A Novel Ballet-inspired Low-impact At-home Workout Programme for Adults with Stroke

The Chinese University of Hong Kong

Status: Completed

Conditions: Balance; Distorted; Gait, Unsteady; Stroke; Memory Impairment

Treatments: Behavioral: Ballet-inspired workouts; Other: Usual care

Study type: Interventional

Funder types: Other

Identifiers

NCT04460794

FBB

Details and patient eligibility

About

To explore the feasibility of a novel ballet-inspired low-impact at-home workout programme for community-dwelling stroke survivors in Hong Kong.

Full description

A mixed methods exploratory study incorporating a randomised controlled trial (RCT) and qualitative evaluation will be conducted. A total of 40 stroke participants will be recruited from two acute public hospitals. Participants will be randomly assigned to receive the interention and usual care, or usual care only. Data will be collected in multiple forms: recruitment/retention rates, adherence to the intervention, journals, field notes, verbal feedback, audio records, semi-structured interviews, and questionnaires on outcomes (balance, confidence in balance, gait, walking endurance). This study is the first of its kind in Hong Kong. Findings will address the cross-cultural applicability of dance interventions and lay the groundwork for examination in a larger-RCT about its effects on survivors' balance, gait and memory.

Enrollment: 32 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. aged 18 years or above
2. clinically diagnosed with a first-ever ischaemic/ haemorrhagic stroke
3. living in home settings
4. mild-moderate lower limb paresis with a modified Functional Ambulation Classification (MFAC) of III (Dependent walker) or above
5. a Montreal Cognitive Assessment (MoCA) score>20
6. able to follow three-step directions
7. able to communicate in Cantonese and read Traditional Chinese
8. their hearing and/or visual disturbances corrected by hearing aids and/or glasses
9. consent to participate in the study

Exclusion criteria

1. diagnosed with transcient ischaemic attack, subdural or epidural haemorrhage
2. experienced cerebrovascular events due to tumours or head trauma
3. have pre-existing neurological, cardiovascular or orthopaedic conditions that contradict participation in dancing such as shoulder dislocation, myocardial infarction, seizures or acutes illness
4. mental condition such as depression, schizophrenia or personality disorder
5. incomprehensible speech
6. severe hearing and/or visual disturbance

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

32 participants in 2 patient groups

Ballet-inspired workout programme (Group A)

Experimental group

Description:

Participants will continue their usual activities and exercises, and in addition, receive an 8-week home-based programme delivered by trained volunteers via hybrid on-site and virtual contacts, and supported by volunteer healthcare professionals. A self-directed resource package will be developed.

Treatment:

Behavioral: Ballet-inspired workouts

Usual care (Group B)

Other group

Description:

Control participants will continue their usual activities and exercises during the study period. In addition, they will be provided with an information sheet about recommendations with pictorial demonstrations on basic stretching and leg exercises for stroke survivors.

Treatment:

Other: Usual care