Circuit class or seven-day therapy for increasing intensity of rehabilitation after stroke: Protocol of the CIRCIT trial

Susan Hillier, Coralie English, Maria Crotty, Leonie Segal, Julie Bernhardt, Adrian Esterman

    Research output: Contribution to journalArticle

    15 Citations (Scopus)

    Abstract

    Rationale There is strong evidence for a dose-response relationship between physical therapy early after stroke and recovery of function. The optimal method of maximizing physical therapy within finite health care resources is unknown. Aims To determine the effectiveness and cost-effectiveness of two alternative models of physical therapy service delivery (seven-days per week therapy services or group circuit class therapy over five-days a week) to usual care for people receiving inpatient rehabilitation after stroke. Design Multicenter, three-armed randomized controlled trial with blinded assessment of outcomes. Study A total of 282 people admitted to inpatient rehabilitation facilities after stroke with an admission functional independence measure (FIM) score within the moderate range (total 40-80 points or motor 38-62 points) will be randomized to receive one of three interventions: • usual care therapy over five-days a week • standard care therapy over seven-days a week, or • group circuit class therapy over five-days a week. Participants will receive the allocated intervention for the length of their hospital stay. Analysis will be by intention-to-treat. Outcomes The primary outcome measure is walking ability (six-minute walk test) at four-week postintervention with three- and six-month follow-up. Economic analysis will include a costing analysis based on length of hospital stay and staffing/resource costs and a cost-utility analysis (incremental quality of life per incremental cost, relative to usual care). Secondary outcomes include walking speed and independence, ability to perform activities of daily living, arm function, quality of life and participant satisfaction.

    LanguageEnglish
    Pages560-565
    Number of pages6
    JournalInternational Journal of Stroke
    Volume6
    Issue number6
    DOIs
    Publication statusPublished - 1 Dec 2011

    Keywords

    • Clinical trial
    • Rehabilitation
    • Stroke
    • Therapy

    ASJC Scopus subject areas

    • Neurology

    Cite this

    Hillier, Susan ; English, Coralie ; Crotty, Maria ; Segal, Leonie ; Bernhardt, Julie ; Esterman, Adrian. / Circuit class or seven-day therapy for increasing intensity of rehabilitation after stroke : Protocol of the CIRCIT trial. In: International Journal of Stroke. 2011 ; Vol. 6, No. 6. pp. 560-565.
    @article{d853a0cd584b4febb069e7df4b0cbfa9,
    title = "Circuit class or seven-day therapy for increasing intensity of rehabilitation after stroke: Protocol of the CIRCIT trial",
    abstract = "Rationale There is strong evidence for a dose-response relationship between physical therapy early after stroke and recovery of function. The optimal method of maximizing physical therapy within finite health care resources is unknown. Aims To determine the effectiveness and cost-effectiveness of two alternative models of physical therapy service delivery (seven-days per week therapy services or group circuit class therapy over five-days a week) to usual care for people receiving inpatient rehabilitation after stroke. Design Multicenter, three-armed randomized controlled trial with blinded assessment of outcomes. Study A total of 282 people admitted to inpatient rehabilitation facilities after stroke with an admission functional independence measure (FIM) score within the moderate range (total 40-80 points or motor 38-62 points) will be randomized to receive one of three interventions: • usual care therapy over five-days a week • standard care therapy over seven-days a week, or • group circuit class therapy over five-days a week. Participants will receive the allocated intervention for the length of their hospital stay. Analysis will be by intention-to-treat. Outcomes The primary outcome measure is walking ability (six-minute walk test) at four-week postintervention with three- and six-month follow-up. Economic analysis will include a costing analysis based on length of hospital stay and staffing/resource costs and a cost-utility analysis (incremental quality of life per incremental cost, relative to usual care). Secondary outcomes include walking speed and independence, ability to perform activities of daily living, arm function, quality of life and participant satisfaction.",
    keywords = "Clinical trial, Rehabilitation, Stroke, Therapy",
    author = "Susan Hillier and Coralie English and Maria Crotty and Leonie Segal and Julie Bernhardt and Adrian Esterman",
    year = "2011",
    month = "12",
    day = "1",
    doi = "10.1111/j.1747-4949.2011.00686.x",
    language = "English",
    volume = "6",
    pages = "560--565",
    journal = "International Journal of Stroke",
    issn = "1747-4930",
    publisher = "Wiley-Blackwell",
    number = "6",

    }

    Circuit class or seven-day therapy for increasing intensity of rehabilitation after stroke : Protocol of the CIRCIT trial. / Hillier, Susan; English, Coralie; Crotty, Maria; Segal, Leonie; Bernhardt, Julie; Esterman, Adrian.

