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. 2018 Jan 25;19(1):68.
doi: 10.1186/s13063-017-2410-9.

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

David Chaparro  1 , Jean-Christophe Daviet  2   3 , Benoit Borel  2 , Benjamin Kammoun  2 , Jean-Yves Salle  2   3 , Achille Tchalla  2   3 , Stéphane Mandigout  2
Affiliations

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

David Chaparro et al. Trials. .

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.

Keywords: Home-based exercise; Physical activity; RCT; Rehabilitation; Secondary prevention; Stroke.

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Conflict of interest statement

Ethics approval and consent to participate

The study was approved by the French IPC. The Committee reference number is 2012-A01456-37. The investigators will obtain written informed consent from all participants in the study.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Study flow chart. CG control group, HB-PAI home-based physical activity incentive group
Fig. 2
Fig. 2
Outcome measures
Fig. 3
Fig. 3
Participant timeline. FAC Functional Ambulation Classification, HADS Hospital Anxiety and Depression Scale, 6MWT Six Minute Walk Test, MFI Multidimensional Fatigue Inventory questionnaire, EQ-5D Euroqol-5DHealth status questionnaire, MAQ Modifiable Activity questionnaire, HCCQ Modified Health Care Climate questionnaire
Fig. 4
Fig. 4
Patient flow chart
See this image and copyright information in PMC

References

    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. doi: 10.1161/01.cir.0000441139.02102.80. - DOI - PMC - PubMed
    1. 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. doi: 10.1016/S2214-109X(13)70089-5. - DOI - PMC - PubMed
    1. Francisco GE, McGuire JR. Poststroke spasticity management. Stroke. 2012;43:3132–6. doi: 10.1161/STROKEAHA.111.639831. - DOI - PubMed
    1. 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. doi: 10.1161/01.STR.0000105386.05173.5E. - DOI - PubMed
    1. 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. doi: 10.2522/ptj.20130175. - DOI - PubMed

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