Adaptive Sports for Individuals With a Physical Disability : Effect Among Stroke Survivors

Study Overview
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Brief Summary
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The objective of the study is to evaluate the effect of engaging in adaptive sports for individuals who have had a stroke. The study is cross-sectional, participants with stroke will be recruited and divided into two groups: the first group composed of individuals with stroke who regularly participate in adaptive sports; and the second of individuals with stroke who do not regularly participate in adaptive sports. The two groups will have to be similar in terms of demographic variables (age, gender, time since beginning of stroke). A series of parameters will be tested, on one occasion for each participant. The two groups will then be compared to one another.

Official Title
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L'activitié Physique Sportive organisée Pour Sujets en Situation de Handicap : Impact Chez Les Sujets Post-accident Vasculaire cérébrale, Sur Les Trois Domaines de la Classification Internationale du Fonctionnement, du Handicap et de la santé (CIF)

Conditions
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Stroke

Intervention / Treatment
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* Other: Adaptive sports


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: diagnosis of stroke since at least 6 months prior to recruitment in the study persistent physical disability due to the stroke adequate understanding of french Exclusion Criteria: significant cognitive impairments contra-indication of any type to performing physical activity and physical exercise

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Adaptive sports group<br>Individuals with stroke who regularly, and on a long-term basis, participate in adaptive sports | Other: Adaptive sports<br>* Participation in community adaptive sports programs<br>|
| Non adaptive sports group<br>Individuals with stroke who do not engage in adaptive sports | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Functional walking | Measured through a 6 minute-walk test where participants walk back and forth from one cone to another (placed 30 meters away), during 6 minutes. The distance walked in the 6 minutes is calculated. | baseline | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Physical endurance | Measured through a sub-maximal effort test on cycle ergometer. | baseline | 
| Motor impairment | Measured by the Fugl-Meyer Assessment. The score ranges from 0-226, where lower scores represent greater motor impairment. | baseline | 
| Upper and lower limb strength | Measured using a manual dynamometer (microfet), in flexion, extension, adduction, abduction, internal rotation and external rotation of each limb. | baseline | 
| Functional autonomy | Measured using the Functional Independence Measure. Total scores range from 8 to 126 points. A lower score corresponds to complete dependence/no autonomy. | baseline | 
| Functional walking capacity | Measured by the timed up and go test. | baseline | 
| Functional walking speed | Measured by the 10 meter walk test. | baseline | 
| Locomotion ability | Measured by the Abiloco questionnaire. Score ranges from 0 to 13, where lower scores represent loss locomotion ability. | baseline | 
| Balance | Measured by the Activities-specific balance confidence scale. Scores range from 0 to 160, where higher score mean better confidence in balance. | baseline | 
| Physical activity level (subjective) | Measured by the Physical activity scale for individuals with physical disabilities. Scores range from 0 to 199.5 MET hour per day, where a greater score represents a greater level of physical activity. | baseline | 
| Volume of physical activity performed daily | Measured by an accelerometer. | baseline, during one week | 
| Fatigue | Measured by the fatigue severity scale. Scores range from 9 to 63 where a higher score represents greater fatigue severity. | baseline | 
| Satisfaction with quality of life | Measured by the EUROHIS-QOL (European Health Interview Survey, Quality of Life) 8 item questionnaire. Scores range from 0 to 40, with a greater score representing a better quality of life. | baseline | 
| Social participation | Measured by the Return to normal living index, a scale ranging from 0 to 100, with a greater score for greater social participation. | baseline | 
| Intensity of physical activity performed daily | Measured by a heart rate monitor | baseline, during one week |