    In: International Journal of Stroke, Vol. 6, No. 6, 01.12.2011, p. 560-565.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Circuit class or seven-day therapy for increasing intensity of rehabilitation after stroke

    T2 - International Journal of Stroke

    AU - Hillier, Susan

    AU - English, Coralie

    AU - Crotty, Maria

    AU - Segal, Leonie

    AU - Bernhardt, Julie

    AU - Esterman, Adrian

    PY - 2011/12/1

    Y1 - 2011/12/1

    N2 - Rationale There is strong evidence for a dose-response relationship between physical therapy early after stroke and recovery of function. The optimal method of maximizing physical therapy within finite health care resources is unknown. Aims To determine the effectiveness and cost-effectiveness of two alternative models of physical therapy service delivery (seven-days per week therapy services or group circuit class therapy over five-days a week) to usual care for people receiving inpatient rehabilitation after stroke. Design Multicenter, three-armed randomized controlled trial with blinded assessment of outcomes. Study A total of 282 people admitted to inpatient rehabilitation facilities after stroke with an admission functional independence measure (FIM) score within the moderate range (total 40-80 points or motor 38-62 points) will be randomized to receive one of three interventions: • usual care therapy over five-days a week • standard care therapy over seven-days a week, or • group circuit class therapy over five-days a week. Participants will receive the allocated intervention for the length of their hospital stay. Analysis will be by intention-to-treat. Outcomes The primary outcome measure is walking ability (six-minute walk test) at four-week postintervention with three- and six-month follow-up. Economic analysis will include a costing analysis based on length of hospital stay and staffing/resource costs and a cost-utility analysis (incremental quality of life per incremental cost, relative to usual care). Secondary outcomes include walking speed and independence, ability to perform activities of daily living, arm function, quality of life and participant satisfaction.

    AB - Rationale There is strong evidence for a dose-response relationship between physical therapy early after stroke and recovery of function. The optimal method of maximizing physical therapy within finite health care resources is unknown. Aims To determine the effectiveness and cost-effectiveness of two alternative models of physical therapy service delivery (seven-days per week therapy services or group circuit class therapy over five-days a week) to usual care for people receiving inpatient rehabilitation after stroke. Design Multicenter, three-armed randomized controlled trial with blinded assessment of outcomes. Study A total of 282 people admitted to inpatient rehabilitation facilities after stroke with an admission functional independence measure (FIM) score within the moderate range (total 40-80 points or motor 38-62 points) will be randomized to receive one of three interventions: • usual care therapy over five-days a week • standard care therapy over seven-days a week, or • group circuit class therapy over five-days a week. Participants will receive the allocated intervention for the length of their hospital stay. Analysis will be by intention-to-treat. Outcomes The primary outcome measure is walking ability (six-minute walk test) at four-week postintervention with three- and six-month follow-up. Economic analysis will include a costing analysis based on length of hospital stay and staffing/resource costs and a cost-utility analysis (incremental quality of life per incremental cost, relative to usual care). Secondary outcomes include walking speed and independence, ability to perform activities of daily living, arm function, quality of life and participant satisfaction.

    KW - Clinical trial

    KW - Rehabilitation

    KW - Stroke

    KW - Therapy

    UR - http://www.scopus.com/inward/record.url?scp=82255163215&partnerID=8YFLogxK

    U2 - 10.1111/j.1747-4949.2011.00686.x

    DO - 10.1111/j.1747-4949.2011.00686.x

    M3 - Article

    VL - 6

    SP - 560

    EP - 565

    JO - International Journal of Stroke

    JF - International Journal of Stroke

    SN - 1747-4930

    IS - 6

    ER -