Clinical trial NCT06278259: Telerehabilitation Program Bases Aerobic and Baduanjin Exercises in Post Stroke Elderly Patients
Official title: Telerehabilitation Program Bases Aerobic and Baduanjin Exercises on Cognition , Sleep Quality and Physical Performance in Post Stroke Elderly Patients
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Stroke
Lead sponsor: Cairo University
Sponsor class: OTHER
First posted: 2024-02-26
Enrollment: 60
Sex: ALL
Minimum age (years): 65
Maximum age (years): 75
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: It is an interventional study in which 60 stroke patients estimated to enroll according to random allocation and will divided into two groups. The study group participants will involve in Telerehabilitation sessions will be based on low-impact rhythmic movements, guided by video with the Baduanjin exercise program ,the control group will receive the same aerobic exercises only

Detailed description: It is an interventional study in which 60 stroke patients estimated to enroll according to random allocation and will divided into two groups. The study group participants will involve in Telerehabilitation sessions will be based on low-impact rhythmic movements, guided by video, according to the protocol of (Schachter et al., 2003). The telerehabilitation program will be moderately intense aerobic exercise 3 times per week and will be included 3 parts: warm-up, central part, and cool-down. Each session : 30 min, 3 sessions/ week for 3 months.

The repetition rate will determine the intensity of the exercises: 10, 15, 20, or 25 repetitions per minute. The exercise intensity of each telerehabilitation session will be individually adjusted by the participants' Modified Borg perceived exertion. With the Baduanjin exercise program is delivered individually, at each patient's home, through telerehabilitation, with direct remote supervision by a physiotherapist. Each session consists of a short preparatory phase (stretching exercises and abdominal breathing patterns) follows by a set of seven movements, adapts from the eight-section brocade Baduanjin exercise that originally comprises eight movements, repeated a certain number of times.The control group will receive the same aerobic exercises only

Eligibility criteria: Inclusion Criteria:

* • The subject selection will be according to the following criteria:

  * All Patients of this study will be diagnosed as stroke and the diagnosis will be confirmed by computed tomography or MRI (El-Tamawy et al., 2021).
  * Age of patients will be more than or equal 65years (males and females).
  * All patients will be hemodynamically stable.

Exclusion Criteria:

* • The potential participants will be excluded if they meet one of the following criteria:

  * Patients who cannot follow instructions as sensory aphasia, blindness, dementia, and deafness.
  * Patients with any orthopedic, neurological, or chest disorders that affect trunk muscles control or cause respiratory disorders as COPD.
  * Patients with psychiatric disorders.
  * Patients with unstable cardiovascular conditions.
  * uncontrolled hypertension, or other concomitant respiratory diseases
  * participate at any research or rehabilitation program during the period of this study

Primary outcomes:
measure: physical function
timeFrame: 12 weeks
Secondary outcomes:
measure: Cognitive function
timeFrame: 12 weeks
measure: sleep quality
timeFrame: 12 weeks
measure: participants' satisfaction with the program
timeFrame: 12 weeks
Other outcomes:
Locations:
city: Cairo
country: Egypt
facility: Faculty of Physical Therapy
state: Dokki
Study officials:
affiliation: Cairo University
name: marwa elsayed, PhD
role: PRINCIPAL_INVESTIGATOR
References: