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Trial registered on ANZCTR
Registration number
ACTRN12612000123842
Ethics application status
Approved
Date submitted
25/01/2012
Date registered
25/01/2012
Date last updated
27/01/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
Changes in bone structure, lean mass, and glucose metabolism after stroke: a prospective study
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Scientific title
Changes in bone structure, lean mass, and glucose metabolism in people with stroke: a two year observation study
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Secondary ID [1]
279784
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Acute Stroke
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bone structure and density
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glucose metabolism
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Condition category
Condition code
Stroke
285843
285843
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0
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Ischaemic
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Stroke
285844
285844
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0
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Haemorrhagic
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
This is a two year longitudinal, observation study of changes to bone density and structure, body composition and glucose metabolism after stroke
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Intervention code [1]
4352
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Not applicable
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Comparator / control treatment
Observational study - not controlled (however, primary outcome results will be compared to 'normal' population age matched controls where possible)
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Bone structure and volumetric bone mineral density of paretic and non-paretic side radius and tibia, measured by high resolution peripheral quantitative computed tomography (pQCT)
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Assessment method [1]
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Timepoint [1]
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Baseline (within 2 weeks of stroke), 6-, 12-,18- and 24 months
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Primary outcome [2]
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Body composition: total body and regional bone mineral density and fat/ muscle mass measured by dual-energy xray absorptiometry (DXA)
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Assessment method [2]
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Timepoint [2]
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Baseline, 1-, 3-, 6-, 12-, 18- and 24- months
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Secondary outcome [1]
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Glucose tolerance measured by two hour oral glucose tolerance test
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Assessment method [1]
241680
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Timepoint [1]
241680
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Baseline, 6-, 12-,18- and 24 months
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Secondary outcome [2]
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Physical activity monitoring (PAL2 accelerometer)
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Assessment method [2]
241681
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Timepoint [2]
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Baseline, 1-, 3-, 6-, 12-, 18- and 24- months
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Secondary outcome [3]
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Blood markers of bone resorption and formation, including osteocalcin, C-telopeptide (CTX), pro-collagen type 1 n-terminal propeptide (PINP)
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Assessment method [3]
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Timepoint [3]
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Baseline, 1-, 3-, 6-, 12-, 18- and 24- months
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Secondary outcome [4]
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Physical assessment of muscle strength (hand held dynamometry), muscle tone (modified ashworth scale, motor control (Chedoke McMaster Stroke Assessment ), arm use (Motor Activity Log), walking ability (Functional Ambulation Category)
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Assessment method [4]
241683
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Timepoint [4]
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Baseline, 1-, 3-, 6-, 12-, 18- and 24- months
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Eligibility
Key inclusion criteria
The inclusion criteria are (1) a diagnosis of hemispheric stroke , (2) onset of stroke <1 week, (3) medically stable, (4) unable to ambulate within the first week after stroke, (5) able to understand simple verbal commands.
