Physical activity, psychological and functional outcomes in early non-walking and chronic walking with aid stroke patients during rehabilitation- a pilot study

Not Applicable

• Conditions: Stroke; Physical functioning; Physical activity; Stroke - Ischaemic; Physical Medicine / Rehabilitation - Physiotherapy; Physical Medicine / Rehabilitation - Other physical medicine / rehabilitation; Self-efficacy

• Registration Number: ACTRN12619000226101
• Lead Sponsor: Marcin Blaszcz

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2019-02-18
• Last Update Posted: 16 October 2022

Recruitment & Eligibility

• Status: Stopped early
• Sex: All
• Target Recruitment: 48

Inclusion Criteria

The inclusion criterion for all subjects (non-ambulatory and ambulatory): hemiparesis (ischaemic stroke of the right or left hemisphere of the brain); age between 50 and 85 years; providing informed, written consent for participation in a research experiment; patients discharged from the neurological / stroke unit with a stable clinical condition allowing participating in the research protocol and without significant cognitive impairment and dementia (Mini-Mental State Examination score> 23 points).

Criteria for two separate functional groups (from two different centres):
Functional criteria for non-ambulatory patient:
• in the early phase (up to 3 months) after a stroke.
• maintaining the sitting position independently for at least 30 seconds, but patients able to perform an independent (unassisted) transfer to the wheelchair are excluded.

Functional criteria for ambulatory patient:
• in the chronic phase (more than 6 months after a stroke);
• able to walk at least 10 m with orthopaedic support or assistance, but patients walk completely independently (including without any orthopaedic help or assistance) are excluded.

Exclusion Criteria

Based on the evaluation performed by psychologist, patients with insufficient cognitive functions to acquire knowledge from educational films and / or monitor their own progress and / or to use physiotherapists' instructions are excluded.
Other exclusion criteria severe mixed or sensory aphasia, dementia according to MMSE=<23, intellectual disability, significant cognitive disorders or hemispatial neglect.

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Daily physical activity assessed using Caltrac accelerometer (calories used during physical activity). Caltrac is hip-mounted mechanical portable accelerometer allowing detecting movement. Daily measurement will be carried out and note from the ‘calories used’ activity mode by the physiotherapists during whole rehabilitation period (except for weekends that will be measured together)[Measurements of physical activity were collected throughout the whole rehabilitation period in each of 6 weeks.];Physical functioning (functional independence): Barthel Index for Activities of Daily Living (ADL) score[Baseline (on admission) and at the completion of the 6-week rehabilitation.];Self-efficacy: Stroke Self-Efficacy Questionnaire score [Baseline (on admission) and at the completion of the 6-week rehabilitation.]