AzTrials
AzTrials

StrokeVIEWS-2NCT05727930

Variable Intensive Early Walking Post-Stroke - 2 (VIEWS-2)

A study testing High-intensity, task-specific (i.e., walking) interventions, High-intensity, non-specific physical therapy interventions and Low-intensity, task-specific physical therapy interventions in people with Stroke, run by Indiana University at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The proposed research will evaluate the individual and combined effects of task-specificity and intensity of rehabilitation interventions on locomotor function, community mobility and quality of life in patients with subacute (1-6 months) post-stroke. Read more about this study

Who is it for?
Ages 18 to 85 years
Conditions the study is for
Stroke
What is being tested?
High-intensity, task-specific (i.e., walking) interventions, High-intensity, non-specific physical therapy interventions and Low-intensity, task-specific physical therapy interventions
Could I receive a placebo?
No, everyone receives an active treatment
How many people
100 participants
Where
1 siteUnited States
Study dates
11 Jan 2023to 15 Oct 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Sub-acute stroke (1-6 months)
  • Hemiparesis (Fugl-Meyer <34) without cerebellar deficits
  • Ability to ambulate with or without physical assistance over 10 meters but < 1.0 m/s and assistive devices and below-knee bracing is allowed.
  • Ability to sit > 30 seconds without upper-extremity support or physical assistance
  • Ability to follow 3-step commands
  • Provision of informed consent and medical clearance from a supervising physician or medical provider to participate
  • Must have the ability to consent or have a legal health care power of attorney or legally authorized representative to consent for participation on their behalf

Who cannot join

  • Significant cardiovascular, metabolic, or respiratory disease that limits exercise participation (e.g. previous myocardial infarction < 3 months prior, uncompensated congestive heart failure, resting blood pressure > 210/110 mmHg, uncontrolled diabetes, end-stage renal disease, severe infectious or psychiatry disease, or advanced malignancy)
  • If during the graded-treadmill exercise evaluation, the participant presents with absolute criteria for termination of exercise testing during initial testing (e.g. moderate to severe angina, ST elevation > 1.0mm without preexisting Q wave secondary to prior MI, signs of poor perfusion, etc).
  • Any orthopedic or neurological disorders that limited walking to <50m prior to stroke onset.
  • Cannot receive physical therapy once baseline testing begins
  • If patients are prescribed botulinum toxin for their lower extremities will be excluded only if the dosage for any specific muscle is >50 units in leg muscles above the knee. If doses are > than 50 units in leg muscles below the knee, the participant will use an ankle-foot orthosis to minimze contributions of those mscles to locomotor function.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

George Hornby contact

317-329-2353

tghornby@iu.edu

Chris Henderson contact

317-329-2353

henderce@iu.edu

United States1 site, 1 recruiting
  • Rehabilitation Hospital of Indiana

    Indianapolis, Indiana, 46254

    George Hornby, 317-329-2353, tghornby@iu.edu

    Recruiting

Other trials in United States

About this study

Official title: Variable Intensive Early Walking Post-Stroke -2 (VIEWS-2)

The proposed research will evaluate the individual and combined effects of task-specificity and intensity of rehabilitation interventions on locomotor function, community mobility and quality of life in patients with subacute (1-6 months) post-stroke.

Read the detailed description

The objective of this Phase II clinical trial is to identify how exercise training parameters, particularly the specificity and intensity of stepping practice, influence long-term mobility outcomes in patients with subacute stroke. Previous work indicates these variables can influence the efficacy of training interventions in individuals without neurological injury, with some data to support their utility in chronic stroke. However, studies that systematically assess the independent and combined effects of these principles in individuals early following stroke are sparse. This critical research gap impedes clinical translation, and current clinical practices remain adherent to traditional theories of rehabilitation, including lower intensity interventions focused on underlying impairments. Additional concerns of providing only high-intensity walking training revolve around the lack of attention toward movement quality will result in use of compensatory movement strategies that could be reinforced with repeated practice, or that other risks of cardiovascular events should preclude high-intensity training. Unfortunately, there is little data to support these hypotheses, and our studies suggest that application of these training parameters can strongly influence walking function, as well as improve underlying impairments and improve gait kinematics. Our approach is to characterize the effects of these training variables on recovery of locomotor function and quality, as well as changes in impairments and other mobility tasks in patients early post-stroke, in an effort to evaluate whether such training influences neurological recovery or whether patients utilize compensatory strategies. In this 2x2 factorial RCT design, Aim 1 of the study will characterize changes in mobility function associated with manipulation of specific and intensity of exercise interventions. We will evaluate functional measures of gait speed and endurance, spatiotemporal symmetry, as well as measures of cardiopulmonary fitness. We postulate that combined application of high-intensity, task specific stepping practice will result in significantly greater increases in locomotor measures as compared to lower intensity or non-specific training paradigms. In Aim 2, we will characterize the changes in impairments (strength) and other mobility tasks (balance, sit-to-stand transfers) to determine whether stepping intervention can mitigate the major impairments underlying post-stroke impairments. Quantitative measures of volitional strength will be the primary outcomes. In Aim 3, we will characterize changes in community mobility and quality of life, the later of which can inform us about cost-effectiveness. Overall, these results have potential implications on the delivery of effective exercise interventions in person with subacute stroke.

