RecruitingNot ApplicableNCT05651945

Cardiac Rehabilitation of Stroke Survivors (SRP-CROSS)

Stroke Recovery Program-Cardiac Rehabilitation of Stroke Survivors

Sponsor

Hackensack Meridian Health

Enrollment

150 participants

Start Date

Jan 20, 2023

Study Type

INTERVENTIONAL

Conditions

Stroke Cerebrovascular Accident

Summary

This study examines the effectiveness of the cardiac rehabilitation program for stroke patients. The study will examine if patients with stroke, who receive cardiac rehabilitation in addition to their standard of care treatments, demonstrate improved recovery of function. It will also examine if these patients have reduced hospital readmission, reduced rate of recurrent stroke, and mortality.

Eligibility

Min Age: 18 Years

Inclusion Criteria7

years or older
Stroke diagnosis (ischemic or hemorrhagic) / radiologic evidence of acute stroke
Medically cleared by a cardiologist for participation in the cardiac rehabilitation program with no contraindications to cardiac rehabilitation per American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) guidelines
Ability to transfer on/off the recumbent bike with or without an assistive device safely, with or without assistance from another person
Ability to follow simple commands and communicate pain or distress
Admission to an Inpatient Rehabilitation Facility post-stroke
Signed informed consent form

Exclusion Criteria7

Presence of subarachnoid hemorrhage, intracranial aneurysm, intracranial hemangioma, or arteriovenous malformation
Medical disorders that preclude participation in the study as determined by the Principal Investigator.
Inability to have baseline assessment within 60 days post-stroke diagnosis
Patient considered unable to comply with study requirements
Known terminal illness with life expectancy less than 1 year
Compliant diagnosis eligible for traditional cardiac rehabilitation covered by insurance
Unable to understand/speak English

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Interventions

OTHERCardiac rehabilitation program

The cardiac rehabilitation program is an outpatient exercise intervention consisting of 36 sessions (30-50 minutes) of a progressive exercise program. Participants are closely monitored throughout the sessions using a telemetry monitor and are supervised by a team of cardiac rehabilitation nurses and exercise physiologists. In addition to the exercise program, participants will receive educational sessions for cardiovascular disease (CVD) risk factors including: 1) Diet/Nutrition, 2) Smoking cessation, 3) Physical activity, 4) Medication management/adherence and 5) Behavior change. As a part of the program, based on the initial assessment results, patients are referred to a rehabilitation psychologist or a dietician for consultation and evaluation if needed. In addition, participants will also receive their standard of care therapies as prescribed by their treating physicians.