Metabolic Costs of Walking Post Stroke

Completed

Phase N/A Results N/A

Eligibility Criteria

Inclusion Criteria

- confirmed diagnosis of recent cerebrovascular accident (CVA) (less than 6 weeks post at the time of admission to inpatient rehabilitation)
- able to give informed consent independently or have family member or other authorized surrogate available to give consent
- first time stroke OR complete gait recovery from prior stroke
- sufficient support at home to participate in home-based fitness training program
- transportation to University of Texas Southwestern Medical Center Gait Disorders Clinic (UTSW GDC) for therapy and testing
- ability to follow one-part commands

Exclusion Criteria

- non-ambulatory before onset of stroke (at time of admission to inpatient rehabilitation)
- bilateral stroke
- presence of severe cardiac problems (heart failure [New York Heart Association > Class 2], unstable or exercise-induced angina)
- other co-morbidities which could affect gait training (i.e. amputation, spinal cord injury, traumatic brain injury, etc.)
- recent myocardial infarct (within 4 weeks of date of inpatient rehabilitation admission)
- any uncontrolled health condition for which exercise is contraindicated
- severe lower extremity joint disease/pathology that would interfere with gait training
- subjects -with body mass index (BMI) greater than 40
- significant cognitive impairment (less than 2 on the Functional Independence Measure [FIM] cognitive sub-scale)
- age greater than 80 years or less than 18 years
- able to complete 5 or more full heel raises with the affected ankle in standing with the knee extended with no more than one or two fingers on support surface for balance