Conditions
Stroke
Being tested
High-intensity, task-specific (i.e., walking) interventions, High-intensity, non-specific physical therapy interventions, Low-intensity, task-specific physical therapy interventions, Low-intensity, non-specific physical therapy interventions
Keywords
acute, walking deficits
Medical subject headings
Stroke

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • High-intensity, task-specific (i.e., walking) interventionsBehavioural

    Up to 30 1-hr sessions of training focused on walking trying to achieve higher cardiovascular intensities

  • High-intensity, non-specific physical therapy interventionsBehavioural

    Up to 30 1-hr sessions of training focused on varied physical interventions trying to achieve higher cardiovascular intensities

  • Low-intensity, task-specific physical therapy interventionsBehavioural

    Up to 30 1-hr sessions of training focused on walking trying to achieve lower cardiovascular intensities

  • Low-intensity, non-specific physical therapy interventionsBehavioural

    Up to 30 1-hr sessions of training focused on varied physical interventions trying to achieve lower cardiovascular intensities

Study groups in NCT05727930
Study groupRoleWhat they receive
High-intensity, task-specific (i.e., walking) interventionsExperimental30 1-hour (hr) sessions of walking training targeting higher cardiovascular intensities over approximately 2 months
Receives: Behavioral: High-intensity, task-specific (i.e., walking) interventions
High-intensity, non-specific physical therapy interventionsActive comparator30 1-hr sessions of general physical therapy interventions (strengthening, balance training, aerobic cycling, transfers, walking) targeting higher cardiovascular intensities over approximately 2 months
Receives: Behavioral: High-intensity, non-specific physical therapy interventions
Low-intensity, task-specific physical therapy interventionsActive comparator30 1-hr sessions of general physical therapy interventions (strengthening, balance training, aerobic cycling, transfers, walking) targeting lower cardiovascular intensities over approximately 2 months
Receives: Behavioral: Low-intensity, task-specific physical therapy interventions
Low-intensity, non-specific physical therapy interventionsActive comparator30 1-hr sessions of general physical therapy interventions (strengthening, balance training, aerobic cycling, transfers, walking) targeting lower cardiovascular intensities over approximately 2 months
Receives: Behavioral: Low-intensity, non-specific physical therapy interventions

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Changes in 6 minute walk test

    Changes in 6 min walk test from baseline to post-training

    Measured: Approximately 8-10 weeks

Secondary outcomes (6)
  1. Changes in community mobility

    Changes in daily stepping (steps/day) from baseline to post-training

    Measured: Approximately 8-10 weeks

  2. Changes in measures of physical participation

    Changes in Medical Outcomes Short Form -36 questions from baseline to post-training

    Measured: Approximately 8-10 weeks

  3. Changes in gait biomechanics

    Changes in gait biomechanics (spatiotemporal and joint kinematics and kinetics) from baseline to post-training

    Measured: Approximately 8-10 weeks

  4. Changes in peak metabolic capacity (VO2peak) during peak treadmill speed

    Changes in peak metabolic capacity (VO2peak) during peak treadmill speed from baseline to post-training

    Measured: Approximately 8-10 weeks

  5. Changes in peak treadmill speed during the graded-exercise test

    Changes in peak treadmill speed during the graded-exercise test from baseline to post-testing

    Measured: Approximately 8-10 weeks

  6. Changes in gait speed

    Changes in gait speed over 6 m from baseline to post-training

    Measured: Approximately 8-10 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Feb 2023
  2. Study start11 Jan 2023
  3. Primary completion15 Oct 2028 (estimated)
  4. Study completion15 Oct 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Factorial
Model description
2X2 factorial design with primary independent variables of specificity of practice and intensity of practice during physical rehabilitation.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05727930
Sponsor's protocol ID
IU-16767
Other IDs
1R01HD108622
Acronym
VIEWS-2
Status last verified
Mar 2026
First submitted
6 Feb 2023
Last updated
27 Mar 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: Currently Undecided

Publications

  • Holleran CL, Straube DD, Kinnaird CR, Leddy AL, Hornby TG. Feasibility and potential efficacy of high-intensity stepping training in variable contexts in subacute and chronic stroke. Neurorehabil Neural Repair. 2014 Sep;28(7):643-51. doi: 10.1177/1545968314521001. Epub 2014 Feb 10.

