A. Specific Aims:
1. There is one specific aim of this study. The aim is to evaluate the effectiveness of early standardized task-specific training (ESTT) in persons with acute stroke.
1. It is our hypothesis that subjects who receive ESTT will walk faster and more symmetrically than published reports of gait outcomes in persons with stroke.
It is our contention that gait recovery after stroke is impacted by the interventions that are acutely utilized during training. There is not a consensus about how to most effectively train individuals after stroke. It is clear, however, that most persons are left with significant and often debilitating gait dysfunction after stroke so there is an urgent need to find more effective therapeutic methods.
Trial Stopped: Very limited enrollment
- Traditional Therapy Other
Other Names: 'Community based' Traditional therapy program Intervention Desc: Traditional therapy is the usual and customary treatment given to persons with stroke to recover gait. It includes standing, weight shifting, walking in parallel bars, use of a variety of assistive devices. ARM 1: Kind: Experimental Label: traditional therapy Description: Persons in the traditional group will receive traditional physical therapy for gait treatment after stroke.
- Early standardized task training Other
Other Names: ESTT Intervention Desc: Early standardized task training is a treatment approach using treadmill training applied very early after stroke onset. ARM 1: Kind: Experimental Label: early standardized task training Description: Persons in the experimental group will receive ESTT (early standardized task specific training) for gait treatment after stroke.
- Allocation: Non-Randomized
- Masking: Open Label
- Purpose: Treatment
- Endpoint: Safety/Efficacy Study
- Intervention: Single Group Assignment
|Type||Measure||Time Frame||Safety Issue|
|Primary||Temporal/spatial gait analysis||done at completion of study||No|
|Secondary||STREAM test of motor recovery after stroke||done at completion of study||No|
|Secondary||Stroke Rehabilitation Assessment of Movement (STREAM)||This test will be done at the initiation of the protocol, at the time of discharge from rehabilitation and at 6 months post enrollment||No|
|Primary||Temporal-spatial gait analysis||This will be done at the time of discharge from inpatient rehabilitation, at the time of discharge from the outpatient portion of the study (if applicable) and at 6-months post enrollment.||No|
|Primary||Change in Walking Velocity From Initial Assessment to Completion of Study at 6 Months Post Enrollment||This will be done at the time of discharge from inpatient rehabilitation (the initial assessment point of the study) and at 6-months post enrollment.||No|
|Secondary||Change in Score on Stroke Rehabilitation Assessment of Movement (STREAM) Test From Initial Assessment to Discharge From Study.||This test will be done at the initiation of the protocol (initial assessment) and at 6 months post enrollment||No|