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. 2014 Jan 23;2014(1):CD002840. doi: 10.1002/14651858.CD002840.pub3

Hornby 2013

Trial name or title Very Intensive Early Walking in Stroke (VIEWS)
Methods Method: RCT, parallel assignment
Method of randomisation: not described Blinding of outcome assessors: yes ITT: unclear
Participants Country: USA
56 people with chronic stroke
Ambulatory at study onset: yes
Inclusion criteria: subacute (< 6 months) stroke; 18 to 75 years old; history of unilateral, supratentorial, ischaemic or haemorrhagic stroke; being able to walk 10 metres without physical assistance; gait speed less than or equal to 0.8 m/s; medical clearance
Exclusion criteria: significant cardiorespiratory or metabolic disease that may limit exercise participation; weight limit > 113 kg; history of previous orthopaedic or neurological conditions which may impair walking; MMSE < 23
Exclusion for transcranial magnetic stimulation (TMS): pacemaker, metal implants in the head region, history of epilepsy or seizures, skull fractures or skull deficits, concussion within the last 6 months, unexplained recurring headaches, medications that lower seizure threshold, pregnancy
Exclusion for the MRI: aneurysm clip or coil, metal or wire implants, heart valve prosthesis
Interventions 2 arms:
  1. CTL group will receive conventional physiotherapy for 8 weeks, at least 3 times per week

  2. EXP group will receive locomotor training including treadmill training, overground walking training, overground walking training and stair climbing for 8 weeks, 5 times per week (200 minutes per week)

Outcomes Primary outcomes will be assessed at baseline, at the end of the intervention phase at 8 weeks and at 3‐month follow‐up:
  • gait speed (change in 10‐Metre Walk Test)


Secondary outcomes will be assessed at baseline, at the end of the intervention phase at 8 weeks and at 2‐month follow‐up:
  • change in 6‐Minute Walk Test

  • change in Berg Balance Scale

Starting date October 2008
Contact information Carey Holleran, MPT, NCS Email: cholleran@ric.org
Abigal Leddy, PT, DPT Email: aleddy@ric.org
Notes