Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on sleep in brain health

LIVE: Thursday 2nd May 2024, 18:00-19:30 (CEST)

Quality sleep is essential for health. But what happens to our brains when sleep patterns are disturbed? Join our experts to explore the interplay between sleep disruption and neurological diseases, and the questions that you need to be asking your patients to help you prevent the harmful effects of sleep deprivation.
ADVANCED SEARCH
Log in
Top
Trials
Published in: Trials 1/2018

Open Access 01-12-2018 | Study protocol

Home-based physical activity incentive and education program in subacute phase of stroke recovery (Ticaa’dom): study protocol for a randomized controlled trial

Authors: David Chaparro, Jean-Christophe Daviet, Benoit Borel, Benjamin Kammoun, Jean-Yves Salle, Achille Tchalla, Stéphane Mandigout

Published in: Trials | Issue 1/2018

Login to get access

Abstract

Background

Stroke causes functional decline, psychological disorders and cognitive impairments that affect activities of daily living and quality of life. Although physical activity (PA) is beneficial in stroke recovery, PA recommendations are rarely met after hospital discharge. There is presently no standard strategy for monitoring and inciting PA at home during the subacute phase of stroke recovery. The main aim of this study is to evaluate the effects of a home-based physical activity incentive and education program (Ticaa’dom) on functional capacity in subacute stroke patients.

Methods

This study is a comparative prospective, observer-blinded, monocentric, parallel, randomized controlled clinical trial. This study will include 84 patients: 42 patients in the home-based physical activity incentive group (HB-PAI) and 42 in the control group (CG). The intervention group will follow the HB-PAI program over 6 months: their PA will be monitored with an accelerometer during the day at home while they record their subjective perception of PA on a chart; they will observe a weekly telephone call and a home visit every three weeks. The CG will receive traditional medical care over 12 months. The main study outcome will be the distance on a 6-minute walk test. Secondary outcomes will include measurements of lower limb strength, independence level, body composition, cardiac analysis, fatigue and depression state.

Discussion

The results of this trial will demonstrate the value of implementing the Ticaa’dom program during the subacute phase of stroke recovery.

