ClinicalTrials.gg
Active, not recruitingNCT07736794EINTERUpdated Oct 7, 2026

Therapeutic Exercise for Patients With Stroke

An interventional study of EINTER Therapeutic Exercise Programme in Stroke, sponsored by Instituto de Investigación Sanitaria Aragón. Active, not recruiting at 1 site in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-07.

Sponsored by Instituto de Investigación Sanitaria Aragón · Not applicable, Interventional, and Treatment

Updated Oct 7, 2026Now Active, not recruitingPrimary completion moved+8 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
35
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 321 studies in Stroke with a site in Spain — 71 open to participants now, 89 under way, 6 of them phase 3. Stroke · Spain.

Enrollment
178th of 244
35 · median 70
Started
2026
with 14 others
No phase
158 of 321
49 open now
Primary completion
2026-10
later than 43 of 88 live
Registered
312th of 321
by date

Among the 321 studies in Stroke with a site in Spain, this one is the 178th largest by enrollment of the 244 interventional ones, is one of 15 that started in 2026, is one of 158 with no phase, reaches primary completion later than 43 of the 88 other live ones, and was the 312th registered.

By phase

321 studies; the count open now beside each. This study's row is marked.

No phasethis study158 · 49 open
Observational77 · 16 open
Phase 341 · 2 open
Phase 421 · 1 open
Phase 214 · 1 open
Phase 14 · 0 open
Phase 1/23 · 0 open
Phase 2/33 · 2 open

By the year they started

First in 1998; this study’s year is marked. 15 started in 2026.

Size and results

Median enrollment 70 across the 244 interventional studies, 250 across the 77 observational. Of the 197 that completed or were terminated, 33 (17%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 321 studies in Stroke with a site in Spain, or all of them as a file.
02

Study summary

The aim of this prospective, single-centre, non-randomized, single-arm interventional study is to evaluate changes in muscle strength, lower-limb functional capacity, aerobic endurance, and patient satisfaction following participation in the EINTER group-based therapeutic exercise programme in adults with post-stroke impairments admitted to the Long- and Medium-Stay Neurorehabilitation Unit at Hospital Universitario Miguel Servet in Zaragoza, Spain.

Participants will be assigned to receive the EINTER programme during their hospital stay. The programme combines supervised aerobic and progressive strength training and is delivered in small groups of up to four patients per physiotherapist for a maximum of four weeks.

Functional assessments will be performed before starting the programme and after completion of the intervention or at hospital discharge. Muscle strength will be assessed using the Medical Research Council scale, lower-limb functional capacity using the 30-Second Sit-to-Stand Test, and aerobic endurance and walking capacity using the 2-Minute Walk Test. Participant satisfaction will also be assessed at the end of the programme.

There will be no control group or random allocation. Changes in outcomes will therefore be evaluated using within-participant pre-post comparisons.

Read the detailed description

Stroke is a leading cause of acquired disability in adults and is frequently associated with reduced muscle strength, impaired walking capacity, decreased aerobic endurance, and limitations in transfers and other functional activities. During hospitalisation, these impairments may be further influenced by reduced physical activity, immobility, and cardiorespiratory deconditioning.

The EINTER programme is a structured, supervised, group-based therapeutic exercise intervention designed for adults with post-stroke impairments admitted to the Long- and Medium-Stay Neurorehabilitation Unit at Hospital Universitario Miguel Servet in Zaragoza, Spain. The programme combines aerobic and progressive strength training tailored to each participant's clinical and functional status and is supervised by physiotherapists.

Study objective The primary objective is to evaluate changes in muscle strength, lower-limb functional capacity, and aerobic endurance following participation in the EINTER programme. The secondary objective is to assess participant satisfaction with the EINTER programme.

Study design This is a prospective, single-centre, non-randomized, single-arm interventional study with a pre-post design. Eligible participants will be assigned to receive the EINTER programme. No control group or random allocation will be used. Outcomes will be assessed before the start of the intervention and after completion of the programme or at hospital discharge.

Study setting and participants The study will be conducted in the Long- and Medium-Stay Neurorehabilitation Unit at Hospital Universitario Miguel Servet in Zaragoza. Adult patients with a confirmed diagnosis of stroke who meet the predefined eligibility criteria and are considered clinically able to participate safely in therapeutic exercise will be considered for inclusion.

