强化离床活动对急性期脑卒中患者运动功能的影响

注册号:

Registration number:

ChiCTR2200057404 

最近更新日期:

Date of Last Refreshed on:

2022-11-12 16:00:14 

注册时间:

Date of Registration:

2022-03-11 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

强化离床活动对急性期脑卒中患者运动功能的影响

Public title:

Effect of intensive out-of-bed mobilization on the motion outcomes of patients with acute stroke

注册题目简写:

强化离床运动脑卒中

English Acronym:

intensive out-of-bed mobilization of stroke

研究课题的正式科学名称:

强化离床活动对急性期脑卒中患者运动功能的影响

Scientific title:

Effect of intensive out-of-bed mobilization on the motion outcomes of patients with acute stroke

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

杨倩 

研究负责人:

杨倩 

Applicant:

Yang Qian 

Study leader:

Yang Qian 

申请注册联系人电话:

Applicant telephone:

+86 19512258465

研究负责人电话:

Study leader's
telephone:

+86 19512258465

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

Charlotte_yangqian@outlook.com

研究负责人电子邮件:

Study leader's E-mail:

Charlotte_yangqian@outlook.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

上海市徐汇区东兰路121弄11号605室

研究负责人通讯地址:

上海市徐汇区东兰路121弄11号605室

Applicant address:

Room 605, 11, Lane 121, Donglan Road, Xuhui District, Shanghai

Study leader's address:

Room 605, 11, Lane 121, Donglan Road, Xuhui District, Shanghai

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

复旦大学附属中山医院

Applicant's institution:

Zhongshan Hospital, Fudan University

研究负责人所在单位:

复旦大学附属中山医院

Affiliation of the Leader:

Zhongshan Hospital, Fudan University

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

B2021-729R

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

复旦大学附属中山医院伦理委员会

Name of the ethic committee:

Ethics Committee of Zhongshan Hospital, Fudan University

伦理委员会批准日期:

Date of approved by ethic committee:

2021-12-14 00:00:00

伦理委员会联系人:

杨梦婕

Contact Name of the ethic committee:

Yang Mengjie

伦理委员会联系地址:

上海市徐汇区枫林路180号

Contact Address of the ethic committee:

180, Fenglin Road, Xuhui District, Shanghai

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 21 31587871

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

复旦大学附属中山医院

Primary sponsor:

Zhongshan Hospital, Fudan University

研究实施负责(组长)单位地址:

上海市徐汇区枫林路180号

Primary sponsor's address:

180, Fenglin Road, Xuhui District, Shanghai

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

上海

市(区县):

徐汇

Country:

China

Province:

Shanghai

City:

Xuhui

单位(医院):

复旦大学附属中山医院

具体地址:

上海市徐汇区枫林路180号

Institution
hospital:

Zhongshan Hospital, Fudan University

Address:

180, Fenglin Road, Xuhui District, Shanghai

经费或物资来源:

Source(s) of funding:

No source of funding

研究疾病:

脑卒中  

Target disease:

Stroke

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

I期临床试验 

Study phase:

1

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

本研究的首要目的是探讨与常规康复相比,在卒中后早期康复治疗中,进行多次强化离床运动,对卒中患者下肢运动功能的影响。详细分析各项离床运动的内容(如离床运动次数、持续时间、运动内容等)与下肢步行能力改善的关系。研究的次要目的是探讨强化离床运动对患者的生活自理能力、整体功能、生活质量和不良事件的影响。  

Objectives of Study:

