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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01246882
Registration number
NCT01246882
Ethics application status
Date submitted
22/11/2010
Date registered
23/11/2010
Date last updated
1/05/2019
Titles & IDs
Public title
Stroke Inpatient Rehabilitation Reinforcement of ACTivity
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Scientific title
Stroke Inpatient Rehabilitation Reinforcement of ACTivty: An International Multisite Clinical Trial
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Secondary ID [1]
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10-000134
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Universal Trial Number (UTN)
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Trial acronym
SIRRACT
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Stroke
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Condition category
Condition code
Stroke
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Haemorrhagic
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Stroke
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Ischaemic
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
BEHAVIORAL - Augmented activity feedback
BEHAVIORAL - Speed-only feedback
Experimental: Augmented activity feedback - Feedback three times per week about 10-m walking speed, plus amount and types of physical activity measured using wireless bilateral ankle sensors that detect bouts of walking and cycling speed, duration, and distance.
Active comparator: speed-only feedback - Feedback three times per week about overground walking speed over 10 meters.
BEHAVIORAL: Augmented activity feedback
Feedback about walking speed and amount of physical activity will be provided 3 times per week from data acquired from wireless sensors on each ankle.
BEHAVIORAL: Speed-only feedback
Feedback about walking speed will be provided 3 times per week.
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Intervention code [1]
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BEHAVIORAL
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Gait speed
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Assessment method [1]
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Timepoint [1]
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Discharge
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Secondary outcome [1]
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Distance walked in 3 minutes
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Assessment method [1]
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Timepoint [1]
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Discharge
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Eligibility
Key inclusion criteria
* Admission for acute inpatient rehabilitation of a first stroke (or second stroke after full recovery from prior TIA/Stroke)
* Time from onset of stroke to admission for rehabilitation < 35 days
* Stroke from any cause (thrombotic infarct, cardioembolus, intracerebral hemorrhage) that includes unilateral hemiparesis. Hemiparesis means less than / equal to 4/5 strength by the British Medical Council scale for hip flexion tested supine and for knee or ankle flexion and extension (scores less than / equal to 22 of 25 possible points)
* Ability to follow simple instructions, especially to understand verbal reinforcement about activity.
* Independent in mobility prior to admission by the Barthel Index.
* Able to walk with no more than physical assistance of 2 persons for at least 5 steps (for example, 3 strides of the left leg alternating with 2 on the right leg). Subjects can use any type of assistive device and brace needed.
* Able to understand and repeat information related to the Informed Consent. The subject signs a Consent form.
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Minimum age
18
Years
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Maximum age
No limit
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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
* Current medical disease that will limit physical therapy at the time of randomization or limited walking prior to the stroke, such as serious infection, DVT, orthostatic hypotension, > stage 2 decubitus ulcer of buttocks or legs, congestive heart failure, claudication, and pain with weight-bearing or walking. Subjects can be entered if a complication resolves within 7 days of admission screening.
* Aphasia with inability to follow 2-step directions during therapeutic instructions or answers Yes/No to questions with < 75% accuracy related to personal health and symptoms.
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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
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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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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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/01/2011
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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
1/11/2012
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Sample size
Target
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Accrual to date
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Final
140
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
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United States of America
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Massachusetts
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United States of America
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Minnesota
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Missouri
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New York
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United States of America
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Pennsylvania
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Egypt
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Cairo
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India
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Karnataka
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Ireland
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Dublin
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Italy
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Milan
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Italy
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Venice
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Japan
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Osaka
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Korea, Republic of
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Gwangju
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New Zealand
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Christchurch
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Nigeria
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Ibadan
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Spain
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Barcelona
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Spain
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Vigo
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Taiwan
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Taipei
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Turkey
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Ankara
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Funding & Sponsors
Primary sponsor type
Other
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Name
University of California, Los Angeles
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Address
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Other
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National Taiwan University Hospital
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Other
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Washington University School of Medicine
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University of Vigo
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Other
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Morinomiya Hospital, Osaka, Japan
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Other
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Mayo Clinic
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Other
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IRCCS San Camillo, Venezia, Italy
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Fairlawn Hospital, Worcester, MA, USA
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Other
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Chonnam National University Hospital
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Ain Shams University
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MedStar National Rehabilitation Network
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Other
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St. Luke's Hospital, Pennsylvania
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Other
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Father Muller Medical College
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Other
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Burke Rehabilitation Hospital
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Burwood Hospital, Christchurch, New Zealand
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Other
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Gazi University
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Other
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University College Hospital, Ibadan, Nigeria
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Rehabilitation Hospital, Barcelona, Spain
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Other
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IRCCS San Raffaele
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to determine the effects of daily feedback about physical activity (number of bouts of walking, duration of bouts, total walking distance, average and fastest walking speed) and walking average speed compared to feedback about walking speed only on walking-related outcomes during inpatient rehabilitation for stroke. For the first time, daily walking and other exercise will be monitored by bilateral triaxial accelerometers on the ankles. Activity-recognition algorithms will analyze the inpatient sensor data and return a summary to the participants at each site.
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Trial website
https://clinicaltrials.gov/study/NCT01246882
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Trial related presentations / publications
Dobkin BH, Dorsch A. The promise of mHealth: daily activity monitoring and outcome assessments by wearable sensors. Neurorehabil Neural Repair. 2011 Nov-Dec;25(9):788-98. doi: 10.1177/1545968311425908. Dorsch AK, Thomas S, Xu X, Kaiser W, Dobkin BH; SIRRACT investigators. SIRRACT: An International Randomized Clinical Trial of Activity Feedback During Inpatient Stroke Rehabilitation Enabled by Wireless Sensing. Neurorehabil Neural Repair. 2015 Jun;29(5):407-15. doi: 10.1177/1545968314550369. Epub 2014 Sep 26.
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Public notes
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Contacts
Principal investigator
Name
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Bruce H Dobkin, MD
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Address
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University of California, Los Angeles
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Contact person for scientific queries
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
Type
Citations or Other Details
Journal
Dorsch AK, Thomas S, Xu X, Kaiser W, Dobkin BH; SI...
[
More Details
]
Results not provided in
https://clinicaltrials.gov/study/NCT01246882
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