Sharmin Farjana, Hossain Md Forhad, Bari Mahdi Ul, Khan Abid Hasan, Hossain Mohammad Anwar, Ali Md Ershad, Datta Arnob, Sabrin Saiba Muhammad, Sharmin Farzana, Rashid Harun Or, Rezaul Karim Md
Department of Physiotherapy, Centre for the Rehabilitation of the Paralysed (CRP), Savar, Dhaka, Bangladesh.
Department of Statistics and Data Science, Jahangirnagar University, Savar, Dhaka, Bangladesh.
BMJ Open Sport Exerc Med. 2025 Apr 17;11(2):e002604. doi: 10.1136/bmjsem-2025-002604. eCollection 2025.
Stroke is one of the most common causes of disability and death worldwide. With the rapidly growing stroke survivor population, it is crucial to identify an effective method for their healthcare. Recovery from stroke is followed by physiotherapy to promote rehabilitation. Task-oriented circuit training is designed to improve stroke patients' overall functioning during rehabilitation. This research aims to assess the effectiveness of task-oriented circuit training compared with conventional physiotherapy. The investigators have planned an 8-week parallel, two-arm, prospective, randomised clinical study. Participants will be enrolled from eight branches of the centre for the rehabilitation of the paralysed (CRP). We have planned to recruit 506 stroke survivors via a 1:1 random assignment procedure for 24 months. As a main objective, the Action Arm Research Test and the Timed Up and Go will be used to test upper and lower limb motor function. The secondary objectives will include daily living and balance activities, which will be evaluated using the Barthel Index and the Berg Balance Scale. The post-test and follow-up data will be collected after 8 and 12 weeks. The final analysis will include dropouts and treatment side effects. This study has been granted ethical approval by the Ethics Review Committee of the CRP (CRP-R&E-0401-357)). All activities and interventions will be carried out following the Helsinki Declaration of 2020. The findings will be published in peer-reviewed journals and disseminated at international conferences. Trial registration number: CTRI/2023/09/057907 (21 September 2023) (Prospectively registered).
中风是全球致残和致死的最常见原因之一。随着中风幸存者数量的迅速增加,确定一种有效的医疗保健方法至关重要。中风康复后需要进行物理治疗以促进康复。任务导向性循环训练旨在改善中风患者康复期间的整体功能。本研究旨在评估任务导向性循环训练与传统物理治疗相比的有效性。研究人员计划进行一项为期8周的平行双臂前瞻性随机临床研究。参与者将从瘫痪康复中心(CRP)的八个分支机构招募。我们计划通过1:1随机分配程序招募506名中风幸存者,为期24个月。作为主要目标,将使用行动臂研究测试和计时起立行走测试来测试上肢和下肢运动功能。次要目标将包括日常生活和平衡活动,将使用巴氏指数和伯格平衡量表进行评估。测试后和随访数据将在8周和12周后收集。最终分析将包括退出者和治疗副作用。本研究已获得CRP伦理审查委员会(CRP-R&E-0401-357)的伦理批准。所有活动和干预措施将按照2020年《赫尔辛基宣言》进行。研究结果将发表在同行评审期刊上,并在国际会议上传播。试验注册号:CTRI/2023/09/057907(2023年9月21日)(前瞻性注册)