An observational study of physiotherapy practice to determine essential processes in the assessment of walking, standing and rising from a chair in patients with stroke and in older people with musculoskeletal impairments

Not Applicable

• Conditions: Diagnosis of stroke with hemiparesis or older patient (over 65 years) with weakness following musculoskeletal impairment (for example post joint replacement or surgery following a fall); Not Applicable

• Registration Number: ISRCTN16707229
• Lead Sponsor: niversity of Bristol

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2020-08-14
• Last Update Posted: 26 September 2023
• Study Completion: 2023-10-31

Recruitment & Eligibility

• Status: Ongoing
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

Patients:
1. Diagnosis of stroke with hemiparesis* or older patient (over 65 years) with weakness following musculoskeletal impairment (for example post joint replacement or surgery following a fall)
2. Being seen by a physiotherapist in the clinical partner service for rehabilitation of mobility (standing balance, transfers or walking)
3. Medically stable
4. Mental capacity to consent to the study according to members of the clinical team who are working with the patient
* Note - Time after stroke is not limited and potential participants who had had a stroke can still take part if the stroke is not the first stroke. Potential participants with poor balance, sensory loss, visual field loss aphasia and cognitive impairments, but who have capacity to consent can be accommodated

Physiotherapists:
Physiotherapists who are working in clinical partner organisations with stroke or older patients to improve their mobility

Exclusion Criteria

Patients:
1. Diagnosis of neurological condition, other than stroke
2. Concurrent acute musculoskeletal conditions (e.g. fractures, sprains) which prevent weight-bearing
3. Morbidly obese - BMI > 40 kg/m2
4. Presence of ataxia
5. Judged by therapists to have a functional neurological disorder
6. Judged by therapist to have depression or anxiety that might prevent participation, or become increased because of participation in the study

Physiotherapists:
Less than 2 years’ experience of working with stroke or older patients

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<br> Measured at a single timepoint:<br> 1. Lower limb joint range of motion (passive and active) measured using a digital goniometer<br> 2. Strength of lower limb musculature (ankle dorsiflexion/plantarflexion, knee flexion/extension and hip extension/abduction) measured using a Lafayette Hand-held Dynamometer<br> 3. Functional performance measured using forward functional reach test and timed up and go test<br> 4. Biomechanical measures of pelvic and lower limb motion using three-dimensional motion capture<br>

Secondary Outcome Measures

Name	Time	Method
<br> Collected from patients' medical notes at a single timepoint:<br> 1. Patient's gender, age<br> 2. Reason for admission to service<br> 3. Any relevant pre-existing diagnosis that would affect mobility<br> 4. Information about current clinical condition affecting mobility. In the case of stroke, this will include date of stroke, side of stroke and type of stroke<br>