Using Wireless Technology in Clinical Practice: Does Feedback of Daily Walking Activity Improve Walking Outcomes of Individuals Receiving Rehabilitation Post-stroke?
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Stroke
- Sponsor
- Toronto Rehabilitation Institute
- Enrollment
- 63
- Locations
- 1
- Primary Endpoint
- Change in walking activity from admission to discharge from rehabilitation
- Status
- Completed
- Last Updated
- 10 years ago
Overview
Brief Summary
Regaining independent walking is the top priority for individuals recovering from stroke. Thus, physical rehabilitation post-stroke should focus on improving walking function and endurance. However, the amount of walking completed by individuals with stroke attending rehabilitation is far below that required for independent community ambulation. There has been increased interest in accelerometer-based monitoring of walking post-stroke. Walking monitoring could be integrated within the goal-setting process for those with ambulation goals in rehabilitation. The purpose of this study is to determine the effect of accelerometer-based feedback of daily walking activity during rehabilitation on the frequency and duration of walking post-stroke.
Investigators
Avril Mansfield
Post-doctoral fellow
Toronto Rehabilitation Institute
Eligibility Criteria
Inclusion Criteria
- •individuals with sub-acute stroke attending in-patient rehabilitation at Toronto Rehab
- •patients who have identified improving walking function as a rehabilitation goal
- •patients who can walk without supervision at the time of recruitment into the study
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Change in walking activity from admission to discharge from rehabilitation
Time Frame: Admission and discharge from in-patient rehabilitation (approx. 4-6 weeks)
Total daily walking acitivty, measured by number of steps per day, total duration of walking activity, total distance walked, and frequency of 'long' walking bouts (\>5 minutes in duration).
Change in control of walking
Time Frame: Admission and discharge from in-patient rehabilitation (approx. 4-6 weeks)
Self-selected walking speed and symmetry of spatio-temporal characteristics of walking
Secondary Outcomes
- Change in self-efficacy(Admission and discharge from in-patient rehabilitation (approx. 4-6 weeks))
- Goal attainment(Discharge from in-patient rehabilitation (4-6 weeks), discharge from out-patient rehabilitation (10-16 weeks))
- Community integration(Discharge from out-patient rehabilitation (10-16 weeks) and 3-month follow-up)
- Satisfaction with progress towards rehabilitation goals(Discharge from in-patient rehabilitation (4-6 weeks) and discharge from out-patient rehabilitation (10-16 weeks))
- Barriers to walking(Monitored throughout participants' enrolment (0-28 weeks))
- Falls(Monitored throughout participants' enrolment (0-28 weeks))