Trial Outcomes & Findings for Post-Stroke Optimization of Walking Using Explosive Resistance (NCT NCT03826771)

NCT ID: NCT03826771

Last Updated: 2025-04-24

Results Overview

The HAM-D is a clinician-rated scale with scores based on clinical interview and family report. It addresses both somatic and psychological symptoms of depression. Items are rated on either a 5-point scale (0 to 4) or 3-point scale (0 to 2), where higher scores represent increasing severity of depression. The scores of the 17 items are summed to obtain a total score (minimum score: 0, maximum score: 52).

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

48 participants

Primary outcome timeframe

Visit 1 through visit 24 (up to 12 weeks)

Results posted on

2025-04-24

Participant Flow

Participant milestones

Participant milestones
Measure
POWER Training - Depressed
high velocity strength training for depressed individuals Power training: high-intensity lower extremity resistance training
Stretching
Upper and lower body range of motion exercises Stretching: upper and lower body range of motion exercises
POWER Training - Non-Depressed
high velocity strength training for non-depressed individuals Power training: high-intensity lower extremity resistance training
Overall Study
STARTED
19
12
17
Overall Study
COMPLETED
12
9
15
Overall Study
NOT COMPLETED
7
3
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Post-Stroke Optimization of Walking Using Explosive Resistance

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
POWER Training - Depressed
n=19 Participants
high velocity strength training in depressed individuals Power training: high-intensity lower extremity resistance training
Stretching
n=12 Participants
Upper and lower body range of motion exercises Stretching: upper and lower body range of motion exercises
POWER Training - Non-Depressed
n=17 Participants
high velocity strength training in non-depressed individuals Power training: high-intensity lower extremity resistance training
Total
n=48 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
Age, Categorical
Between 18 and 65 years
16 Participants
n=39 Participants
8 Participants
n=41 Participants
8 Participants
n=35 Participants
32 Participants
n=31 Participants
Age, Categorical
>=65 years
3 Participants
n=39 Participants
4 Participants
n=41 Participants
9 Participants
n=35 Participants
16 Participants
n=31 Participants
Age, Continuous
51.37 years
STANDARD_DEVIATION 10.82 • n=39 Participants
57.83 years
STANDARD_DEVIATION 12.25 • n=41 Participants
62.59 years
STANDARD_DEVIATION 9.8 • n=35 Participants
56.96 years
STANDARD_DEVIATION 11.70 • n=31 Participants
Sex: Female, Male
Female
10 Participants
n=39 Participants
8 Participants
n=41 Participants
4 Participants
n=35 Participants
22 Participants
n=31 Participants
Sex: Female, Male
Male
9 Participants
n=39 Participants
4 Participants
n=41 Participants
13 Participants
n=35 Participants
26 Participants
n=31 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
Race (NIH/OMB)
Asian
1 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
1 Participants
n=31 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
Race (NIH/OMB)
Black or African American
6 Participants
n=39 Participants
7 Participants
n=41 Participants
5 Participants
n=35 Participants
18 Participants
n=31 Participants
Race (NIH/OMB)
White
12 Participants
n=39 Participants
5 Participants
n=41 Participants
12 Participants
n=35 Participants
29 Participants
n=31 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants

PRIMARY outcome

Timeframe: Visit 1 through visit 24 (up to 12 weeks)

The HAM-D is a clinician-rated scale with scores based on clinical interview and family report. It addresses both somatic and psychological symptoms of depression. Items are rated on either a 5-point scale (0 to 4) or 3-point scale (0 to 2), where higher scores represent increasing severity of depression. The scores of the 17 items are summed to obtain a total score (minimum score: 0, maximum score: 52).

Outcome measures

Outcome measures
Measure
POWER Training - Depressed
n=14 Participants
high velocity strength training in depressed individuals Power training: high-intensity lower extremity resistance training
Stretching
n=9 Participants
Upper and lower body range of motion exercises Stretching: upper and lower body range of motion exercises
POWER Training - Non-Depressed
n=15 Participants
high velocity strength training in non-depressed individuals Power training: high-intensity lower extremity resistance training
Change in Mean Score of Depression as Assessed by the Hamilton Rating Scale for Depression
5.20 units on a scale
Standard Deviation 4.31
2.17 units on a scale
Standard Deviation 4.72
0.14 units on a scale
Standard Deviation 2.83

SECONDARY outcome

Timeframe: Visit 1 through visit 24 (up to 12 weeks)

Subjects will walk on a 14-ft. long gait mat (GaitRite) to measure self-selected and fastest comfortable walking speed and other spatiotemporal parameters of walking. Subjects will be permitted a practice trial, and then be asked to complete three trials at each speed. For all trials, subjects will wear their own shoes and be asked to walk without an assistive device or ankle-foot orthosis.

Outcome measures

Outcome measures
Measure
POWER Training - Depressed
n=14 Participants
high velocity strength training in depressed individuals Power training: high-intensity lower extremity resistance training
Stretching
n=9 Participants
Upper and lower body range of motion exercises Stretching: upper and lower body range of motion exercises
POWER Training - Non-Depressed
n=15 Participants
high velocity strength training in non-depressed individuals Power training: high-intensity lower extremity resistance training
Change in Self Selected Walking Speed
0.08 meters per second
Standard Deviation 0.02
0.06 meters per second
Standard Deviation 0.02
0.21 meters per second
Standard Deviation 0.06

Adverse Events

POWER Training - Depressed

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Stretching

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

POWER Training - Non-Depressed

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
POWER Training - Depressed
n=19 participants at risk
high velocity strength training in depressed individuals Power training: high-intensity lower extremity resistance training
Stretching
n=12 participants at risk
Upper and lower body range of motion exercises Stretching: upper and lower body range of motion exercises
POWER Training - Non-Depressed
n=17 participants at risk
high velocity strength training in non-depressed individuals Power training: high-intensity lower extremity resistance training
Musculoskeletal and connective tissue disorders
mild injury (sprain/contusion)
10.5%
2/19 • Number of events 2 • throughout the 12 week training intervention
0.00%
0/12 • throughout the 12 week training intervention
5.9%
1/17 • Number of events 1 • throughout the 12 week training intervention

Additional Information

Chris Gregory

Medical University of South Carolina

Phone: 843-792-1078

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place