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Trial registered on ANZCTR
Registration number
ACTRN12616000769482
Ethics application status
Approved
Date submitted
26/04/2016
Date registered
10/06/2016
Date last updated
14/12/2018
Date data sharing statement initially provided
14/12/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
The effects of Ai-Chi intervention on balance and gait performance in individuals with chronic stroke
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Scientific title
The effects of Ai-Chi intervention on balance and gait performance in individuals with chronic stroke
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Secondary ID [1]
289037
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Stroke
298453
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Condition category
Condition code
Stroke
298614
298614
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0
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Haemorrhagic
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Stroke
298787
298787
0
0
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Ischaemic
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Physical Medicine / Rehabilitation
299012
299012
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0
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Other physical medicine / rehabilitation
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Participants will receive Ai Chi intervention. Ai Chi is an aquatic exercise containing 16 movements invented by Jun Konno in 1993. The spirit of roundness and flow is adapted from Tai Chi, one of Chinese martial arts, and Watsu, a Japanese body-mind relaxation technique. Ai Chi emphasizes gentle, smooth, and broad movements, Participants need to stay in a semi-squat position with shoulders underneath water surface. It is very important to start with breathing exercise followed by arm and leg movements, and finally coordinated whole body movements. Ai Chi exercise includes several components: flexibility, strength, coordination, relaxation, postural control, and balance.
Ai Chi sessions will be delivered by a certificated physiotherapist with 2 year experience in aquatic therapy and Ai Chi. Training frequency will be 60 min per session, 3 sessions per week for a total of 6 weeks. It will be small group sessions taking place in a hydrotherapy pool in Cheng Hsin General Hospital.
Each participant will have a check sheet and it has to be registered at every session in order to monitor adherence.
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Intervention code [1]
294587
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Rehabilitation
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Intervention code [2]
294720
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Treatment: Other
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Comparator / control treatment
Participants in active control group will receive conventional aquatic therapy composed of strengthening, movement facilitation, and motor control training. Participants will be instructed by physiotherapist in a small group and the sessions are taking place in hydrotherapy pool in Cheng Hsin General Hospital. Training frequency will be 60 min per session, 3 sessions per week for a total of 6 weeks.
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Control group
Active
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Outcomes
Primary outcome [1]
298105
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Limit of stability by SMART Balance Master, NeuroCom International, Inc., USA
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Assessment method [1]
298105
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Timepoint [1]
298105
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Participants will be assessed within one week before and after the 6-week intervention.
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Primary outcome [2]
298257
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Functional balance performance by Berg balance scale
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Assessment method [2]
298257
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Timepoint [2]
298257
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Participants will be assessed within one week before and after the 6-week intervention.
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Primary outcome [3]
298258
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Spatial-temporal parameters of gait by GAITRite system
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Assessment method [3]
298258
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Timepoint [3]
298258
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Participants will be assessed within one week before and after the 6-week intervention.
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Secondary outcome [1]
323190
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Motor control of lower extremities by Fugl-Meyer Assessment-LE
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Assessment method [1]
323190
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Timepoint [1]
323190
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Participants will be assessed within one week before and after the 6-week intervention.
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Secondary outcome [2]
323718
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Weight bearing distribution by SMART Balance Master, NeuroCom International, Inc., USA
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Assessment method [2]
323718
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Timepoint [2]
323718
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Participants will be assessed within one week before and after the 6-week intervention.
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Eligibility
Key inclusion criteria
1. age 20 y/0 to 80 y/o
2. at least 6 months after the onset of first stroke
3. ability to walk independently with or without walking aids for at lease 15 m
4. MMSE > 24
5. no previous cardiovascular disease or other neurological disorder
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Minimum age
20
Years
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Maximum age
80
Years
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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
1. history of regular aquatic therapy
2. history of cardiovascular disease
3. pregnancy
4. incontinence
5. open wounds
6. intubation
7. unwillingness to immerse in water
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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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
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Actual
27/05/2016
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Date of last participant enrolment
Anticipated
31/07/2017
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Actual
1/11/2017
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Date of last data collection
Anticipated
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Actual
27/12/2017
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Sample size
Target
60
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Accrual to date
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Final
20
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Recruitment outside Australia
Country [1]
7838
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Taiwan, Province Of China
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State/province [1]
7838
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Taipei
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Funding & Sponsors
Funding source category [1]
293454
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University
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Name [1]
293454
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National Yang-Ming University
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Address [1]
293454
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No.155, Sec.2, Linong Street, Taipei, 112 Taiwan, R.O.C.
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Country [1]
293454
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Taiwan, Province Of China
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Funding source category [2]
301448
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Hospital
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Name [2]
301448
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Cheng Hsin General Hospital
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Address [2]
301448
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No.45,Cheng Hsin St.,Pai-Tou,Taipei
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Country [2]
301448
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Taiwan, Province Of China
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Primary sponsor type
University
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Name
National Yang-Ming University
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Address
No.155, Sec.2, Linong Street, Taipei, 112 Taiwan, R.O.C.
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Country
Taiwan, Province Of China
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Secondary sponsor category [1]
292276
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Hospital
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Name [1]
292276
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Cheng Hsin General Hospital
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Address [1]
292276
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No.45,Cheng Hsin St.,Pai-Tou,Taipei, Taiwan, R.O.C.
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Country [1]
292276
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Taiwan, Province Of China
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
294897
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Institutional Review Board of Cheng Hsin General Hospital
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Ethics committee address [1]
294897
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No.45,Cheng Hsin St.,Pai-Tou,Taipei
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Ethics committee country [1]
294897
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Taiwan, Province Of China
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Date submitted for ethics approval [1]
294897
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15/01/2016
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Approval date [1]
294897
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06/04/2016
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Ethics approval number [1]
294897
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CHGH-IRB (537)105-06
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Summary
Brief summary
Deterioration of balance and gait performance is commonly observed in stroke survivors. Previous studies have shown that water-based exercise is significantly beneficial to postural control and and mobility. Ai Chi is an aquatic exercise emphasizing translation of weight, muscle strengthening, and coordinated body movements. This study aims to investigate the effects of Ai Chi on balance and gait performance over other aquatic exercise in individuals with stroke.
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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
65250
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Miss Ku, Pei-Hsin
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Address
65250
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Department of Physical Therapy and Assistive Technology, National Yang-Ming University
No.155, Sec.2, Linong Street, Taipei, 112 Taiwan, R.O.C.
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Country
65250
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Taiwan, Province Of China
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Phone
65250
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+886-9-425028
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Fax
65250
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Email
65250
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[email protected]
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Contact person for public queries
Name
65251
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Wang, Ray-Yau
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Address
65251
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Department of Physical Therapy and Assistive Technology, National Yang-Ming University
No.155, Sec.2, Linong Street, Taipei, 112 Taiwan, R.O.C.
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Country
65251
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Taiwan, Province Of China
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Phone
65251
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+886-2-28267210
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Fax
65251
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Email
65251
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[email protected]
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Contact person for scientific queries
Name
65252
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Wang, Ray-Yau
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Address
65252
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Department of Physical Therapy and Assistive Technology, National Yang-Ming University
No.155, Sec.2, Linong Street, Taipei, 112 Taiwan, R.O.C.
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Country
65252
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Taiwan, Province Of China
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Phone
65252
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+886-2-28267210
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Fax
65252
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Email
65252
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Due to regulations of Ethical Committee, any information and data collected from the subjects (patients) should be confidential and be eliminated after a certain period of time. The clinical findings,however, would be submitted to scientific journal afterwards.
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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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