Potential participants will be identified among patients admitted to the Neurorehabilitation Unit. Eligibility will be assessed by the multidisciplinary clinical team. After informed consent and completion of the baseline assessment, participants will begin the EINTER programme.

Approximately 35 participants are expected to be enrolled during the recruitment period.

Intervention The EINTER programme consists of supervised aerobic and strength-training sessions delivered in small groups of up to four patients per physiotherapist. Aerobic training will be performed on a stationary bicycle twice per week, while progressive strength training will be performed three times per week. Exercise intensity and progression will be adapted to each participant's abilities, clinical condition, and exercise tolerance.

The maximum duration of participation will be four weeks, although the actual duration may vary according to the participant's length of hospital stay and clinical progression.

Assessments Participants will be assessed at baseline, before starting the EINTER programme, and at the end of the intervention or at hospital discharge.

The assessments will include:

  • muscle strength measured using the Medical Research Council scale;
  • lower-limb functional capacity measured using the 30-Second Sit-to-Stand Test;
  • aerobic endurance and walking capacity measured using the 2-Minute Walk Test; and
  • participant satisfaction assessed at the end of the programme. The principal analysis will examine within-participant changes between baseline and post-intervention assessments. Because the study does not include a concurrent control group, observed changes will be interpreted with consideration of potential influences such as spontaneous neurological recovery and concomitant rehabilitation received during hospitalisation.
03

Conditions studied

  • Stroke

Keywords

  • Einter
  • Exercise
  • Therapeutic
  • Stroke
  • Stroke Rehabilitation
  • Neurorehabilitation
  • Aerobic Exercise
  • Strength Training
  • Group-Based Exercise
  • Functional Capacity
04

Who can participate

The criteria were revised on the registry on Oct 7, 2026. See what changed

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age 18 years or older.
  • Confirmed diagnosis of stroke.
  • Admission to the Long- and Medium-Stay Neurorehabilitation Unit at Hospital Universitario Miguel Servet.
  • Sufficient clinical, cognitive, and functional capacity to participate safely in the EINTER therapeutic exercise programme, as assessed by the multidisciplinary clinical team.
  • Ability to understand and follow the instructions required to perform the therapeutic exercise programme and study assessments, with appropriate communication support when needed.
  • Provision of to participate in the study.

Exclusion criteria

Exclusion Criteria:

  • Presence of a medical or clinical to therapeutic exercise.
  • Clinical instability that prevents safe participation in the intervention.
  • Severe cognitive, behavioural, communication, or functional impairment that prevents safe participation in the programme or completion of the required study procedures, as determined by the multidisciplinary clinical team.
  • Any other clinical condition considered by the treating team to make participation in the EINTER programme unsafe.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
35 participants (actual)

Study arms

  • Experimental
    EINTER Therapeutic Exercise

    Participants assigned to this arm receive the EINTER therapeutic exercise programme, a structured, supervised, group-based intervention combining aerobic and progressive strength training. Aerobic training is performed on a stationary bicycle twice per week and progressive strength training three times per week. Sessions are delivered in groups of up to four participants per physiotherapist and are individualized according to each participant's clinical and functional status. The programme lasts for a maximum of four weeks or until hospital discharge, whichever occurs first.

    Other: EINTER Therapeutic Exercise Programme

Interventions

  • OtherEINTER Therapeutic Exercise Programme

    The EINTER programme is a structured, supervised, group-based therapeutic exercise intervention for adults with post-stroke impairments. It combines aerobic training on a stationary bicycle twice per week with progressive strength training three times per week. Exercise intensity and progression are individualized according to each participant's clinical status, functional capacity, and exercise tolerance. The intervention is delivered in groups of up to four participants per physiotherapist for a maximum of four weeks or until hospital discharge, whichever occurs first.

06

What researchers measure

Primary outcomes

  1. Change in Muscle Strength Assessed Using the Medical Research Council Scale

    Muscle strength will be assessed using the Medical Research Council (MRC) scale. Each muscle group is graded from 0 (no visible muscle contraction) to 5 (normal strength against resistance), with higher scores indicating greater muscle strength. The change between baseline, before starting the EINTER programme, and the final assessment after completion of the intervention or at hospital discharge will be analysed.