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Minimum age
50
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
(1) brainstem or cerebellar stroke, (2) previous stroke in addition to the current admission, (3) known type 1 or type 2 diabetes (4) neurological conditions other than stroke (e.g. Parkinson’s disease) (5) significant musculoskeletal condition impacting on function (e.g. amputation, severe arthritis), (6) current or recent use of bone resorption inhibitors
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/06/2010
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
45
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Austin Health Medical Research Fund
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Address [1]
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Office for Research,
Austin LifeSciences
Austin Health
PO Box 5555
Heidelberg
Victoria
Australia, 3084
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Country [1]
284569
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Australia
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Funding source category [2]
284570
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University
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Name [2]
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LaTrobe University Faculty of Health Sciences
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Address [2]
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LaTrobe University
Bundoora 3086
Victoria
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Country [2]
284570
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Australia
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Funding source category [3]
284571
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Government body
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Name [3]
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Australian Research Council
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Address [3]
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GPO Box 2702
CANBERRA
ACT 2601
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Country [3]
284571
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Australia
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Primary sponsor type
Other Collaborative groups
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Name
Florey Neuroscience Institutes
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Address
Melbourne Brain Centre
245 Burgundy St
Heidelberg
Victoria 3084
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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Melbourne University Department of Medicine
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Address [1]
283489
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Endocrince Centre of Excellence
Level 2 Centaur Building
Austin Health
Repatriation Campus
Waterdale Road
West Heidelberg, Victoria 3081
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Country [1]
283489
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Australia
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Other collaborator category [1]
260475
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University
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Name [1]
260475
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Hong Kong Polytechnic University
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Address [1]
260475
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Dept of Rehabilitation Sciences
Hong Kong Polytechnic University
Hung Hom
Kowloon
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Country [1]
260475
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Hong Kong
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
286556
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Austin Health Human Ethics Committee
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Ethics committee address [1]
286556
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Research Ethics Unit PO Box 5555 Heidelberg 3084 Vic
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Ethics committee country [1]
286556
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Australia
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Date submitted for ethics approval [1]
286556
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Approval date [1]
286556
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01/04/2009
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Ethics approval number [1]
286556
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H2009/03428
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Ethics committee name [2]
286557
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LaTrobe University Human Ethics Committee
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Ethics committee address [2]
286557
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LaTrobe University Bundoora 3086 Vic
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Ethics committee country [2]
286557
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Australia
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Date submitted for ethics approval [2]
286557
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Approval date [2]
286557
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21/12/2009
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Ethics approval number [2]
286557
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Summary
Brief summary
This study is observing changes which occur to bone density and structure, muscle mass, and glucose metabolism (the way that the body converts sugars to energy), after stroke. We are investigating how these outcomes are influenced by physical activity after stroke. This information will be used in future designs of rehabilitation programs aimed at improving stroke patients' health and recovery.
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Trial website
http://www.florey.edu.au/research/stroke/bone-structure-lean-mass-and-glucose-metabolism-early-after-stroke-a-prospective-study
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Trial related presentations / publications
Borschmann, K. (2012). "Exercise protects bone after stroke, or does it? A narrative review of the evidence." Stroke Res Treat 2012: 103697. Borschmann, K., S. IuIiano-Burns, et al. (2011). Low activity levels after stroke may contribute to poor skeletal and metabolic outcomes. Profile of patients admitted for stroke at Austin Health. Austin Health Research Week,. Melbourne. Borschmann, K., M. Y. Pang, et al. (2011). "Stepping towards prevention of bone loss after stroke: a systematic review of the skeletal effects of physical activity after stroke." Int J Stroke. Borschmann, K., M. Pang, et al. (2010). The skeletal effects of physical activity post stroke: a systematic review. Stroke Society of Australasia 21st Annual Scientific Meeting. Melbourne, Australia, International Journal of Stroke. 5.
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Ms Karen Borschmann
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Address
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Stroke Division
Florey Neuroscience Institutes
Melbourne Brain Centre
245 Burgundy St
Heidelberg 3084
Vic
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Country
12729
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Australia
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Phone
12729
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+61 3 9035 7073
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Fax
12729
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+61 3 9496 2251
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Email
12729
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[email protected]
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Contact person for scientific queries
Name
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Prof Julie Bernhardt
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Address
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Stroke Division
Florey Neuroscience Institutes
Melbourne Brain Centre
245 Burgundy St
Heidelberg 3084
Vic
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Country
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Australia
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Phone
3657
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+61 3 9035 7073
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Fax
3657
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+61 3 9496 2251
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Email
3657
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Changes to volumetric bone mineral density and bone strength after stroke: A prospective study.
2015
https://dx.doi.org/10.1111/ijs.12228
Embase
Upright activity and higher motor function may preserve bone mineral density within 6 months of stroke: a longitudinal study.
2018
https://dx.doi.org/10.1007/s11657-017-0414-4
Embase
Recovery of upper limb function is greatest early after stroke but does continue to improve during the chronic phase: a two-year, observational study.
2020
https://dx.doi.org/10.1016/j.physio.2019.10.001
N.B. These documents automatically identified may not have been verified by the study sponsor.
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