100 Participants Needed

Virtual Seated Exercises for Stroke

(V-PASE Trial)

Recruiting at 4 trial locations
CH
Overseen ByChihya Hung, MScPT
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University of British Columbia
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine if seated exercises delivered online can improve balance, mobility, quality of life, and heart health in individuals with movement difficulties due to a stroke. Participants will join either a 10-week seated exercise program called Virtual Physical Activity Seated Exercises (V-PASE) or a shorter 2-week Boot Camp later. It suits those who had a stroke over 6 months ago, have trouble walking, and can stand up from a chair. As an unphased trial, this study provides a unique opportunity to contribute to research that could enhance rehabilitation options for stroke survivors.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that these virtual seated exercises are safe for stroke patients?

Research has shown that seated exercises are generally safe for people who have had a stroke. One study examined their effects on balance and movement in stroke survivors, including 337 participants, and found improvements without major safety concerns. Another study focused on a home-based seated exercise program for heart health in adults with long-term neurological conditions, also showing positive results without significant side effects.

These findings suggest that virtual seated exercises, like those in this trial, are well-tolerated. Participants typically experience improvements in balance and movement, with no serious side effects reported. This is encouraging for those considering joining the trial, as it indicates a good safety record for the treatment.12345

Why are researchers excited about this trial?

Researchers are excited about Virtual Physical Activity Seated Exercises (V-PASE) for stroke recovery because this innovative approach uses virtual technology to enhance accessibility and engagement in rehabilitation. Unlike traditional physical therapy that often requires in-person sessions and full mobility, V-PASE allows stroke survivors to participate in seated exercises from the comfort of their own home, making it more accessible for those with limited mobility. Additionally, the virtual component adds an interactive element, potentially increasing motivation and consistency in patients' rehabilitation routines. This approach could significantly improve participation and outcomes in stroke recovery, offering a promising alternative to existing methods.

What evidence suggests that virtual seated exercises are effective for stroke-related mobility impairment?

This trial will compare two groups: one will receive a 10-week seated exercise program, while the other will participate in a delayed 2-week program after the trial period. Studies have shown that seated exercises can enhance balance and movement in stroke survivors. Research indicates these exercises may improve heart and blood vessel health. Some studies also suggest that exercises using virtual reality can enhance walking and overall movement recovery in stroke patients. Overall, early findings suggest these exercises could be a promising way to improve health and quality of life after a stroke.23678

Are You a Good Fit for This Trial?

This trial is for adults who've had a stroke at least 6 months ago, can stand up from a chair with or without help, and have some mobility issues. They should be able to exercise safely for an hour, speak English, and have access to the internet and email via a computer or tablet.

Inclusion Criteria

I am legally considered an adult in my region.
Able to communicate in English
Have access to a tablet, computer, or laptop with internet and email access
See 4 more

Exclusion Criteria

You have severe problems with your vision, hearing, speaking, or thinking that makes it hard for you to use a computer or talk on video calls.
I have a condition like chronic pain that stops me from doing certain physical activities.
I have a serious health condition like Parkinson's or another active cancer.
See 3 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants are randomized to a 10-week seated exercise program or a delayed 2-week Boot Camp program, with sessions conducted virtually

10 weeks
3 virtual sessions per week

Follow-up

Participants are monitored for safety and effectiveness after treatment

8 weeks

Delayed Treatment (Boot Camp)

Participants in the delayed group complete a 2-week seated exercise program following the 10-week active trial period

2 weeks
3 virtual sessions per week

What Are the Treatments Tested in This Trial?

Interventions

  • Virtual Physical Activity Seated Exercises (V-PASE)
Trial Overview The study tests if online seated exercises can improve balance, mobility, quality of life, and heart health in those with stroke-related impairments. Participants will either do a 10-week program immediately or join a shorter Boot Camp after.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: 10-week groupExperimental Treatment1 Intervention
Group II: Delayed 2-week group (Boot Camp)Active Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of British Columbia

Lead Sponsor

Trials
1,506
Recruited
2,528,000+

Michael Smith Foundation for Health Research

Collaborator

Trials
20
Recruited
6,100+

Canadian Institutes of Health Research (CIHR)

Collaborator

Trials
1,417
Recruited
26,550,000+

Published Research Related to This Trial

Using Seated Power Assisted Exercise (PAE) equipment significantly helps individuals recovering from stroke transition from early rehabilitation to long-term recovery, as reported by participants in a qualitative study of 8 stroke survivors.
Participants expressed that PAE not only aids physical recovery but also positively reframes their experience of stroke, suggesting that community-based PAE programs are valuable for ongoing rehabilitation and should be further developed.
Users' experience of community-based power assisted exercise: a transition from NHS to third sector services.Young, R., Broom, D., O'Brien, R., et al.[2022]
The study demonstrated that using an internet-based app and chair sensor to monitor and guide home exercises for stroke patients is feasible and safe, with all 10 participants completing the program and exceeding their exercise goals.
Participants reported high satisfaction with the system, and there were no adverse events, suggesting that this technology could effectively support increased exercise adherence and potentially improve physical function after stroke.
"Connecting patients and therapists remotely using technology is feasible and facilitates exercise adherence after stroke".Simpson, DB., Bird, ML., English, C., et al.[2020]
Eighteen randomized controlled trials were reviewed, revealing that interventions like aerobic and resistance training, electrical stimulation during walking, and robot-assisted arm therapy significantly increased physical activity in stroke patients.
Despite some effective interventions, the overall quality of evidence was low, and many studies showed no significant differences in physical activity, highlighting the need for more robust research in this area.
Efficacy of interventions aimed at improving physical activity in individuals with stroke: a systematic review.Aguiar, LT., Nadeau, S., Martins, JC., et al.[2021]

Citations

1.neurorehab.med.ubc.caneurorehab.med.ubc.ca/v-pase/
V-PASE - Neurorehabilitation Research ProgramThus, the V-PASE study aims to investigate the effects of delivering a online seated exercise program balance and walking capacity in those with a stroke and ...
The influence of seated exercises on balance, mobility, and ...These findings suggest beneficial effects of seated exercises on balance and mobility outcomes in those with a stroke, compared with standard therapy or an ...
A seated virtual exercise program to improve ...This study aimed to investigate the effects of a seated home-based tele-exercise regimen on cardiovascular function in adults with chronic neurological ...
The Effectiveness of Therapeutic Exercise Interventions ...This study aims to evaluate the effectiveness of therapeutic exercise interventions with virtual reality (VR) training on balance and walking.
Effectiveness of Virtual Reality Exercises in STroke ...Evidence suggests that increasing intensity of rehabilitation results in better motor recovery. Limited evidence is available on the effectiveness of an ...
A seated virtual exercise program to improve ...This study aimed to investigate the effects of a seated home-based tele-exercise regimen on cardiovascular function in adults with chronic neurological ...
Virtual Reality Exercise for Stroke Rehabilitation in ...The purpose of this study is to determine if the addition of 10 to 12 sessions of sitting balance exercises using virtual reality training will provide ...
Remote delivery of seated exercises transfers to improved ...This case-report investigates the effect of a novel, remotely delivered 2-week seated exercise program on mobility in a person living with stroke.
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