Effects of an Aquatic Therapy Program Versus a Land Program in Patients Who Suffered a Stroke

Study Overview
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Brief Summary
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The objective of this study is to investigate the relative effectiveness of CCT on water versus on land in stroke patients. Additionally, the study will to determine if there are differences in the results obtained, between two CCT programs in the following parameters: gait, balance and dexterity

Detailed Description
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This study is a randomized controlled trial of the effectiveness of a structured CCT program in water versus a structured CCT program on land in the rehabilitation of stroke survivors.

Official Title
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Effects of an Aquatic Circuit Class Therapy Program Versus a Land Circuit Class Therapy Program in Patients Who Suffered a Stroke

Conditions
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Stroke, Hydrotherapy

Intervention / Treatment
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* Other: circuit class therapy in water
* Other: circuit class therapy on land


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with diagnosis of stroke (ischemic or hemorrhagic) onset ≤ 3 years; with hemiparesis secondary; age ≥18 to ≤ 90; provide a written informed consent; able to walk for at least 10 m without assistance Exclusion Criteria: patients with uncontrolled or risky conditions (acute myocardial infarction, arrhythmia, heart failure, uncontrolled hypertension or unstable cardiovascular state); with infectious diseases, ulcers or urinary and / or faecal incontinence; additional neurological and / or orthopedic deficits that alter ambulation; unable to follow treatment (cognitive, visual ...).

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 90 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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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: circuit class therapy in water<br>CCT on water. The intervention developed in this study will be through the realization of an exercise program in circuit (CCT). One of the groups will receive treatment in the water (intervention group), and the other on land (control group). In both groups, the intervention will be a 7-week class therapy, 3-times weekly, giving a total of 20 sessions. | Other: circuit class therapy in water<br>* The circuit, the main part of the session, include a series of 10 different workstations, arranged to progress in complexity, in order to work several segments of the body, oriented towards a functional recovery objective. These stations will be made up of task-specific activities for gait, balance and dexterity. Time in each workstation will be 5 minutes divided as follows: 4 minutes work period and 1 minute rest period, of these, last 30 seconds will be change period for crossing from one workstation to the next. After 50 minutes, each patient will have covered the 10 workstations, thus working in all of the objectives pursued in the realization on this CCT: gait, balance and dexterity.<br>|
| Experimental: circuit class therapy on land<br>CCT on land. The intervention developed in this study will be through the realization of an exercise program in circuit (CCT). One of the groups will receive treatment in the water (intervention group), and the other on land (control group). In both groups, the intervention will be a 7-week class therapy, 3-times weekly, giving a total of 20 sessions. | Other: circuit class therapy on land<br>* The circuit, the main part of the session, include a series of 10 different workstations, arranged to progress in complexity, in order to work several segments of the body, oriented towards a functional recovery objective. These stations will be made up of task-specific activities for gait, balance and dexterity. Time in each workstation will be 5 minutes divided as follows: 4 minutes work period and 1 minute rest period, of these, last 30 seconds will be change period for crossing from one workstation to the next. After 50 minutes, each patient will have covered the 10 workstations, thus working in all of the objectives pursued in the realization on this CCT: gait, balance and dexterity.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 10 meters walk test |  | 60 seconds | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Test Up & Go |  | 5 minutes | 
| Berg Balance Scale (BBS) |  | 20 minutes | 
| Romberg Test |  | 1 minute | 
| Fugl-Meyer Assessment |  | 15 minutes | 
| Functional Reach Test (FRT) |  | 10 minutes | 
| Box and block test |  | 5 minutes | 
| Self-efficacy Scale |  | 5 minutes | 
| Activities-Specific Balance Confidence Scale (ABC) |  | 10 minutes | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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circuit class therapy, ICF model, aquatic therapy, neuro-rehabilitation