Focused Intensive Repeated Stepping During Inpatient Rehabilitation Poststroke - A Quality Improv… (NCT05393661) | Clinical Trial Compass
Active — Not RecruitingNot Applicable
Focused Intensive Repeated Stepping During Inpatient Rehabilitation Poststroke - A Quality Improvement Project
United States2,000 participantsStarted 2017-01-01
Plain-language summary
The purpose of this quality improvement project was first to monitor usual physical therapy care (types \& cardiovascular intensity of interventions and amount of stepping practice provided) and outcomes. Following which educational training and support was provided to treating physical therapists to encourage implementation of evidence-based practices. Specifically, therapists were encouraged to prioritize the practice of walking, particularly at higher cardiovascular intensities during scheduled therapy sessions. Fidelity metrics in the form of chart audits and pedometer-based step counts were utilized to determine compliance with the evidence-based intervention and ultimately investigated for potential effects on patient outcome measures.
Who can participate
Age range
18 Years – 89 Years
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria:
* \< 2 months poststroke
Exclusion Criteria:
* restrictions in lower extremity weightbearing (e.g., amputation or lower limb fracture)
* unable to ambulate \> 50 m prior to their most recent stroke
* discharged to home from inpatient rehabilitation after \< 1 week
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1This study focuses on intensive stepping practice during inpatient rehab after a stroke — how would you compare that approach to the amount and type of walking practice I'd get in standard inpatient rehab, and do you think that difference matters for someone in my situation?
2Since the trial is measuring things like how fast I can walk 10 meters and how far I can walk in 6 minutes, are those the kinds of walking goals you'd prioritize for my recovery, or are there other mobility concerns that might be more pressing for me right now?
3The study is listed as 'active, not recruiting,' which means I likely can't join it — but given that it's testing intensive stepping during inpatient rehab, is there any way to request a similar approach as part of my own rehab plan?
4This is a quality improvement project rather than a traditional drug or device trial — does that mean the stepping approach being studied is already considered safe, and what does the evidence say so far about whether it actually helps stroke patients walk better?
5How would my current level of weakness or paralysis on one side affect whether intensive stepping practice is even feasible or appropriate for me at this stage of recovery?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
What they're measuring
1
Change in 10 meter walk test
Timeframe: Time from admission date & discharge date from inpatient rehabilitation. Time frame through inpatient stay completion, an average of 20 days.
2
Change in 6 minute walk test
Timeframe: Time from admission date & discharge date from inpatient rehabilitation. Time frame through inpatient stay completion, an average of 20 days.
3
Change in 6 minute walk test level of assistance
Timeframe: Time from admission date & discharge date from inpatient rehabilitation. Time frame through inpatient stay completion, an average of 20 days.