New exercise approach may boost fitness and balance in stroke survivors
NCT ID NCT04042961
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study tested whether reactive balance training—exercises that involve sudden pushes, pulls, or quick movements—can improve aerobic fitness and leg strength in people who had a stroke at least six months ago. The researchers expected that this training would be as good as standard aerobic and strength exercises for fitness, and possibly better for balance. The study enrolled 28 community-dwelling adults and was terminated early, so results are limited.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Reactive balance training (a type of exercise that uses pushes, pulls, and agility tasks to improve balance reactions)
- What this could lead to
- If successful, this could show that reactive balance training is a time-efficient way to improve both fitness and balance after a stroke.
- What could go wrong
- The study was terminated early and enrolled only 28 people, so results may be limited. It is also a small, single-site trial, so findings may not apply to all stroke survivors.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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28 people
The number who actually took part.
- Started
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Sep 2019
- Finished
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May 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Community-dwelling adults with chronic stroke (\>6 months post-stroke). * Able to stand independently without upper-limb support for \>30 seconds. * Able to tolerate at least 10 postural perturbations while wearing a safety harness. Exclusion Criteria: * \>2.1m tall and/or weighing \>150kg (limits of the safety harness system). * Other neurological condition that could affect balance control (e.g., Parkinson's disease). * Lower extremity amputation. * Cognitive, language or communication impairments affecting understanding instructions. * Recent (last 6 months) significant illness, injury or surgery. * Severe osteoporosis, defined by diagnosis of osteoporosis with fracture. * Severe uncontrolled hypertension, or uncontrolled diabetes. * Contraindications to exercise testing, such as symptomatic aortic stenosis, complex life-threatening arrhythmias, unstable angina, or orthostatic blood pressure decrease of \>20 mmHg with symptoms. * Acute or chronic illness or injury likely to be exacerbated by exercise (e.g., recent lower-extremity fracture). * Currently attending in- or out-patient physiotherapy, in which they receive aerobic training, balance training or strength training for lower limb. * Significant exercise participation: current physical activity levels that meet the recommended guidelines (at least 150 minutes of moderate-to-vigorous or at least 75 minutes of vigorous physical activity/week) as calculated using the moderate and vigorous components of the Leisure Time Exercise Questionnaire (LTEQ) in the month prior to starting the study. * Received perturbation training at Toronto Rehab \<1 year previously.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Toronto Rehabilitation Institute
Toronto, Ontario, M5G 2A2, Canada
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