    Time frame: Baseline and final assessment, up to 4 weeks after starting the intervention or at hospital discharge, whichever occurs first.

  2. Change in Aerobic Endurance and Walking Capacity Assessed Using the 2-Minute Walk Test

    Aerobic endurance and walking capacity will be assessed using the 2-Minute Walk Test (2MWT). The outcome is the total distance walked, measured in metres, during two minutes. The distance recorded at baseline will be compared with that recorded after completion of the EINTER programme or at hospital discharge. A greater distance indicates better aerobic endurance and walking capacity.

    Time frame: Baseline and final assessment, up to 4 weeks after starting the intervention or at hospital discharge, whichever occurs first.

  3. Change in Lower-Limb Functional Capacity Assessed Using the 30-Second Sit-to-Stand Test

    Lower-limb functional capacity will be assessed using the 30-Second Sit-to-Stand Test (30s-STS). The outcome is the total number of complete sit-to-stand repetitions performed within 30 seconds. The number of repetitions recorded at baseline will be compared with that recorded after completion of the EINTER programme or at hospital discharge. A greater number of completed repetitions indicates better lower-limb functional capacity.

    Time frame: Baseline and final assessment, up to 4 weeks after starting the intervention or at hospital discharge, whichever occurs first.

Secondary outcomes

  1. Participant Satisfaction With the EINTER Programme

    Participant satisfaction with the EINTER programme will be assessed using an ad hoc six-item questionnaire administered at the end of the intervention or at hospital discharge. Each item is rated on a 5-point Likert scale: 1 = Completely false, 2 = False, 3 = Neither true nor false, 4 = True, and 5 = Completely true. Higher scores indicate a more favourable assessment of the programme. The questionnaire evaluates the individualisation of strength exercises, session duration, programme duration, availability of equipment, physiotherapist care, and overall satisfaction. Individual item responses will be summarized using descriptive statistics and response frequencies.

    Time frame: Single assessment at the end of the intervention, up to 4 weeks after starting the programme or at hospital discharge, whichever occurs first.

07

Study locations

1 site
08

References and documents

Publications

  • Stroke Foundation - Australia. Clinical guidelines [Internet]. 2025. Disponible en: https://strokefoundation.org.au/
  • Oyanagi K, Kitai T, Yoshimura Y, Yokoi Y, Ohara N, Kohara N, Sakai N, Honda A, Onishi H, Iwata K. Effect of early intensive rehabilitation on the clinical outcomes of patients with acute stroke. Geriatr Gerontol Int. 2021 Aug;21(8):623-628. doi: 10.1111/ggi.14202. Epub 2021 Jun 8. PubMed 34101957 ↗
  • Garay-Sanchez A, Ferrando-Margeli M, Navarro-Segura M, Fernandez-Celaya A, Orejuela-Aparicio E, Cuenca-Zaldivar JN, Sanchez-Romero EA, Marcen-Roman Y. Impact and feasibility of a group-based therapeutic exercise program on strength and endurance in hospitalized patients with spinal cord injury: a quasi-experimental study. J Neuroeng Rehabil. 2026 Feb 16;23(1):113. doi: 10.1186/s12984-025-01845-z. PubMed 41699614 ↗
  • National Clinical Guideline for Stroke. [Internet]. 2025. Disponible en: https://www.strokeguideline.org/
  • - Ministerio de Sanidad. Estrategia en Ictus del Sistema Nacional de Salud: Actualización 2024 [Internet]. Madrid: Ministerio de Sanidad; 2024. Disponible en: https://cpage.mpr.gob.es

Individual participant data

Plan to share: No — Individual participant data will not be shared due to the small, single-centre sample and the risk of participant re-identification.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Aug 2026 to primary completion in Oct 2026, 1 month.

Of 3,108 non-industry interventional studies with no phase under Stroke, half reached primary completion within 23 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 46. This study's 1 month is below that.

Counting every sponsor, half of 3,252 studies reached it within 23 months; a quarter within 10 and three quarters within 46.

