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In an observational study, the energy consumption of stroke individuals during performing the structured, progressive task-oriented exercise program for walking rehabilitation will be measured in order to confirm the intensity demand in the range of moderate to vigorous.
Community reintegration is often significantly affected in the majority of stroke individuals. To fulfill the requirements of a proper home exercise program in walking rehabilitation for stroke victims, investigators structured the task-oriented exercise program with minimal supervision. This exercise program is structured with challenging walking-related activities based on motor learning principle and Gentile's progression of the motor task. The strengthening and balance components, aerobic conditioning and walking adaptability are composed of an exercise program to optimize walking ability. There are sixty minutes last ten exercises in each three progression steps of this exercise program. For the training effect to occur, each step of exercise program is designed by increasing demand of intensity in the range from moderate to vigorous. To confirming progressive energy demand, the purpose of this study is to investigate the intensity demand of three steps task- oriented home exercise program on walking competency in individual post stroke.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Structured, Progressive, Task-oriented exercise program | Procedure | The intervention is walking related task-oriented exercise program with three progressive steps at moderate to high intensity. Each step consists of 60 minutes last ten tasks to optimize walking function of stroke individuals. |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of Oxygen Consumption (VO2rate) (ml/kg/min) | The amount of oxygen consumption of participants will be measured by using Oxycon Mobile spirometer (OM) on 3 occasions: during performing step I,II and III of exercise program with 1-2 days apart between each step. | 1 week |
| Measure | Description | Time Frame |
|---|---|---|
| Heart Rate | Heart rate of participants will be measured on 3 occasions: during performing step I,II and III of exercise program with 1-2 days apart between each step | 1 week |
| Metabolic Equivalents (METs) [VO2max (ml.kg-1.m-1)/VO2rest(ml.kg-1.m-1)] |
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Inclusion Criteria:
Exclusion Criteria:
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Stroke individuals who able to walk without physical assistance.
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| Name | Affiliation | Role |
|---|---|---|
| Thin Thin Moe, M.Med.Tech | Mahidol University | Principal Investigator |
| Chutima Jalayondeja, Dr.P.H. MSc | Mahidol University | Study Chair |
| Sopa Pichaiyongwongdee, M.Sc. B.Sc | Mahidol University | Study Director |
| Vimonwan Hiengkaew, PhD. MSc | Mahidol University | Study Director |
| Jarugool Tretriluxana, PhD. MSc | Mahidol University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mahidol University | Bangkok | Changwat Nakhon Pathom | 73170 | Thailand |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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METs is a way to express the energy cost of activity, calculated by using the formula of VO2/VO2rest on 3 occasions:during performing step I,II and III of exercise program with 1-2 days apart between each step.
| 1 week |
| Borg Rating of Perceived Exertion scale (RPE) | The feeling of how strenuous a given exercise to a patient related to the amount of effort exerted is rated by the categorical-ratio scale of 0 to 10 RPE on 3 occasions: during performing step I,II and III of exercise program with 1-2 days apart between each step. | 1 week |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |