Rehabilitation Training After Stroke "ReTrain"


Phase 1 Results N/A

Eligibility Criteria

Inclusion Criteria

- Primary clinical diagnosis of stroke (assessed by referring clinician/GP records)
- >1 month (but no upper limit) since discharge from NHS physical rehabilitation services at randomisation
- Able to walk independently indoors with or without mobility aids, but has self-reported difficulty or requires help on stairs, slopes or uneven surfaces (assessed by recruiting team using standard tools)
- Willingness to be randomised to either control or ReTrain (and attend the training venue)
- Cognitive capacity and communication ability sufficient to participate in the study (assessed by recruiting team using standard tools).24 NB: Criterion (3) has been selected pragmatically to maximise eligibility while ensuring participants have a mobility deficit that could be addressed by the intervention. Eligible people with aphasia will not be excluded.

Exclusion Criteria

- <18 years old
- Contraindications to moderate to vigorous physical activity. Used in GP screening assessment form. (Adapted from ACSM guidelines 25) Contraindications include:
- Acute or uncontrolled heart failure
- Unstable or uncontrolled angina
- Uncontrolled cardiac dysrhythmia causing symptoms or haemodynamic compromise
- Symptomatic severe aortic stenosis
- Current deep vein thrombosis, pulmonary embolus or pulmonary infarction
- Acute myocarditis or pericarditis
- Suspected or known dissecting aneurysm
- Unstable / uncontrolled blood pressure
- Systolic blood pressure > 160
- Diastolic blood pressure > 100
- Acute systemic infection
- Uncontrolled diabetes