Since we started tracking on Sep 25, 2026, the dates moved once, on Oct 7, 2026: primary completion Dec 2026 → Oct 2026 and completion Feb 2027 → Oct 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Jul 26, 2026
First posted
Jul 30, 2026
StartActual
Aug 3, 2026
Primary completionActual
Oct 1, 2026was Dec 2026
CompletionEst.
Oct 15, 2026was Feb 2027
Last update
Oct 7, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Not yet recruiting→Active, not recruiting
changed Oct 7, 2026
Sites
1 site added, 1 site removed
Show site
  • Hospital Universitario Miguel Servet · Zaragoza, Spain
Show 1 removed
  • Miguel Servet Hospital · Zaragoza, Spain
Oct 7, 2026
Primary completion
Dec 31, 2026→Oct 1, 2026 (actual)
Oct 7, 2026
Study completion
Feb 15, 2027→Oct 15, 2026
Oct 7, 2026
Enrollment
30 (estimated)→35 (actual)
Oct 7, 2026
Eligibility
5 inclusion criteria edited, 1 added, 1 removed; 2 exclusion criteria edited, 2 added, 5 removed
What changed in the criteria
Inclusion criteria
  • EditedAgedAge 18 years or older.
  • EditedDiagnosisConfirmed diagnosis of stroke.
  • EditedAdmission to the Long- and Medium-Stay Neurorehabilitation Unit at Hospital Universitario Miguel Servet.
  • EditedSufficient clinical, cognitive, and functional capacity to participate safely in the EINTER therapeutic exercise programme, as assessed by the multidisciplinary clinical team.
  • AddedAbility to understand and follow the instructions required to perform the therapeutic exercise programme and study assessments, with appropriate communication support when needed.
  • EditedAgreementProvision of informed consent to participate in the study.
  • RemovedAvailability of both baseline and final assessments.
Exclusion criteria
  • RemovedAge under 18 years.
  • RemovedAbsence of a confirmed diagnosis of stroke.
  • RemovedNot being admitted to the Neurorehabilitation Unit at Hospital Universitario Miguel Servet.
  • EditedPresence of a clinical conditionmedical or medicalclinical contraindication that prevents safe participation into therapeutic exercise.
  • AddedClinical instability that prevents safe participation in the intervention.
  • EditedInsufficient clinical,Severe cognitive, behavioural, communication, or functional capacity to understand instructions or safely completeimpairment that prevents safe participation in the programme or completion of the required study procedures, as assesseddetermined by the multidisciplinary clinical team.
  • RemovedClinical instability or significant deterioration during the study period.
  • RemovedRefusal or withdrawal of consent to participate in the study.
  • AddedAny other clinical condition considered by the treating team to make participation in the EINTER programme unsafe.
Oct 7, 2026
Interventions
Changed EINTER,Therapeutic exercise→EINTER Therapeutic Exercise Programme. Arms added: EINTER Therapeutic Exercise; arms removed: Group Einter
Oct 7, 2026
Primary outcomes
2 edited, 1 added
What changed in the outcomes
  • EditedChange in muscle strength assessed usingMuscle Strength Assessed Using the Medical Research Council scale.ScaleTime frame: Baseline assessment and final assessment, up to 4 weeks after the start of the programme or at hospital discharge, whichever occurs first. → Baseline and final assessment, up to 4 weeks after starting the intervention or at hospital discharge, whichever occurs first.
  • EditedChange in aerobic enduranceAerobic Endurance and walking capacity assessed usingWalking Capacity Assessed Using the 2-Minute Walk Test.Time frame: Baseline assessment and final assessment, up to 4 weeks after the start of the programme or at hospital discharge, whichever occurs first. → Baseline and final assessment, up to 4 weeks after starting the intervention or at hospital discharge, whichever occurs first.
  • AddedChange in Lower-Limb Functional Capacity Assessed Using the 30-Second Sit-to-Stand TestTime frame: Baseline and final assessment, up to 4 weeks after starting the intervention or at hospital discharge, whichever occurs first.
Oct 7, 2026
Secondary outcomes
1 edited
What changed in the outcomes
  • EditedParticipant satisfaction withSatisfaction With the EINTER programme.ProgrammeTime frame: A single assessment at the end of the programme, up to 4 weeks after its initiation, or at hospital discharge. → Single assessment at the end of the intervention, up to 4 weeks after starting the programme or at hospital discharge, whichever occurs first.
Oct 7, 2026
Design
Study type Observational→Interventional
Oct 7, 2026
Show all 1 update
  1. Oct 7, 2026
    Not yet recruiting→Active, not recruiting
    1 site added, 1 site removed
