide informed consent,
- Independent in sit to stand transfer and ambulatory functions, with or without an assistive device (cane or walker), f ) Gait speed (average over 25 meters) between 0.3 and 0.8 m/s and Berg Balance Scale score of less than 45.
Exclusion Criteria:
Any medical condition or disability that prevents participation in an exercise program. For example, a reported medical history of current treatment for cancer, kidney disease, recent fracture, uncontrolled diabetes or seizure disorder, uncontrolled cardiovascular-related problems .
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Sites / Locations
- School of Medical Rehabilitation , University of Mantioba
- Riverview Health Centre
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
conventional physical Therapy
community-based group rehabilitation
will receive a conventional out-patient program which will include: lower extremity stretching and strengthening exercise; fitness using cycle ergometer; balance exercises in standing; over ground walking and stair exercises
Group training will include different workstations to target dynamic standing balance and walking. The key features includes facilitate repetition of task-related movements, tailored to the patient and patient's goals, in a meaningful context. Specifically: Advanced dynamic tasks, including stepping and other transitional tasks to treadmill & over ground walking) with use of various inexpensive exercise "assistive" equipment such as mini-exercise stepper or elliptical machines. Treadmill walking exercise program.