Exercise Intervention for Stroke Recovery
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores how high-intensity interval training (HIIT) can improve walking speed in individuals who have experienced a stroke and now face leg movement difficulties. Researchers aim to determine if brain scans and other tests can predict who will benefit most from this exercise program. Participants will cycle three times a week for 12 weeks under supervision. Individuals who had a stroke more than six months ago, have difficulty walking, and have received medical clearance for exercise may be eligible.
As an unphased trial, this study offers participants the chance to contribute to groundbreaking research that could enhance rehabilitation strategies for stroke survivors.
What prior data suggests that this exercise intervention is safe for stroke recovery?
Research has shown that high-intensity interval training (HIIT) is generally safe for people recovering from a stroke. A review of 10 studies found that HIIT aids recovery without raising the risk of negative side effects. Another study found no deaths related to HIIT, suggesting a low to moderate risk of harm. HIIT also improves walking distance and balance in stroke patients. Compared to moderate exercise, HIIT is often easier to manage and may enhance mobility more effectively. Overall, evidence supports the safety of HIIT for stroke recovery.12345
Why are researchers excited about this trial?
Researchers are excited about the HIIT intervention for stroke recovery because it introduces a dynamic approach that contrasts with the usual low-intensity exercise routines typically recommended for stroke survivors. HIIT, or high-intensity interval training, involves short bursts of intense exercise followed by rest, which can enhance cardiovascular fitness and neuroplasticity — the brain's ability to form new connections. This could potentially accelerate recovery and improve overall physical health more effectively than standard rehabilitation exercises.
What evidence suggests that this HIIT intervention is effective for stroke recovery?
Research has shown that high-intensity interval training (HIIT) can be effective for stroke recovery. One study found that HIIT significantly improved stroke survivors' walking distance, balance, and cognitive skills. Another study reported that HIIT led to greater improvements in heart and lung fitness and walking speed compared to moderate exercise. These gains in fitness and mobility remained above important levels even weeks after the training ended. HIIT also increases muscle strength and supports overall recovery. In this trial, participants will undergo a HIIT intervention consisting of three weekly cycling sessions for 12 weeks. These findings suggest that HIIT can be a powerful tool for enhancing quality of life after a stroke.24678
Who Is on the Research Team?
Lisa Krishnamurthy, PhD
Principal Investigator
Emory University
Are You a Good Fit for This Trial?
This trial is for adults who have had a stroke affecting the lower part of their brain and now have trouble walking. Participants should be in the chronic phase after stroke, able to attend regular exercise sessions, and willing to undergo MRI scans and blood tests.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Pre-intervention Assessment
Participants undergo assessments including lower extremity motor function tests and a 90-minute MRI session for a brain scan
Treatment
Participants engage in 12 weeks of high-intensity interval training (HIIT) with cycling sessions, including blood lactate measurements and heart rate monitoring
Post-intervention Assessment
Participants undergo post-intervention assessments including lower extremity motor function tests and a 90-minute MRI session for a brain scan
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- HIIT intervention
Trial Overview
The study is testing whether high intensity interval training (HIIT) on a stationary bike can help improve walking ability in people with long-term lower limb problems after a stroke. The program lasts 12 weeks with supervised cycling three times per week.
How Is the Trial Designed?
1
Treatment groups
Experimental Treatment
The HIIT consists of three weekly 25-60 minute cycling sessions for 12 weeks at Emory University, administered by a trained exercise physiologist, for a total of 36 HIIT sessions.
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Who Is Running the Clinical Trial?
Emory University
Lead Sponsor
American Heart Association
Collaborator
Citations
Effects of High-Intensity Interval Training After Stroke (The ...
HIIT Stroke Study showed a significant increase in walking distance, balance, and executive function immediately after 8 weeks of supervised treadmill HIIT ...
High Intensity Interval Training POst-STroke (HIIT-POST) - PMC
The use of HIIT facilitates larger increases in cardiorespiratory fitness and walking speed compared to moderate intensity continuous aerobic ...
3.
docwirenews.com
docwirenews.com/post/high-intensity-interval-training-benefits-people-recovering-from-strokeHigh-Intensity Interval Training Benefits Patients ...
Improvements in the HIIT group remained above clinically notable thresholds even at the 8-week follow-up (1.71 mL/kg/min), whereas improvements ...
The safety and efficacy of high-intensity interval training ...
high-intensity interval training (HIIT) is an effective intervention for patients in the 3–6 month recovery phase after stroke. it can increase muscle strength ...
5.
newsroom.heart.org
newsroom.heart.org/news/short-intense-bursts-of-exercise-more-effective-after-stroke-than-steady-moderate-exerciseShort, intense bursts of exercise more effective after stroke ...
Significant improvements in aerobic fitness were noted after 12 weeks of high-intensity interval training sessions compared to traditional, ...
The safety and efficacy of high-intensity interval training (HIIT ...
This meta-analysis of 10 RCTs supports the efficacy and safety of HIIT for improving functional recovery in post-stroke patients compared with ...
High-intensity interval training after stroke: A mixed- ...
There were no fatalities related to high-intensity interval training. There was low–moderate certainty of no difference in the risk of adverse ...
Impact of High-Intensity Interval Training (HIIT) on Patient ...
HIIT is safe for post-MI and post-stroke patients, with statistically insignificant differences in the incidence of adverse events between HIIT ...
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