    Show site
    • Hospital Universitario Miguel Servet · Zaragoza, Spain
    Show 1 removed
    • Miguel Servet Hospital · Zaragoza, Spain
    Primary completion Dec 31, 2026→Oct 1, 2026 (now actual)
    Study completion Feb 15, 2027→Oct 15, 2026
    Enrollment 30 (estimated)→35 (actual)
    Eligibility 5 inclusion criteria edited, 1 added, 1 removed; 2 exclusion criteria edited, 2 added, 5 removed
    What changed in the criteria
    Inclusion criteria
    • EditedAgedAge 18 years or older.
    • EditedDiagnosisConfirmed diagnosis of stroke.
    • EditedAdmission to the Long- and Medium-Stay Neurorehabilitation Unit at Hospital Universitario Miguel Servet.
    • EditedSufficient clinical, cognitive, and functional capacity to participate safely in the EINTER therapeutic exercise programme, as assessed by the multidisciplinary clinical team.
    • AddedAbility to understand and follow the instructions required to perform the therapeutic exercise programme and study assessments, with appropriate communication support when needed.
    • EditedAgreementProvision of informed consent to participate in the study.
    • RemovedAvailability of both baseline and final assessments.
    Exclusion criteria
    • RemovedAge under 18 years.
    • RemovedAbsence of a confirmed diagnosis of stroke.
    • RemovedNot being admitted to the Neurorehabilitation Unit at Hospital Universitario Miguel Servet.
    • EditedPresence of a clinical conditionmedical or medicalclinical contraindication that prevents safe participation into therapeutic exercise.
    • AddedClinical instability that prevents safe participation in the intervention.
    • EditedInsufficient clinical,Severe cognitive, behavioural, communication, or functional capacity to understand instructions or safely completeimpairment that prevents safe participation in the programme or completion of the required study procedures, as assesseddetermined by the multidisciplinary clinical team.
    • RemovedClinical instability or significant deterioration during the study period.
    • RemovedRefusal or withdrawal of consent to participate in the study.
    • AddedAny other clinical condition considered by the treating team to make participation in the EINTER programme unsafe.
    Primary outcomes 2 edited, 1 added
    What changed in the outcomes
    • EditedChange in muscle strength assessed usingMuscle Strength Assessed Using the Medical Research Council scale.ScaleTime frame: Baseline assessment and final assessment, up to 4 weeks after the start of the programme or at hospital discharge, whichever occurs first. → Baseline and final assessment, up to 4 weeks after starting the intervention or at hospital discharge, whichever occurs first.
    • EditedChange in aerobic enduranceAerobic Endurance and walking capacity assessed usingWalking Capacity Assessed Using the 2-Minute Walk Test.Time frame: Baseline assessment and final assessment, up to 4 weeks after the start of the programme or at hospital discharge, whichever occurs first. → Baseline and final assessment, up to 4 weeks after starting the intervention or at hospital discharge, whichever occurs first.
    • AddedChange in Lower-Limb Functional Capacity Assessed Using the 30-Second Sit-to-Stand TestTime frame: Baseline and final assessment, up to 4 weeks after starting the intervention or at hospital discharge, whichever occurs first.
    Secondary outcomes 1 edited
    What changed in the outcomes
    • EditedParticipant satisfaction withSatisfaction With the EINTER programme.ProgrammeTime frame: A single assessment at the end of the programme, up to 4 weeks after its initiation, or at hospital discharge. → Single assessment at the end of the intervention, up to 4 weeks after starting the programme or at hospital discharge, whichever occurs first.
    Interventions Changed EINTER,Therapeutic exercise→EINTER Therapeutic Exercise Programme. Arms added: EINTER Therapeutic Exercise; arms removed: Group Einter
    Design Study type Observational→Interventional
    + 8 other changes: index terms, identifiers, verification date, responsible party, description, conditions, contact details and data sharing statement

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07736794
Lead sponsor
Instituto de Investigación Sanitaria Aragón
Responsible party
Yolanda Marcen Roman (Professor, Instituto de Investigación Sanitaria Aragón) — Principal investigator
First posted
Jul 30, 2026
Start date
Aug 3, 2026
Primary completion
Oct 1, 2026
Completion
Oct 15, 2026 (estimated)
Last update
Oct 7, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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