In stroke survivors, does counting and recording practice repetitions result in increased practice?

Not Applicable

Completed

• Conditions: Stroke; Stroke - Ischaemic; Stroke - Haemorrhagic; Physical Medicine / Rehabilitation - Other physical medicine / rehabilitation

• Registration Number: ACTRN12621001068853
• Lead Sponsor: Australian Catholic University

Brief Summary

The aim of this study was to determine the impact of counting and recording repetitions of exercise on how intensely people do their rehabilitation after a stroke. The participants were stroke survivors attending rehabilitation sessions at a private practice in Sydney. The participants in the control group did their usual rehabilitation exercises. The participants in the experimental group did their usual rehabilitation exercises but one exercise had the addition of; counting all repetitions, recording the number on an exercise sheet and having a target number to work towards. The outcome measured was the rate of repetitions, i.e. how many exercise repetitions done in one minute, and how much this changed over five therapy sessions. This study found that the increase in rate of repetitions was 118% greater in the experimental group than in the control group and this result was statistically significant. This is clinically important as this strategy of counting and recording reps and having target numbers could be used to help stroke survivors increase their amounts of practice. There is very clear evidence that doing more practice helps improve outcomes after stroke.

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2021-08-13
• Study Completion: 2021-11-05
• Last Update Posted: 7 February 2022

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 27

Inclusion Criteria

•Above 18 years of age
•Clinical diagnosis of stroke (ischaemic or haemorrhagic)
•Attending Advance Rehab Centre (ARC) in Sydney, Australia
•Planned to attend at least another 8 sessions of rehabilitation
•Patient can complete a minimum of 5 minutes of a rehabilitation exercise without assistance from people or devices
•Patient has appropriate cognition and English language ability to give consent and understand instructions

Exclusion Criteria

•Co-morbidities that can reduce exercise capacity such as COPD and symptomatic osteoarthritis

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Intensity of practice measured as exercise repetitions per minute. This will be counted across a 5 minute period and the average repetitions per minute will be calculated. The counting will be done while watching a video recording of the target exercise being performed. A pre-determined definition of what constitutes one repetition will be used. This will be based on the definitions compiled by Scrivener et al (https://pubmed.ncbi.nlm.nih.gov/22878434/) For example one stand up was recorded<br>as one exercise repetition, one step was recorded as a repetition and one<br>active ankle dorsiflexion in strength training. When the participant was<br>attempting to maintain a position (e.g. remain sitting/standing upright)<br>each effortful attempt was recorded as a repetition.[Session one and session 5 ]

Secondary Outcome Measures

Name	Time	Method
There is no secondary outcome[N/A]