Optimizing Walking Function of Stroke Survivors by a Task-Oriented Home Exercise Program "TOHE"


Phase N/A Results N/A

Trial Description

In a randomized-controlled study, the effects of a structured, progressive, task-oriented home exercise program to optimize walking competency will be evaluated in subacute stroke survivors.

Detailed Description

The majority of stroke individuals unable to reenter their previous community life after they have had a stroke. Reintegration of community life by optimizing walking function is a major goal of stroke rehabilitation. Because not widely available inpatient rehabilitation, discharged with incomplete recovery, limited numbers of technically trained physical therapists, financial saving, and transportation difficulty, home-based stroke rehabilitation setting has been interested in many developing countries.
Task- oriented exercise is well known and accepted approach to optimize walking function with underlying principles of motor control and motor learning theories. This approach has been used in the clinical setting with close supervision, but identification of appropriate protocol in the community environment is on progress. To date, no proper home exercise program based on task-oriental principle with minimal supervision for improving walking competency after stroke has been proposed in stroke rehabilitation.
The purpose of this study is to investigate the effects of a structured, progressive, task- oriented home exercise program on walking competency in individual post stroke.



  • Task-oriented home exercise Procedure
    Intervention Desc: Structured, walking related task-oriented home exercise program with three progressive steps, at moderate to high intensity, 60 minutes per session, three sessions per week for total 8 weeks.
    ARM 1: Kind: Experimental
    Label: Task-oriented Exercise
    Description: Structured, progressive, task-oriented, home exercise program
  • Usual Physiotherapy Care Procedure
    Intervention Desc: Deficits-oriented free active and resisted lower extremity exercises with bicycling and overground walking , 60 minutes per session, three sessions per week for total 8 weeks.
    ARM 1: Kind: Experimental
    Label: Usual Care
    Description: Usual Physiotherapy Care

Trial Design

  • Allocation: Randomized
  • Masking: Double Blind (Subject, Investigator)
  • Purpose: Treatment
  • Endpoint: Efficacy Study
  • Intervention: Parallel Assignment


Type Measure Time Frame Safety Issue
Primary 6 Minutes Walk Test up to 8 weeks No
Primary 10 Meter Walk Test up to 8 weeks No
Secondary Berg Balance Scale up to 8 weeks No
Secondary Dynamic Gait Index Baseline and 8 weeks No
Secondary Stroke Impact Scale (Participation) Baseline and 8 weeks No