Studying whether the SWT or the aSWT is the most applicaple measuring tool to determine (maximal) exercise capacity in patient with stroke, by calculating the test-retest reliability and the validity.
ID
Source
Brief title
Condition
- Central nervous system vascular disorders
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Distance and in case of the shuttle walk test the number of steps and shuttles.
Measured in all test heart rate and Borg scale score (fatigue) both before and
directly after exercise.
Secondary outcome
n.a.
Background summary
The American College of Sports Medicine (ACSM) has set criteria for
establishing maximal exercise capacity in healthy individuals. These criteria
are not feasible for the stroke population, due to factors (e.g. alteration in
muscle tone) which may lead to not obtaining these criteria.
There is no golden standard to measure (maximal) exercise capacity in people
with stroke. An applicable exercise test is desired as initial concept to
base a training program on and to evaluate the program with it. The six minute
walking test (6MWT) is a frequently used (sub maximal) test for patients with
stroke to measure exercise capacity. Singh et al. developed a shuttle walk
test (SWT) which he tested on patients with COPD. It provokes a symptom
limited performance. It is easily administered and reproducible. The SWT has
been studied in other patient populations in different forms. In the present
research we study whether the original SWT or the adjusted SWT (aSWT) with
lower speed changes, is reliable and valid for patients with stroke.
Study objective
Studying whether the SWT or the aSWT is the most applicaple measuring tool to
determine (maximal) exercise capacity in patient with stroke, by calculating
the test-retest reliability and the validity.
Study design
The research consists of 2 parts:
Part 1 (N=15): each participant accomplishes two shuttle walk test. Once the
SWT and once the aSWT. The tests are on 2 different days.
Part 2 (N=30): each participant accomplishes twice the chosen SWT from part
one and once the 6MWT. On the first day of participation they walk the 6MWT and
the SWT. On the second day they repeat the SWT.
Study burden and risks
Risk of falling; the researchers are situated at the turning points, where
there is the biggest risk of falling, to be able to support the participant in
case of an incline to fall. The researchers will remove the participant from
the test if they assess the situation as not being safe.
Cardiac complaints/complaints of breathlessness; a doctor will be notified when
the test will start. He is stand-by. In case of complaints the test will be
ended for the participant.
Heidelberglaan 100
3584 CX Utrecht
NL
Heidelberglaan 100
3584 CX Utrecht
NL
Listed location countries
Age
Inclusion criteria
Stroke according to WHO definition.
Age between 18 and 80 years old.
Functional Ambulation Categories score * 4
Consentform has to be signed
Exclusion criteria
- On the Cumulative Illness Rating Scale (CIRS) on subscale 1, 2 and 3 a score of * 3.
- Wernicke's aphasia; the patient is not able to understand the instructions
- Orthopedic, neurologic or vascular conditions of the lower extremities which are of influence on the walking distance
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL20816.041.08 |