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Early rehabilitation is feasible for stroke patients is still under debate. In addition, IA thrombectomy has been a new treatment for the past few years and currently no known research exploring the efficacy of very early rehabilitation after thrombectomy, or any possible rehabilitation-related adverse effects. Therefore, in this study, the investigators will investigate the effectiveness of earlier rehabilitation intervention after IA thrombectomy for cerebral large vessel occlusion based on functional independence.
The study will be the prospective randomized controlled trial, where patients eligible for inclusion will be randomly assigned to earlier rehabilitation group or control group. The investigators will analyze the correlation between frequency/intensity of rehabilitation and primary/secondary outcomes. Dose-response analysis for earlier rehabilitation will be performed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| effectiveness of earlier rehabilitation intervention after IA thrombectomy(experimental) | Experimental | The effectiveness of early rehabilitation interventions within 24 hours compared with the control group |
|
| effectiveness of earlier rehabilitation intervention after IA thrombectomy(control) | Active Comparator | The effectiveness of early rehabilitation interventions compared with the experimental group |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| exercise | Other | exercise group: first bed exercise after 0~24hr onset ; sit at bed after 24~48hr onset control group: first bed exercise after 24~48hr onset ; sit at bed after 48~72hr onset |
| Measure | Description | Time Frame |
|---|---|---|
| Modified Rankin Scale (mRS) | Modified Rankin Scale (mRS) at 3rd months after stroke:6 grades(higher grades means more disability) | 3rd months after stroke |
| Measure | Description | Time Frame |
|---|---|---|
| Barthel Index | sum score:0~100(higher score means more functional independence ) | 1st and 3rd months after stroke |
| Modified Rankin Scale (mRS) | Modified Rankin Scale (mRS) at 3rd months after stroke:6 grades(higher grades means |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hsing-Yu Chen | Contact | 035326151 | 523504 | G54088@hch.gov.tw |
| Meng Ting Lin, MD | Contact | 0223123456 | 67651 | b96401093@ntu.edu.tw |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Taiwan University Hospital Hsin-Chu Branch Hsinchu, Taiwan | Recruiting | Hsinchu | Taiwan |
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| 1st months after stroke |
| Fugl-Meyer Assessment | U/E total score:66 L/E total score:34 the higher score means better movement performance | 1st and 3rd month after stroke |
| ID | Term |
|---|---|
| D015444 | Exercise |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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