Exercise intervention to prevent falls and enhance mobility in community dwellers after stroke: a protocol for a randomised controlled trial.
Exercise intervention to prevent falls and enhance mobility in community dwellers after stroke: a protocol for a randomised controlled trial.
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DOI：
10.1186/1471-2377-9-38
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发表时间：
2009-07-22
期刊：
影响因子：
2.6
通讯作者：
Kirkham C
中科院分区：
文献类型：
--
作者：
Dean CM;Rissel C;Sharkey M;Sherrington C;Cumming RG;Barker RN;Lord SR;O'Rourke SD;Kirkham C
中风是成年人中最常见的致残神经系统疾病。跌倒和行动不便是导致中风相关残疾的主要原因。与一般老年人群相比，中风幸存者摔倒更频繁，也更容易导致受伤。目前有很好的证据表明，运动可以增强中风后的活动能力，然而，针对普通社区中风幸存者的持续运动计划并不是常规的。这项随机对照试验将调查运动是否可以减少中风幸存者的跌倒率，增加活动能力和身体活动水平。350名社区居住中风幸存者将被招募。参与者将没有医学上的矛盾来进行锻炼，并且在认知和身体上能够完成评估和锻炼计划。测试前评估完成后，参与者将被随机分配到两个干预组之一。两个干预小组将参加为期12个月的每周小组练习和家庭项目。在下肢干预组，将规定个性化的负重平衡和加强锻炼计划。上肢/认知组将接受旨在管理和改善受影响上肢功能和认知的练习，并在坐姿中进行。主要结果衡量指标将是跌倒（按12个月日历衡量）和行动能力。次要结果测量将是跌倒风险、身体活动水平、社区参与、生活质量、卫生服务利用、上肢功能和认知。本研究旨在为中风幸存者建立和评估基于社区的可持续运动计划。我们将确定运动项目在预防跌倒和增强中风患者活动能力方面的效果。如果发现这个项目是有效的，就有可能在现有的社区服务中实施。本研究的方案已在澳大利亚新西兰临床试验登记处注册（ACTRN12606000479505）。
Stroke is the most common disabling neurological condition in adults. Falls and poor mobility are major contributors to stroke-related disability. Falls are more frequent and more likely to result in injury among stroke survivors than among the general older population. Currently there is good evidence that exercise can enhance mobility after stroke, yet ongoing exercise programs for general community-based stroke survivors are not routinely available. This randomised controlled trial will investigate whether exercise can reduce fall rates and increase mobility and physical activity levels in stroke survivors. Three hundred and fifty community dwelling stroke survivors will be recruited. Participants will have no medical contradictions to exercise and be cognitively and physically able to complete the assessments and exercise program. After the completion of the pre-test assessment, participants will be randomly allocated to one of two intervention groups. Both intervention groups will participate in weekly group-based exercises and a home program for twelve months. In the lower limb intervention group, individualised programs of weight-bearing balance and strengthening exercises will be prescribed. The upper limb/cognition group will receive exercises aimed at management and improvement of function of the affected upper limb and cognition carried out in the seated position. The primary outcome measures will be falls (measured with 12 month calendars) and mobility. Secondary outcome measures will be risk of falling, physical activity levels, community participation, quality of life, health service utilisation, upper limb function and cognition. This study aims to establish and evaluate community-based sustainable exercise programs for stroke survivors. We will determine the effects of the exercise programs in preventing falls and enhancing mobility among people following stroke. This program, if found to be effective, has the potential to be implemented within existing community services. The protocol for this study is registered with the Australian New Zealand Clinical Trials Registry (ACTRN12606000479505).
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DOI：
10.1016/s0003-9993(03)00620-8
发表时间：
2004-05-01
影响因子：
4.3
作者：
Sherrington, C;Lord, SR;Herbert, RD
通讯作者：
Herbert, RD
影响因子：
3
作者：
Dean, CM;Richards, CL;Malouin, F
通讯作者：
Malouin, F
影响因子：
4.1
作者：
Sherrington, Catherine;Lord, Stephen R;Cumming, Robert G
通讯作者：
Cumming, Robert G
影响因子：
6
作者：
Stolze, H;Klebe, S;Deuschl, G
通讯作者：
Deuschl, G
影响因子：
--
作者：
FORSTER, A;YOUNG, J
通讯作者：
YOUNG, J