A randomised controlled trial of aerobic exercise after transient ischaemic attack or minor stroke to prevent cognitive decline: the MoveIT study protocol
- PMID: 25552615
- PMCID: PMC4281539
- DOI: 10.1136/bmjopen-2014-007065
A randomised controlled trial of aerobic exercise after transient ischaemic attack or minor stroke to prevent cognitive decline: the MoveIT study protocol
Abstract
Introduction: Patients with transient ischaemic attack (TIA) or stroke are at risk for cognitive impairment and dementia. Currently, there is no known effective strategy to prevent this cognitive decline. Increasing evidence exists that physical exercise is beneficial for cognitive function. However, in patients with TIA or stroke who are at risk of cognitive impairment and dementia, only a few trials have been conducted. In this study, we aim to investigate whether a physical exercise programme (MoveIT) can prevent cognitive decline in patients in the acute phase after a TIA or minor ischaemic stroke.
Methods and analysis: A single-blinded randomised controlled trial will be conducted to investigate the effect of an aerobic exercise programme on cognition compared with usual care. 120 adult patients with a TIA or minor ischaemic stroke less than 1 month ago will be randomly allocated to an exercise programme consisting of a 12-week aerobic exercise programme and regular follow-up visits to a specialised physiotherapist during the period of 1 year or to usual care. Outcome measures will be assessed at the baseline, and at the 1-year and 2-year follow-up. The primary outcome is cognitive functioning measured with the Montreal Cognitive Assessment (MoCA) test and with additional neuropsychological tests. Secondary outcomes include maximal exercise capacity, self-reported physical activity and measures of secondary prevention.
Ethics and dissemination: The study received ethical approval from the VU University Amsterdam Ethics committee (2011/383). The results of this study will be published in peer-reviewed journals and presented at international conferences. We will also disseminate the main results to our participants in a letter.
Trial registration number: The Nederlands Trial Register NTR3884.
Keywords: SPORTS MEDICINE.
Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
Similar articles
-
Effect of an exercise intervention on global cognition after transient ischemic attack or minor stroke: the MoveIT randomized controlled trial.BMC Neurol. 2022 Aug 4;22(1):289. doi: 10.1186/s12883-022-02805-z. BMC Neurol. 2022. PMID: 35927622 Free PMC article. Clinical Trial.
-
Program of rehabilitative exercise and education to avert vascular events after non-disabling stroke or transient ischemic attack (PREVENT Trial): a multi-centred, randomised controlled trial.BMC Neurol. 2010 Dec 8;10:122. doi: 10.1186/1471-2377-10-122. BMC Neurol. 2010. PMID: 21143864 Free PMC article. Clinical Trial.
-
Protocol for a feasibility randomised controlled trial of Screening and Enhanced Risk management for Vascular Event-related Decline in Memory (SERVED Memory).BMJ Open. 2017 Nov 28;7(11):e017416. doi: 10.1136/bmjopen-2017-017416. BMJ Open. 2017. PMID: 29183926 Free PMC article. Clinical Trial.
-
Increasing time spent engaging in moderate-to-vigorous physical activity by community-dwelling adults following a transient ischemic attack or non-disabling stroke: a systematic review.Disabil Rehabil. 2022 Feb;44(3):337-352. doi: 10.1080/09638288.2020.1768599. Epub 2020 Jun 1. Disabil Rehabil. 2022. PMID: 32478574
-
Aerobic exercise interventions reduce blood pressure in patients after stroke or transient ischaemic attack: a systematic review and meta-analysis.Br J Sports Med. 2019 Dec;53(24):1515-1525. doi: 10.1136/bjsports-2017-098903. Epub 2018 May 9. Br J Sports Med. 2019. PMID: 29743171
Cited by
-
Comparative Study of Two Short-Form Versions of the Montreal Cognitive Assessment for Screening of Post-Stroke Cognitive Impairment in a Chinese Population.Clin Interv Aging. 2020 Jun 18;15:907-914. doi: 10.2147/CIA.S248856. eCollection 2020. Clin Interv Aging. 2020. PMID: 32606632 Free PMC article.
-
Establishing research priorities relating to the long-term impact of TIA and minor stroke through stakeholder-centred consensus.Res Involv Engagem. 2018 Jan 25;4:2. doi: 10.1186/s40900-018-0089-z. eCollection 2018. Res Involv Engagem. 2018. PMID: 29416879 Free PMC article.
-
Effect of an exercise intervention on global cognition after transient ischemic attack or minor stroke: the MoveIT randomized controlled trial.BMC Neurol. 2022 Aug 4;22(1):289. doi: 10.1186/s12883-022-02805-z. BMC Neurol. 2022. PMID: 35927622 Free PMC article. Clinical Trial.
-
Post-stroke dementia - a comprehensive review.BMC Med. 2017 Jan 18;15(1):11. doi: 10.1186/s12916-017-0779-7. BMC Med. 2017. PMID: 28095900 Free PMC article. Review.
-
European Stroke Organisation and European Academy of Neurology joint guidelines on post-stroke cognitive impairment.Eur Stroke J. 2021 Sep;6(3):I-XXXVIII. doi: 10.1177/23969873211042192. Epub 2021 Oct 8. Eur Stroke J. 2021. PMID: 34746430 Free PMC article.
References
Publication types
MeSH terms
Associated data
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical