Comprehensive Intensive Stroke Rehabilitation

Launched by CHARLES UNIVERSITY, CZECH REPUBLIC · Apr 5, 2022

Keywords

ClinConnect Summary

This clinical trial is looking at a special rehabilitation program for adults who have had a stroke. The goal is to see how effective this Comprehensive Intensive Rehabilitation Program is compared to two other rehabilitation approaches that focus on different types of physical therapy techniques. Participants will be divided into groups to receive different types of therapy, while another group will receive standard care. This study aims to help improve recovery for stroke patients by finding out which methods work best.

To join the trial, participants need to be adults who have experienced their first ischemic stroke and have some ability to move after the stroke, meaning they have slight to moderate disability. They should also be able to participate in about four hours of rehabilitation each day. Additionally, participants must be able to communicate in Czech. Throughout the trial, participants can expect to engage in intensive rehabilitation tailored to their needs, with the hope of improving their physical abilities and overall quality of life after a stroke. It’s important to note that individuals with severe medical issues or cognitive challenges may not be eligible for the study.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • adults
• • after first ischemic stroke
• • early sub-acute phase
• • slight to moderately severe disability \[2 - 4 on the Modified Rankin Scale\]
• • 0 - 2 on the Pre-Stroke Modified Rankin Score
• • potential to accept 4 hours of comprehensive rehabilitation per day and to profit from physiotherapy
• • minimal or moderate motor deficit of upper or lower extremities (on NIHSS Item 5 or 6 scores 1-3 points)
• • able to perform activities of daily living prior to stroke event (0 - 2 on the Pre-Stroke Modified Rankin Score)
• • Czech is participants' native language or its knowledge is at the level of the mother tongue
• Exclusion Criteria:
• • low level of consciousness (vegetative state and/or minimally conscious state); severe cognitive decline that would interfere with administration of the tests, premorbid illiteracy, severe visual and/or auditory deficit that would prevent proper completion of the tests
• • behavioural disorders and/or lack of cooperation with therapist
• • severe medical problems with a poor prognosis, (e.g., severe frailty, advanced and incurable cancer, fracture, cardiovascular disorders as chronic heart failure NYHA III, IV, symptomatic coronary artery disease Angina Severity Class III, IV, respiratory insufficiency as chronic obstructive pulmonary disease GOLD IV, and other severe disease)