The primary objective of this study was to investigate the effects of multiple intensification of bed-leaving exercises on lower extremity motor function in early post-stroke rehabilitation compared with conventional rehabilitation. The relationship between walking ability of lower limbs and the content of various off-bed exercise (such as the number, duration and content of off-bed exercise, etc.) was analyzed in detail. The secondary objective of the study was to investigate the effects of enhanced bed-leaving exercise on patients' self-care ability, overall functioning, quality of life, and adverse events.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1. 发病前有肢体功能运动障碍者[改良Rankin评分(modified Rankin scale,mRS)>3分]和(或)3个月内有下肢骨折影响肢体活动;
2. 此次发病采用美国国立卫生研究院卒中量表评分结果为重度卒中(NIHSS>16分);
3. 合并有其他进展性神经系统疾病,如痴呆、帕金森、癫痫、恶性肿瘤、脑外伤等;
4. 合并严重的心血管疾病、肺部感染、尿毒症等;
5. 严重认知障碍、失语、视觉、听觉障碍,或无法配合者;
6. 已参与其他康复实验者。

Exclusion criteria:

1. The patients with limb dysfunction before the onset [modified Rankin scale (mRS)>3 points] and (or) lower limb fractures within 3 months affect limb activities;
2. The score of National Institutes of Health Stroke Scale was severe stroke (NIHSS>16 points);
3. Complicated with other progressive nervous system diseases, such as dementia, Parkinson's disease, epilepsy, malignant tumor, brain trauma, etc;
4. Complicated with serious cardiovascular disease, pulmonary infection, uremia, etc;
5. Those with severe cognitive impairment, aphasia, visual and auditory impairment, or those unable to cooperate;
6. Those who have participated in other rehabilitation experiments.

研究实施时间:

Study execute time:

From 2022-04-15 00:00:00 To 2023-04-15 00:00:00  

征募观察对象时间:

Recruiting time:

From 2022-04-15 00:00:00 To 2022-12-31 00:00:00

干预措施:

Interventions:

组别:

1

样本量:

25

Group:

1

Sample size:

干预措施:

常规早期康复

干预措施代码:

Intervention:

Routine early rehabilitation

Intervention code:

组别:

2

样本量:

25

Group:

2

Sample size:

干预措施:

常规早期康复,在康复项目中包含至少2次离床运动训练

干预措施代码:

Intervention:

Routine early rehabilitation, including at least 2 out-of-bed exercise sessions

Intervention code:

组别:

3

样本量:

25

Group:

3

Sample size:

干预措施:

常规早期康复,在康复项目中包含至少2次离床运动训练,并且患者将在早上和下午额外进行2次离床运动训练

干预措施代码:

Intervention:

Routine early rehabilitation including at least 2 out-of-bed exercise sessions, and the patient will receive additional 2 out-of-bed exercise sessions in the morning and afternoon

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

上海 

市(区县):

 

Country:

China

Province:

Shanghai

City:

单位(医院):

复旦大学附属中山医院 

单位级别:

三甲 

Institution
hospital:

Zhongshan Hospital, Fudan University

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

Rivermead运动指数

指标类型:

主要指标

Outcome:

Rivermead mobility index

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

美国国立卫生研究院卒中量表(NIHSS)

指标类型:

次要指标

Outcome:

National Institutes of Health Stroke Scale (NIHSS)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

改良RANKIN量表

指标类型:

次要指标

Outcome:

Modified Rankin Scale (mRS)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

Barthel指数量表

指标类型:

次要指标

Outcome:

Barthel index scale

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

Berg平衡量表

指标类型:

次要指标

Outcome:

Berg balance scale

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

Fugl-Meyer运动功能量表(下肢)

指标类型:

次要指标

Outcome:

Fugl-Meyer assessment for lower limb

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

PHQ—9生活质量量表

指标类型:

次要指标

Outcome:

PHQ-9 questionnaire

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 90 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

由特定的一位研究人员采用计算机程序产生随机序列,该研究人员不清楚该研究的具体内容且不参与患者的康复治疗。

Randomization Procedure (please state who generates the random number sequence and by what method):

Random sequences were generated using a computer program by a researcher who was unaware of the study and was not involved in the patients' rehabilitation.

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

Blinding:

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

否No

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

2023.05于临床试验公共管理平台(www.medresman.org)共享数据

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

Data will be shared on clinical trial public Management platform in May, 2023 (www.medresman.org).

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

ResMan

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

ResMan

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2022-03-11 15:22:07