Plain English Summary
Background and study aims
Physiotherapy-led rehabilitation support is beneficial for people who have had a stroke. However, people require a longer duration of rehabilitation than is provided by an NHS hospital. This study will consider a specialist physiotherapy-led exercise program for people in the community who have had a stroke. The aim of this study is to find out if a specialist physiotherapy-led exercise program for people who have had a stroke is beneficial for their physical and psychological well-being.
Who can participate?
People living in the Birmingham area who have had a stroke.
What does the study involve?
An independent physiotherapist will allocate the participants to either a specialist-supported exercise program or to a control group. The exercise group will be supported by physiotherapy students who will guide them through an exercise program devised by a specialist neurological physiotherapist. The individuals in the control group will not receive any treatment. However, once the study is completed the individuals in the control group will be offered the chance to participate in the same exercise program.
What are the possible benefits and risks of participating?
Participants will likely benefit in many ways from improved psychological and physical well-being.
The risks are considered to be minimal.
Where is the study run from?
We hope to recruit around 70 people who have had a stroke from the Birmingham and Solihull boroughs. This will provisionally be from the Stroke Association Centres in Birmingham.
When is the study starting and how long is it expected to run for?
The study will begin in January 2014 and is expected to run for a year.
Who is funding the study?
The charity Action After Stroke, UK.
Who is the main contact?
Dr A Soundy
The psychosocial Benefits of an Innovative Community-university Rehabilitation programme for Individuals who have suffered a Stroke: a controlled trial
The specialist supported rehabilitation setting will provide greater improvements in an individuals self-efficacy.
University of Birmingham Ethics Committee, 02/12/2013, ref.: ERN_13-1091
Quasi-experimental controlled trial
Primary study design
Secondary study design
Non randomised controlled trial
Patient information sheet
Not available in web format, please use the contact details below to request a patient information sheet
An independent physiotherapist provides study details and assigns individuals to groups. This study is non-randomised due to resource limitations and access.
Control group: no treatment
Experimental group: the experimental group will take place within the University of Birmingham, in accordance with our earlier work (Soundy et al., 2013) and supported by the charity Action After Stroke. This gives individuals with a stroke access to a private hall space, a private fitness suite and when they are ready transitions them to the Inclusive Fitness Facility (IFI) Gym at the University of Birmingham (see http://www.efds.co.uk/inclusive_fitness/ifi_gyms). This gym has been used in our previous research for individuals with neurological disorders (Meek et al., 2012; Elsworth et al., 2011).
Primary outcome measures
Stroke self-efficacy (Jones et al., 2008), questionnaire measured by a blind assessor at two time points (at baseline and at 11 and 22 weeks).
Secondary outcome measures
1. Social identification measure (Postmes et al., 2013).
2. A 7-item falls efficacy questionnaire (Kempen et al., 2007)
3. 10-meter walk and reach and grasp
Outcomes will be measured by a blind assessor at two time points (at baseline and at 11 and 22 weeks).
Overall trial start date
Overall trial end date
Participant inclusion criteria
Seventy two (36 in each group) individuals from the community that have been diagnosed as having a stroke will be included. Individuals will be selected from a sample within the Birmingham area including South Birmingham and Solihull borough. Individuals will be referred to the study by different charities including the Stroke Association, Different Strokes Charity, conductive education or referred by another related charitable organisation and local stroke support groups. We will not recruit from NHS sources.
1. Individuals must have been diagnosed with a stroke (DOH, 2010).
2. Either gender, age range 18-100 years old
Target number of participants
Participant exclusion criteria
1. Individuals who are experiencing acute mental health symptoms or that are medically unstable will also be excluded
2. Individuals who are currently involved in a physical activity, behavioural or nutritional research trial
3. Individuals who are currently undertaking exercise within a group or within the community on more than one day a week.
Recruitment start date
Recruitment end date
Countries of recruitment
Trial participating centre
School of Sport, Exercise and Rehabilaition Sciences
The Old Gym University of Birmingham
Action After Stroke (UK)
Funding Body Type
Funding Body Subtype
Results and Publications
Publication and dissemination plan
Planned publication in a high-impact peer reviewed journal.
IPD sharing plan:
The datasets generated during and/or analysed during the current study are/will be available upon request from Andrew Soundy A.A.Soundy@bham.ac.uk
Intention to publish date
Participant level data
Not provided at time of registration
Results - basic reporting
2016 results in http://www.scirp.org/journal/PaperInformation.aspx?PaperID=66451