Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| Université de Montréal | OTHER |
| University of Toronto | OTHER |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Telerehabilitation is a promising alternative approach that can help improve access to rehabilitation services once patients are discharged home after stroke. The investigators therefore postulate a non-inferiority hypothesis of the telerehabilitation approach compared to home visits to improve balance problem related to stroke. The platform used will be based on a technological infrastructure that was developed and tested in previous telerehabilitation studies. The study is a randomized control trial (RCT).The study population of interest will target individuals who have had a stroke who stayed in a hospital or chronic stroke population. Participants will be recruited during the hospitalization period at each of the three sites or in the community. The investigators expect to recruit 240 participants, 120 per group. The first evaluation will be conducted at recruitment to establish the baseline measures. The two other evaluations will be conducted 2 months (T2) and four months (T3) following recruitment.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Tai chi program via Telerehabilitation | Experimental | An individualized exercise program, based on Tai Chi, was developed by our team for previous studies aiming to improve balance in elderly, diabetic individuals and in frail, elderly individuals with balance problems. The exercise program consists of movements based on a combination of alignments and body-specific orientations, weight transfers and changes in direction inspired by Tai Chi. This group will receive this program via telerehabilitation. |
|
| Tai chi program via home visits | Active Comparator | An individualized exercise program, based on Tai Chi, was developed by our team for previous studies aiming to improve balance in elderly, diabetic individuals and in frail, elderly individuals with balance problems. The exercise program consists of movements based on a combination of alignments and body-specific orientations, weight transfers and changes in direction inspired by Tai Chi. This group will receive this program via home visits. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tai Chi based exercise program | Behavioral | A Tai Chi based exercise program that uses movement repetition favoring directional adjustments in space, supervised by a physiotherapist, has been shown to be effective in improving balance in individuals with physical impairments, including those presenting with sequelae following a stroke. |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in mobility at 2 and 4 months | Community balance and mobility Scale. | before the intervention, month 2 and month 4 |
| Change from baseline in Balance at 2 and 4 months | Community balance and mobility Scale. | before the intervention, month 2 and month 4 |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline walking speed at 2 and 4 months | Speed: Timed up and go (TUG), | before the intervention, month 2, month 4 |
| Change from baseline Psychological Attitudes related to balance at 2 and 4 months |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Michel Tousignant, PhD | Research Centre on Aging | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hôpital Charles-LeMoyne | Longueuil | Canada | ||||
| Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24479760 | Background | Tousignant M, Corriveau H, Kairy D, Berg K, Dubois MF, Gosselin S, Swartz RH, Boulanger JM, Danells C. Tai Chi-based exercise program provided via telerehabilitation compared to home visits in a post-stroke population who have returned home without intensive rehabilitation: study protocol for a randomized, non-inferiority clinical trial. Trials. 2014 Jan 30;15:42. doi: 10.1186/1745-6215-15-42. |
| Label | URL |
|---|---|
| Complete and published research protocol | View source |
Not provided
Not provided
| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
|
Self efficacy: General Perceived Self efficacy
| before the intervention, month 2, month 4 |
| Change from baseline Quality of life at 2 and 4 month | Quality of life: Reintegration ti normal Living Index (RNLI) | before the intervention, month 2, month 4 |
| Change from Baseline Satisfaction with the care received at 2 and 4 months | Satisfaction with the care received = Health care satisfaction questionnaire | before the intervention, month 2, month 4 |
| Change from Baseline Cost of services from the perspective of the health system at 2 and 4 months | Cost of services from the perspective of the health system = "Cost-analysis of telemedicine" from the Minnesota University | before the intervention, month 2, month 4 |
| Change from baseline walking endurance at 2 and 4 months | distance in meters walked two minutes | before the intervention, month 2 and month 4 |
| Change from baseline aptitude for Balance at 2 and 4 months | Four-Squares Test | before the intervention, month 2 and month 4 |
| Change from baseline Strength of lower limbs at 2 and 4 months | Sit to Stand Test | before the intervention, month 2 and month 4 |
| Change from baseline Psychological Attitudes related to mobility at 2 and 4 months | fear of falling: Activities-specific Balance confidence scale | before the intervention, month 2, month 4 |
| Montreal |
| Canada |
| Research Centre on Aging | Sherbrooke | Canada |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |