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Trial registered on ANZCTR
Registration number
ACTRN12606000235505
Ethics application status
Approved
Date submitted
5/06/2006
Date registered
14/06/2006
Date last updated
26/09/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
Regaining the ability to walk outdoors following stroke: the efficacy of the Bobath concept compared to structured task practice.
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Scientific title
Regaining the ability to walk outdoors following stroke: the efficacy of the Bobath concept compared to structured task practice.
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Secondary ID [1]
263101
0
Nil known
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Universal Trial Number (UTN)
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Trial acronym
Nil
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Stroke
1212
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Condition category
Condition code
Stroke
1297
1297
0
0
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Ischaemic
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Stroke
271030
271030
0
0
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Haemorrhagic
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
A) Bobath Intervention - Intervention Group
Each group receives 6 x 1 hour treatment sessions within a 2 week period.
Therapists must have at least 5 years postgraduate experience and at least two years experience in the fields of rehabilitation or neurology. The therapsit providing Intervention A must have completed a Basic Bobath Course and at least two Advanced Bobath Courses.
During the intervention period the participant does not receive any other physiotherapy aimed at improving mobility, postur, balance or lower limb function.
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Intervention code [1]
1126
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Rehabilitation
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Comparator / control treatment
B) Structured task practice - Control Group
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Control group
Active
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Outcomes
Primary outcome [1]
1772
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Six minute walk test (modified)
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Assessment method [1]
1772
0
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Timepoint [1]
1772
0
The test will be performed prior to commencement of the 6 treatment sessions and following completion of the 6 treatment sessions.
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Secondary outcome [1]
3122
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Berg Balance Scale
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Assessment method [1]
3122
0
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Timepoint [1]
3122
0
The test will be performed prior to commencement of the 6 treatment sessions and following completion of the 6 treatment sessions.
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Secondary outcome [2]
3123
0
Gait speed
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Assessment method [2]
3123
0
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Timepoint [2]
3123
0
The test will be performed prior to commencement of the 6 treatment sessions and following completion of the 6 treatment sessions.
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Secondary outcome [3]
3124
0
Stair Climbing speed
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Assessment method [3]
3124
0
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Timepoint [3]
3124
0
The test will be performed prior to commencement of the 6 treatment sessions and following completion of the 6 treatment sessions.
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Eligibility
Key inclusion criteria
First or recurrent stroke diagnosis, haemorrhage or infarct. Between four weeks and sixteen weeks post stroke at commencement of trial. Currently participating in an inpatient or outpatient rehabilitation program. Able to walk 15 metres indoors on a level surface, with or without an aid, with supervision.
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Minimum age
18
Years
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Maximum age
Not stated
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Premorbid mobility limited to walking indoors only. Inability to follow single stage verbal commands with visual prompts sufficient to complete the required assessments. Able to walk safely outdoors without supervision. Mobility disability due primarily to pathologies other than stroke.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Concealed evelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer randomisation
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 1
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/06/2005
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
30
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
1423
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Charities/Societies/Foundations
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Name [1]
1423
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St Vincents Health Rsearch Grant
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Address [1]
1423
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Victoria Parade Fitzroy 3065 Victoria
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Country [1]
1423
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Australia
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Primary sponsor type
Charities/Societies/Foundations
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Name
St Vincents Health
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Address
Victoria Parade Fitzroy 3065 Victoria
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Country
Australia
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Secondary sponsor category [1]
1251
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None
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Name [1]
1251
0
-
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Address [1]
1251
0
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Country [1]
1251
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
2795
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St Vincents Health
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Ethics committee address [1]
2795
0
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Ethics committee country [1]
2795
0
Australia
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Date submitted for ethics approval [1]
2795
0
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Approval date [1]
2795
0
25/05/2005
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Ethics approval number [1]
2795
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6-05
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Ethics committee name [2]
2796
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Goulburn Valley Health
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Ethics committee address [2]
2796
0
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Ethics committee country [2]
2796
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Australia
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Date submitted for ethics approval [2]
2796
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Approval date [2]
2796
0
12/09/2005
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Ethics approval number [2]
2796
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GVH - 04/05
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Ethics committee name [3]
2797
0
Kliniken Schmeider in Constanz
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Ethics committee address [3]
2797
0
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Ethics committee country [3]
2797
0
Germany
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Date submitted for ethics approval [3]
2797
0
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Approval date [3]
2797
0
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Ethics approval number [3]
2797
0
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Summary
Brief summary
The purpose of this project is to investigate the effectiveness of physiotherapy treatment interventions aimed at improving ability to walk safely outdoors following stroke. This project is a pilot study that will compare the effectiveness of two physiotherapy interventions for regaining the ability to walk outdoors. The structured task practice is an evidence based approach focusing on repeated practice of the different tasks involved in walking outdoors, such as walking on slopes and crossing gutters. The alternative interventions are based on the Bobath Concept, a treatment approach that focuses on the development of postural stability to improve balance and walking function. Participants for the pilot study will be sought from patients who are currently undergoing rehabilitation (either inpatient or outpatient) following stroke and who have recently achieved the ability to walk with supervision indoors. Thirty participants will be recruited for the pilot study. Participants will have baseline assessments including the adapted six minute walk test, their walking velocity (over the central 6 metres of a 10 metre track), the time taken to ascend and descend a flight of stairs and scores on the Berg Balance Scale (an ordinal scale assessing ability to perform 14 balance tasks) by a blind assessor. Participants will be randomised to either of the two interventions. Patients are blinded to which group they have been randomised. Both interventions will require the participant to attend six one hour physiotherapy sessions over a two week period. In the structured task practice intervention, participants will practice activities such as walking on slopes, going up and down a single step, and walking on uneven ground. In the Bobath Concept intervention, the postural stability of the participant will be assessed and individualised treatment programs established, aimed at improving postural stability. These sessions will include activities in standing and walking to enhance standing balance, patterns of muscle activation and postural responses. The sessions will incorporate some task practice to a maximum of 1/6 of the treatment time. The baseline assessments will be repeated following the intervention stage.Analysis of the pilot data will enable accurate power calculations for a larger multi centre trial.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
36277
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Address
36277
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Country
36277
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Phone
36277
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Fax
36277
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Email
36277
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Contact person for public queries
Name
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Dr Kim Brock
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Address
10315
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Physiotherapy Department
St Vincents Hospital
Victoria Pde
Fitzroy VIC 3065
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Country
10315
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Australia
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Phone
10315
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+61 3 92882211
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Fax
10315
0
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Email
10315
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[email protected]
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Contact person for scientific queries
Name
1243
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Dr Kim Brock
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Address
1243
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Physiotherapy Department
St Vincents Hospital
Victoria Pde
Fitzroy VIC 3065
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Country
1243
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Australia
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Phone
1243
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+61 3 92882211
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Fax
1243
0
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Email
1243
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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