    PubMed 24515925
  • Hornby TG, Holleran CL, Hennessy PW, Leddy AL, Connolly M, Camardo J, Woodward J, Mahtani G, Lovell L, Roth EJ. Variable Intensive Early Walking Poststroke (VIEWS): A Randomized Controlled Trial. Neurorehabil Neural Repair. 2016 Jun;30(5):440-50. doi: 10.1177/1545968315604396. Epub 2015 Sep 3.

    PubMed 26338433
  • Leddy AL, Connolly M, Holleran CL, Hennessy PW, Woodward J, Arena RA, Roth EJ, Hornby TG. Alterations in Aerobic Exercise Performance and Gait Economy Following High-Intensity Dynamic Stepping Training in Persons With Subacute Stroke. J Neurol Phys Ther. 2016 Oct;40(4):239-48. doi: 10.1097/NPT.0000000000000147.

    PubMed 27632078
  • Hornby TG, Henderson CE, Plawecki A, Lucas E, Lotter J, Holthus M, Brazg G, Fahey M, Woodward J, Ardestani M, Roth EJ. Contributions of Stepping Intensity and Variability to Mobility in Individuals Poststroke. Stroke. 2019 Sep;50(9):2492-2499. doi: 10.1161/STROKEAHA.119.026254. Epub 2019 Aug 22.

    PubMed 31434543
  • Moore JL, Roth EJ, Killian C, Hornby TG. Locomotor training improves daily stepping activity and gait efficiency in individuals poststroke who have reached a "plateau" in recovery. Stroke. 2010 Jan;41(1):129-35. doi: 10.1161/STROKEAHA.109.563247. Epub 2009 Nov 12.

    PubMed 19910547
  • Lotter JK, Henderson CE, Plawecki A, Holthus ME, Lucas EH, Ardestani MM, Schmit BD, Hornby TG. Task-Specific Versus Impairment-Based Training on Locomotor Performance in Individuals With Chronic Spinal Cord Injury: A Randomized Crossover Study. Neurorehabil Neural Repair. 2020 Jul;34(7):627-639. doi: 10.1177/1545968320927384. Epub 2020 Jun 1.

    PubMed 32476619
  • Straube DD, Holleran CL, Kinnaird CR, Leddy AL, Hennessy PW, Hornby TG. Effects of dynamic stepping training on nonlocomotor tasks in individuals poststroke. Phys Ther. 2014 Jul;94(7):921-33. doi: 10.2522/ptj.20130544. Epub 2014 Mar 13.

    PubMed 24627428
  • Moore JL, Nordvik JE, Erichsen A, Rosseland I, Bo E, Hornby TG; FIRST-Oslo Team. Implementation of High-Intensity Stepping Training During Inpatient Stroke Rehabilitation Improves Functional Outcomes. Stroke. 2020 Feb;51(2):563-570. doi: 10.1161/STROKEAHA.119.027450. Epub 2019 Dec 30.

    PubMed 31884902
  • Boyne P, Dunning K, Carl D, Gerson M, Khoury J, Rockwell B, Keeton G, Westover J, Williams A, McCarthy M, Kissela B. High-Intensity Interval Training and Moderate-Intensity Continuous Training in Ambulatory Chronic Stroke: Feasibility Study. Phys Ther. 2016 Oct;96(10):1533-1544. doi: 10.2522/ptj.20150277. Epub 2016 Apr 21.

    PubMed 27103222

Questions about this trial

What is this clinical trial studying?

A study testing High-intensity, task-specific (i.e., walking) interventions, High-intensity, non-specific physical therapy interventions and Low-intensity, task-specific physical therapy interventions in people with Stroke, run by Indiana University at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 27 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact George Hornby (317-329-2353, tghornby@iu.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Changes in 6 minute walk test (time frame: Approximately 8-10 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05727930, which also lists 9 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Mar 2026.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in