Trial registration

ClinicalTrials.gov, NCT01822938. Registered on 25 March 2013.
Appendix
Available only for authorised users
Literature
1.
Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Blaha MJ, et al. Heart disease and stroke statistics--2014 update: a report from the American Heart Association. Circulation. 2014;129(3):e28–292.CrossRefPubMed
2.
Krishnamurthi RV, Feigin VL, Forouzanfar MH, Mensah GA, Connor M, Bennett DA, et al. Global and regional burden of first-ever ischaemic and haemorrhagic stroke during 1990–2010: findings from the Global Burden of Disease Study 2010. Lancet Glob Health. 2013;1:e259–81.CrossRefPubMedPubMedCentral
3.
4.
Sommerfeld DK, Eek EU-B, Svensson A-K, Holmqvist LW, von Arbin MH. Spasticity after stroke its occurrence and association with motor impairments and activity limitations. Stroke. 2004;35:134–9.CrossRefPubMed
5.
English C, Manns PJ, Tucak C, Bernhardt J. Physical activity and sedentary behaviors in people with stroke living in the community: a systematic review. Phys Ther. 2014;94:185–96.CrossRefPubMed
6.
English C, Healy GN, Coates A, Lewis L, Olds T, Bernhardt J. Sitting and activity time in people with stroke. Phys Ther. 2016;96:193–201.CrossRefPubMed
7.
Billinger SA, Arena R, Bernhardt J, Eng JJ, Franklin BA, Johnson CM, et al. Physical activity and exercise recommendations for stroke survivors. A statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2014;STR.0000000000000022.
8.
Kernan WN, Ovbiagele B, Black HR, Bravata DM, Chimowitz MI, Ezekowitz MD, et al. Guidelines for the prevention of stroke in patients with stroke and transient ischemic attack. A Guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2014;45:2160–236.CrossRefPubMed
9.
Takatori K, Matsumoto D, Okada Y, Nakamura J, Shomoto K. Effect of intensive rehabilitation on physical function and arterial function in community-dwelling chronic stroke survivors. Top Stroke Rehabil. 2012;19:377–83.CrossRefPubMed
10.
Ivey FM, Ryan AS, Hafer-Macko CE, Goldberg AP, Macko RF. Treadmill aerobic training improves glucose tolerance and indices of insulin sensitivity in disabled stroke survivors: a preliminary report. Stroke J Cereb Circ. 2007;38:2752–8.CrossRef
11.
Haskell WL, Lee I-M, Pate RR, Powell KE, Blair SN, Franklin BA, et al. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc. 2007;39:1423–34.CrossRefPubMed
12.
Block VAJ, Pitsch E, Tahir P, Cree BAC, Allen DD, Gelfand JM. Remote physical activity monitoring in neurological disease: a systematic review. PloS One. 2016;11:e0154335.CrossRefPubMedPubMedCentral
13.
Field MJ, Gebruers N, Shanmuga Sundaram T, Nicholson S, Mead G, Field MJ, et al. Physical activity after stroke: a systematic review and meta-analysis, physical activity after stroke: a systematic review and meta-analysis. Int Sch Res Not Int Sch Res Not. 2013;2013:e464176.
14.
Gebruers N, Vanroy C, Truijen S, Engelborghs S, De Deyn PP. Monitoring of physical activity after stroke: a systematic review of accelerometry-based measures. Arch Phys Med Rehabil. 2010;91:288–97.CrossRefPubMed
15.
Rand D, Eng JJ, Tang P-F, Jeng J-S, Hung C. How active are people with stroke?: use of accelerometers to assess physical activity. Stroke J Cereb Circ. 2009;40:163–8.CrossRef
16.
Vanroy C, Vissers D, Vanlandewijck Y, Feys H, Truijen S, Michielsen M, et al. Physical activity in chronic home-living and sub-acute hospitalized stroke patients using objective and self-reported measures. Top Stroke Rehabil. 2016;0:1–8.
17.
Manfredini F, Conconi F, Malagoni AM, Manfredini R, Basaglia N, Mascoli F, et al. Training guided by pain threshold speed. Effects of a home-based program on claudication. Int Angiol J Int Union Angiol. 2004;23:379–87.
18.
Lin J-H, Hsieh C-L, Lo SK, Chai H-M, Liao L-R. Preliminary study of the effect of low-intensity home-based physical therapy in chronic stroke patients. Kaohsiung J Med Sci. 2004;20:18–23.CrossRefPubMed
19.
Touillet A, Guesdon H, Bosser G, Beis J-M, Paysant J. Assessment of compliance with prescribed activity by hemiplegic stroke patients after an exercise programme and physical activity education. Ann Phys Rehabil Med. 2010;53:250–7. 257–65.CrossRefPubMed
20.
Studenski S, Duncan PW, Perera S, Reker D, Lai SM, Richards L. Daily functioning and quality of life in a randomized controlled trial of therapeutic exercise for subacute stroke survivors. Stroke. 2005;36:1764–70.CrossRefPubMed
21.
Duncan P, Studenski S, Richards L, Gollub S, Lai SM, Reker D, et al. Randomized clinical trial of therapeutic exercise in subacute stroke. Stroke J Cereb Circ. 2003;34:2173–80.CrossRef
22.
