Clinical trial NCT04875910: Effectiveness of Telerehabilitation in Improving Walking and Balance Among Stroke Survivors?
Official title: Could Telerehabilitation be a Promising Tool in Improving Walking and Balance Among Stroke Survivors? "Case Study"
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Stroke
Lead sponsor: King Saud University
Sponsor class: OTHER
First posted: 2021-05-06
Enrollment: 2
Sex: ALL
Minimum age (years): 40
Maximum age (years): 85
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: A good rehabilitation program may not be accessible for all individuals living with stroke due to cost, transportation and compliance. Telerehabilitation is an alternative health care program that may help in overcoming this issue. In this study we aim to find if the use of telerehabilitation in Saudi Arabia would improve balance and walking in stroke survivors during this pandemic.

Detailed description: Background: Rehabilitation program is commonly provided after stroke to improve functional outcomes. A good rehabilitation program may not be accessible for all individuals living with stroke due to cost, transportation and compliance. Telerehabilitation is an alternative health care program that has been used to provide therapy for stroke survivors living in rural areas. With COVID-19 pandemic, many stroke survivors have lost their access to rehabilitation. Therefore, telerehabilitation may help in overcoming this issue. In this study we aim to find if the use of telerehabilitation in Saudi Arabia would improve balance and walking in stroke survivors during this pandemic.

Methods: 2 stroke survivors ( male and female/ \>6 months post stroke) are included in this case study. Participants will receive a task-specific activity training (3days/week moderate exercises for 4 weeks) Both participants will provide feedback through questionnaires pre and post the 4 weeks intervention. We will use the Activities- specific balance confidence (ABC) scale, Lower limb functional scale (LEFS) and Stroke severity quality of life scale ( SS-Qol).

• Intervention: The participants will follow a home-based exercise through videos with follow up from the therapists for 4 weeks.

Eligibility criteria: Inclusion Criteria:

* Subjects who have been diagnosed with stroke 6 months or more.
* Either right or left hemiparesis.
* Subjects able to walk with or without assistive device.
* age between 40-70. 5) Subjects can understand and follow commands.

Exclusion Criteria:

* subjects with uncontrolled Blood pressure, heart rate or breathing problems.
* Having an orthopedic problem or pain that limits walking and standing.
* Subject with vestibular disorders.
* Subjects with cognitive disorders. 5) Subjects with hemi spatial neglect

Primary outcomes:
measure: Change of balance confidence -The Activities- specific balance confidence (ABC) scale
timeFrame: pre and post intervention (1st and 4th week)
Secondary outcomes:
measure: Change in lower extremity function - The lower extremity functional scale (LEFS)
timeFrame: pre and post intervention (1st and 4th week)
measure: Change in Quality of life - Stroke Specific Quality Of Life scale (SS-QOL
timeFrame: pre and post intervention (1st and 4th week)
Other outcomes:
Locations:
city: Riyadh
country: Saudi Arabia
facility: King Saud university
Study officials:
affiliation: Assistant professor at King Saud university
name: Almarwani, PhD
role: STUDY_DIRECTOR
References: