Unique ID issued by UMIN | UMIN000050626 |
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Receipt number | R000057609 |
Scientific Title | Development of a Prognostic Prediction System for Walking Independence in Patients with Subacute Stroke |
Date of disclosure of the study information | 2023/04/01 |
Last modified on | 2024/03/18 09:17:35 |
Development of a Prognostic Prediction System for Walking Independence in Patients with Subacute Stroke
Development of a Prognostic Prediction System for Walking Independence in Patients with Subacute Stroke
Development of a Prognostic Prediction System for Walking Independence in Patients with Subacute Stroke
Development of a Prognostic Prediction System for Walking Independence in Patients with Subacute Stroke
Japan |
Stroke
Rehabilitation medicine |
Others
NO
Re-acquisition of gait is one of the main goals of physical therapy in stroke patients. Many stroke patients in the convalescent unit require therapeutic intervention to regain ambulation and social reintegration even after physical therapy in the acute care ward is completed. However, there have been no prospective studies that have comprehensively incorporated factors that affect walking independence at the time of admission to a convalescent unit. Factors that affect walking independence include not only physical function, but also cognitive function, higher brain dysfunction, and the presence or absence of voiding disorders. Therefore, it is necessary to develop a clinical prediction equation created with all of these factors as predictors.
In addition, most of the past prognostic studies on walking independence have defined walking independence as independence in level walking, and have not predicted important outcomes in returning to social life, such as outdoor walking and stair climbing.
It is very important to clarify the level of walking independence during the period after stroke onset in order to set treatment goals, adjust the post-discharge environment, and determine the duration of inpatient treatment.
Therefore, the purpose of this study is to predict the level of ambulatory independence for patients who are not independent in walking outdoors at the time of admission to the rehabilitation ward, by period of time after admission to the convalescent unit.
Others
The purpose of this study is to predict the level of ambulatory independence for patients who are not independent in walking outdoors at the time of admission to the rehabilitation ward, by period of time after admission to the convalescent unit.
During hospitalization, patients will be assessed for ambulation independence every 2 weeks from onset using the Functional Ambulation Categories. For patients who are not able to walk outdoors independently at discharge, FAC will be assessed every 4 weeks from onset after discharge. The study period will be up to 24 weeks after onset. Once the patient is ambulatory, the gait independence survey will be terminated.
Observational
20 | years-old | <= |
Not applicable |
Male and Female
(1) Patients with a stroke (cerebral infarction/cerebral hemorrhage) who have been admitted to a convalescent unit and have undergone physical therapy.
(2) Age over 20 years old.
(1) Patients who had difficulty in walking alone before the stroke.
(2) Those who have difficulty in understanding instructions.
(3) Patients for whom the physician or physiotherapist judged that it is dangerous to evaluate at the time of admission to the unit.
(4) Patients who were able to walk outdoors independently within one week of admission to the convalescent unit.
140
1st name | Shuntaro |
Middle name | |
Last name | Tamura |
Fujioka General Hospital
Department of Rehabilitation
375-8503
813-1, nakakurisu, fujioka, gunma, Japan
0274223311
m12204013@gunma-u.ac.jp
1st name | Shuntaro |
Middle name | |
Last name | Tamura |
Fujioka General Hospital
Department of Rehabilitation
375-0015
813-1, nakakurisu, fujioka, gunma, Japan
0274223311
m12204013@gunma-u.ac.jp
Fujioka General Hospital
Shuntaro Tamura
self-procurement
Self funding
Fujioka General Hospital
813-1, nakakurisu, fujioka, gunma, Japan
0274223311
m12204013@gunma-u.ac.jp
NO
2023 | Year | 04 | Month | 01 | Day |
Unpublished
Enrolling by invitation
2023 | Year | 01 | Month | 15 | Day |
2023 | Year | 02 | Month | 22 | Day |
2023 | Year | 04 | Month | 01 | Day |
2024 | Year | 10 | Month | 01 | Day |
Research procedure
In this study, basic information will be collected from patients with stroke admitted to a convalescent unit and assessed at the time of admission within one week.
0 Basic information.
(1) Age, (2) gender, (3) medical history, (4) number of days since onset, (5) Body Mass Index, (6) level of walking independence before onset (Functional Ambulation Categories; FAC).
Assessment at the time of admission
(1) Knee extension muscle strength on the paralysed side
(2) Berg Balance Scale (BBS)
(3) Mini-Mental State Examination (MMSE)
(4) Hemispatial neglect (Linear bisection test)
(5) Functional Independence Measure (FIM)
Thereafter, walking independence is assessed by FAC every two weeks from onset during hospitalisation. For patients who are not able to walk outdoors independently at discharge, the FAC is also assessed every four weeks from onset after discharge. The study period is limited to a maximum of 24 weeks from onset. For subjects who have achieved independent outdoor ambulation, the gait independence survey will be terminated at that point.
The assessment of FAC during hospitalisation is determined from interviews with rehabilitation staff, nurses and doctors other than the subject's physiotherapist, and from records. Post-discharge assessments are made by interviewing the subject or family members by telephone or mail to assess the implementation of the gait. If the subject is admitted to a facility, a document is attached to the information form at the time of admission to the facility to inform the subject in advance of participation in the study and the post-discharge survey, and the assessment is made by interviewing the facility staff by telephone or by post about the progress of the subject's gait.
2023 | Year | 03 | Month | 18 | Day |
2024 | Year | 03 | Month | 18 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000057609
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