Daviet J-C, Bonan I, Caire JM, Colle F, Damamme L, Froger J, et al. Therapeutic patient education for stroke survivors: Non-pharmacological management. A literature review. Ann Phys Rehabil Med. 2012;55:641–56.CrossRefPubMed
23.
24.
da Silva TD, Raimundo RD, Ferreira C, Torriani-Pasin C, Monteiro CB, Theodoro Júnior OA, et al. Comparison between the six-minute walk test and the six-minute step test in post stroke patients. Int Arch Med. 2013;6:31.CrossRefPubMedPubMedCentral
25.
ATS. ATS Statement: Guidelines for the Six-Minute Walk Test. Am J Respir Crit Care Med. 2002;166:111–7.CrossRef
26.
Fulk GD, He Y, Boyne P, Dunning K. Predicting Home and Community Walking Activity Post-Stroke. Stroke. 2017;48:1–6.CrossRef
27.
Borg G. Borg’s Perceived exertion and pain scales. Human Kinetics; 1998;1:39–43.
28.
Dorman PJ, Waddell F, Slattery J, Dennis M, Sandercock P. Is the EuroQol a valid measure of health-related quality of life after stroke? Stroke J Cereb Circ. 1997;28:1876–82.CrossRef
29.
Dorman PJ, Waddell F, Slattery J, Dennis M, Sandercock P. Are proxy assessments of health status after stroke with the EuroQol questionnaire feasible, accurate, and unbiased? Stroke J Cereb Circ. 1997;28:1883–7.CrossRef
30.
Baron-Esquivias G, Martinez-Rubio A. Tilt Table Test: state of the art. Indian Pacing Electrophysiol J. 2003;3:239–52.PubMedPubMedCentral
31.
Kamps A, Schüle K. Cyclic movement training of the lower limb in stroke rehabilitation. Neurol Rehabil. 2005;11:1–12.
32.
Joubert J, Reid C, Barton D, Cumming T, McLean A, Joubert L, et al. Integrated care improves risk-factor modification after stroke: initial results of the Integrated Care for the Reduction of Secondary Stroke model. J Neurol Neurosurg Psychiatry. 2009;80:279–84.CrossRefPubMed
33.
Calugi S, Taricco M, Rucci P, Fugazzaro S, Stuart M, Dallolio L, et al. Effectiveness of adaptive physical activity combined with therapeutic patient education in stroke survivors at twelve months: a non-randomized parallel group study. Eur J Phys Rehabil Med. 2016;52:72–80.PubMed
34.
Malagoni A, Cavazza S, Ferraresi G, Grassi G, Felissati M, Lamberti N, et al. Effects of a “test in-train out” walking program versus supervised standard rehabilitation in chronic stroke patients: a feasibility and pilot randomized study. Eur J Phys Rehabil Med. 2016;52(3):279–87.PubMed
35.
Gillespie R. Manufacturing Knowledge: A history of the Hawthorne experiments. Cambridge England. New York: Cambridge University Press; 1993.
36.
Barak S, Wu SS, Dai Y, Duncan PW, Behrman AL. Locomotor Experience Applied Post-Stroke (LEAPS) Investigative Team. Adherence to accelerometry measurement of community ambulation poststroke. Phys Ther. 2014;94:101–10.CrossRefPubMed
37.
Vanroy C, Vissers D, Cras P, Beyne S, Feys H, Vanlandewijck Y, et al. Physical activity monitoring in stroke: SenseWear Pro2 activity accelerometer versus Yamax Digi-Walker SW-200 pedometer. Disabil Rehabil. 2014;36:1695–703.CrossRefPubMed
Metadata
Title
Home-based physical activity incentive and education program in subacute phase of stroke recovery (Ticaa’dom): study protocol for a randomized controlled trial
Authors
David Chaparro
Jean-Christophe Daviet
Benoit Borel
Benjamin Kammoun
Jean-Yves Salle
Achille Tchalla
Stéphane Mandigout
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Trials / Issue 1/2018
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-017-2410-9

Other articles of this Issue 1/2018

Trials 1/2018 Go to the issue

Correction

Correction to: Intrauterine resuscitation during the second stage of term labour by maternal hyperoxygenation versus conventional care: study protocol for a randomised controlled trial (INTEREST O2)

Research

Exposure to a multi-level multi-component childhood obesity prevention community-randomized controlled trial: patterns, determinants, and implications

Study protocol

Evaluating the long-term impact of the Fostering Changes training programme for foster carers in Wales, the Confidence in Care trial: study protocol for a randomised controlled trial

Study protocol

Leucine and ACE inhibitors as therapies for sarcopenia (LACE trial): study protocol for a randomised controlled trial

Study protocol

Comparing satisfaction with a participatory driven web-application and a standard website for patients with low back pain: a study protocol for a randomised controlled trial (part of the ADVIN Back Trial)

Study protocol

The U&I study: study protocol for a feasibility randomised controlled trial of a pre-cognitive behavioural therapy digital ‘informed choice’ intervention to improve attitudes towards uptake and implementation of CBT for psychosis