Sit-to-Stand Training for Survivors of Stroke in a Long-Term Care Setting

Hamilton Health Sciences (HHS)

Status and phase

Unknown

Phase 2

Conditions

Cerebrovascular Accident

Treatments

Behavioral: Sit-To-Stand Protocol and Extra Practice in Sit-To-Stand

Study type

Interventional

Funder types

Other

Identifiers

NCT00197509

04-359

Details and patient eligibility

About

The purpose of this study is to see if providing training using a Sit-to-Stand protocol for residents of Long-Term Care Facilities who have had a stroke will increase their independence in performing Sit-to-Stand.

Full description

The implementation of a sit-to-stand protocol and extra practice has been previously validated in a rehabilitation setting, where 68% of survivors of stroke who received the training, learned to stand safely and independently from a 16" surface (the height of a regular toilet). Our findings have been supported by other research that have shown that rising from sitting is a maneuver that has been advocated for strengthening the lower extremities of elderly individuals and patients with specific disorders such as stroke. During the acute care and rehabilitation phases, considerable effort is spent to maximize a person's functional abilities following a stroke; however, continued strengthening and activity appears to stop once an individual is admitted to a LTC facility.

The main purpose of this randomized controlled trial is to examine the efficacy of implementing the Sit-to-Stand (STS) protocol with or without extra sit-to-stand practice for survivors of stroke residing in Long-Term Care (LTC) facilities on (1) their ability to learn how to stand safely and independently from a 16" surface; (2) the number of staff injuries; (3) the number of residents' falls; (4) the quality of life of the residents and staff; and (5) the translation and maintenance of knowledge of the STS protocol by staff into their daily routines.

Sex

All

Volunteers

No Healthy Volunteers

Inclusion criteria

Diagnosis of cerebrovascular accident
Reside in Long-Term Care Facility
Have physician approval to participate in the study
Are unable to stand up independently from a 16" surface without using their hands
Have given informed consent

Exclusion criteria

Expect to be leaving the facility in less than 24 weeks
Have a terminal illness
Have a total hip replacement or other orthopedic complication that prevents them from being able to safely use protocol
Have pain that prevents their participation
Are at higher risk for falling (i.e. blood pressure disorder/postural hypotension, vestibular disorder)