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Adaptive Physical Activity for Chronic Stroke - NCT00773370-21201(Clinical Trial 247639)



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City:  Baltimore
State:  
MD
Zip Code: 21201
Conditions: Stroke
Purpose: This study will compare the Adaptive Physical Activity program (APA) to a less vigorous group exercise program, (Sittercize) to see if APA leads to greater improvements in walking endurance, quality of life, and participation in social activities.
Study summary: The purpose of this study is to translate the Italian APA exercise model into a sustainable, evidence-based VA community program of exercise for older adults with chronic stroke. Our short-term objectives are to test study hypotheses using a Randomized Clinical Trial (RCT) with an Attention Control (also referred to as the "Sittercize" exercise program). We will also explore factors related to exercise adherence in a community program for chronic stroke survivors. Our longer term objective is to disseminate this model to facilitate the development of a network of community-based exercise programs for older adults with chronic stroke. In the RCT we propose to offer courses in Office of Aging (OoA) Senior Centers and a Veterans of Foreign Wars (VFW) hall. At the conclusion of the research study, the OoA plans to continue offering APA-stroke courses. Through partnership, the Veterans Health Administration (VHA) and the Administration of Aging (AoA) can potentially replicate this model at the community throughout the U.S. using local OoA Senior Centers, VFWs, and other facilities that would increase community access for veterans.
Criteria: Inclusion Criteria: - evidence of stroke (ischemic or hemorrhagic) minimum 6 months prior in men or women ages 40 or older; - residual hemiparetic gait deficits; - already completed all conventional inpatient and outpatient physical therapy; - ability to rise from a chair unaided and without an assistive device Exclusion Criteria: - cardiac history of active unstable angina, recent (less than 3 months) myocardial infarction, or congestive heart failure (NYHA category II or higher); - orthopedic, circulatory, or chronic pain conditions restricting exercise; - active cancer; poorly controlled hypertension ( greater than 180/100 on 2 readings separated by 5 minutes rest); - dementia; - severe receptive or global aphasia with inability to follow 2-step commands; - co-morbid non-stroke neurological disorder that impairs mobility (e.g. MS or Parkinson's); - untreated clinical depression; - inability to complete the "6-Minute Walk" test during baseline testing
Study is available at: VA Maryland Health Care System, Baltimore
Baltimore, MD 21201
United States

Primary Contact:
Fred Ivey, PhD
Email: fivey@grecc.umaryland.edu

Secondary Contact:
Jessica Hammers, BS
Email: jessica.hammers@va.gov
Phone: (410) 605-7000
If you are interested in this clinical trial please use the contact information above. If you would like to get additional information about this clinical trial please visit ClinicalTrials.gov.
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Data Source: ClinicalTrials.gov
Date Processed: March 22, 2011
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