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| Name | Class |
|---|---|
| Canadian Institutes of Health Research (CIHR) | OTHER_GOV |
| Michael Smith Foundation for Health Research | OTHER |
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This study will determine the acceptability of delivering seated exercises online and if seated exercises can improve balance, mobility, quality of life, and cardiometabolic health in those living with a stroke related mobility impairment.
Participants will be allocated to either a 10-week seated exercise program or a delayed 2-week Boot Camp program. All seated exercises sessions and assessments will be conducted virtually.
The study will be a virtual 10-week multi-site, assessor-blinded, randomized controlled trial with an embedded qualitative component. The study will be conducted in real time using secure videoconferencing software (Zoom). Participants will be randomized 1:1 to a 10-week Seated Exercise group or a delayed 2-week Seated Exercise Group (Boot Camp). Seated exercise sessions will be delivered and supervised by a trained instructor.
Participants will use their own computer, laptop, or tablet for the zoom sessions. No Zoom sessions will be recorded. Caregivers will be invited to attend each exercise session to provide support and assistance but are not obliged to attend. A caregiver, friend, or family member will be required for each assessment to participate in the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 10-week group | Experimental | Will receive a 10-week seated exercise program, occurring 3 times per week. Sessions will be 60 minutes in duration. |
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| Delayed 2-week group (Boot Camp) | No Intervention | The Boot Camp group will complete a 2-week seated exercise program following the 10-week active trial period. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Virtual Physical Activity Seated Exercises (V-PASE) | Other | The seated exercise program includes a variety of upper and lower limb strengthening, core strengthening, agility (fast arm and leg movements), and flexibility exercises. Participants will be supervised during each session thru videoconferencing by a trained instructor. |
| Measure | Description | Time Frame |
|---|---|---|
| 30 Second Sit-to-Stand | Assessment of balance and lower extremity strength. | Immediately post-intervention (following 10-week trial) |
| Measure | Description | Time Frame |
|---|---|---|
| Timed Up and Go | Participants stand up from a chair, walk 3 metres, turn around and then sit back down. The TUG assesses balance, mobility and turning ability | Immediately post-intervention, and retention (2-months post-intervention) |
| Tandem Stance |
| Measure | Description | Time Frame |
|---|---|---|
| Feasibility Indicator: Compliance | Percentage of participants that attend exercise sessions. | Through study completion (approximately 10 weeks) |
| Feasibility Indicator: Safety | Number of adverse events that occur during assessments or exercise sessions. |
Inclusion Criteria:
Participants must meet the following inclusion criteria:
Exclusion Criteria:
Participants will be excluded if they meet any of the following criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Chihya Hung, MScPT | Contact | 1-604-714-4117 | chihya.hung@ubc.ca |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| GF Strong Rehabilitation Centre | Recruiting | Vancouver | British Columbia | V5Z 2G9 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41645237 | Derived | Mackie P, Ashe MC, Barclay R, Bayley MT, Donkers SJ, Fleet JL, Mortenson WB, Peters S, Pollock CL, Pooyania S, Quigley A, Sakakibara BM, Schneeberg A, Sheehy L, Stelling S, Yao J, Eng JJ. Transferability of a 10-week remotely delivered Virtual Physical Activity Seated Exercise (V-PASE) program on post-stroke functional mobility: study protocol for a multisite randomized controlled trial. Trials. 2026 Feb 6;27(1):198. doi: 10.1186/s13063-026-09523-8. |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| D000083242 | Ischemic Stroke |
| D000083302 | Hemorrhagic Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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|
Measures balance in standing as reported in the Short Physical Performance Battery Protocol
| Immediately post-intervention, and retention (2-months post-intervention) |
| Modified Telehealth Fugl-Meyer | The modified virtual Fugl-Meyer assess lower extremity impairments in those with stroke | Immediately post-intervention, and retention (2-months post-intervention) |
| Stroke Impact Scale | A self-reported measure of stroke-related disability. There are 8 domains with each item rated using a 5-point Likert scale, where lower scores mean greater difficulty to complete the item. | Immediately post-intervention, and retention (2-months post-intervention) |
| Activities-Specific Balance Confidence (ABC) | The ABC scale is a 16-item questionnaire where a participant rates their confidence in performing activities from 0% to 100% (higher percentages indicate greater self-efficacy). | Immediately post-intervention, and retention (2-months post-intervention) |
| Fatigue Severity Scale | Questionnaire assessing the impact of fatigue on daily tasks and activities. There are 9 questions, each scored from 1 to 7 (1 = strongly disagree; 7 = strong agreement). | Immediately post-intervention, and retention (2-months post-intervention) |
| Quality of Life (EQ-5D-5L) | The EQ-5D-5L assess self-care, mobility, depression/anxiety, pain, and usual activities. Each is scored with 5 levels (1=no problems, 5=major problems). Overall health on the day is scored from 0% (worst health) to 100% (best health). | Immediately post-intervention, and retention (2-months post-intervention) |
| Patient Health Questionnaire-4 (PHQ-4) | The PHQ-4 focuses on depression and anxiety. Questions are scored from 0 to 3 (0=not at all; 3 = Nearly every day). | Immediately post-intervention, and retention (2-months post-intervention) |
| Montreal Cognitive Assessment scale (MoCA-BLIND) | The MoCA-BLIND assess six different cognitive domains (excludes visual stimulus) over the phone: memory, attention, language, abstraction, delayed recall, and orientation. The MoCA-BLIND is scored from 0-22 (22 = no cognitive impairments). | Immediately post-intervention, and retention (2-months post-intervention) |
| Lipid Profiles | Blood samples will be collected following a 12-hour over-night fast | Immediately post-intervention, and retention (2-months post-intervention) |
| Fasting Glucose | Blood samples will be collected following a 12-hour over-night fast | Immediately post-intervention, and retention (2-months post-intervention) |
| Glucose (HbA1c) | Blood samples will be collected following a 12-hour over-night fast | Immediately post-intervention, and retention (2-months post-intervention) |
| 30 Second Sit-to-Stand | Assessment of balance and lower extremity strength. | Retention (2-months post-intervention) |
| Through study completion (approximately 10 weeks) |
| University of Manitoba | Recruiting | Winnipeg | Manitoba | Canada |
| Nova Scotia Health | Recruiting | Halifax | Nova Scotia | Canada |
| Western University | Recruiting | London | Ontario | Canada |
| University of Saskatchewan | Recruiting | Saskatoon | Saskatchewan | Canada |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |