The Whole Day Matters After Stroke (BIG-STEPS)

Launched by UNIVERSITY OF ALBERTA · Feb 22, 2023

Keywords

ClinConnect Summary

The BIG-STEPS trial is a research study aimed at understanding how certain personal factors after a stroke can help tailor rehabilitation to improve recovery and mobility. Specifically, the study will test if reducing time spent sitting (sedentary behavior) in the early days after a stroke can enhance movement and overall disability outcomes. Researchers will also look at brain imaging results to see how they might affect recovery and will use activity trackers to gather data on participants' movement patterns.

To participate in this study, individuals must be at least 18 years old, have experienced an ischemic stroke within the last week, and be medically stable. They should be able to walk at least 5 meters, with or without assistance, and have ongoing goals related to walking. Participants can expect to undergo various assessments related to their mobility and overall health, wear an activity tracker for a week, and take part in a six-week program aimed at reducing sedentary behavior. Follow-up assessments will be done at 90 days to evaluate progress. This trial is currently recruiting participants of all genders.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Within 7 days of ischemic stroke onset
• • Aged ≥ 18 years
• • Medically stable as deemed by physicians
• • Able to walk at least 5 meters with/without gait aid
• • Ongoing walking goals (walk speed \<1.0 meter/sec)
• Exclusion Criteria:
• • Have another condition such as multiple sclerosis or Parkinson's disease, or active cancer
• • Uncontrolled high blood pressure
• • Unstable cardiovascular condition
• • Unable to understand or follow instructions.