Using Wireless Technology in Clinical Practice: Does Feedback of Daily Walking Activity Improve Walking Outcomes of Individuals Receiving Rehabilitation Post-stroke?
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 63
- 试验地点
- 1
- 主要终点
- Change in walking activity from admission to discharge from rehabilitation
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- 未提供
研究组 & 干预措施
Feedback group
For participants assigned to the feedback group, physiotherapists will receive a summary of patients' walking activity for the previous week as a tool to guide goal planning. Physiotherapists will use the information as a 'homework checker' to determine if patients are complying with an assigned walking program. In the case of non-compliance, the physiotherapist will discuss a coping strategy for better integrating walking activity into the patients' day. In the event that the patient is meeting their specific sub-goals for walking activity, the physiotherapist will re-evaluate these sub-goals and suggest more challenging goals.
干预措施: Feedback of daily walking activity (Behavioral)
No-feedback group
For participants assigned to the control group, physiotherapists will not receive accelerometer-based feedback of daily walking activity. However, physiotherapists will still discuss the achievement of walking goals with their patients. This is usual care around goal planning.
结局指标
主要结局
Change in walking activity from admission to discharge from rehabilitation
时间窗: 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
时间窗: Admission and discharge from in-patient rehabilitation (approx. 4-6 weeks)
Self-selected walking speed and symmetry of spatio-temporal characteristics of walking
次要结局
- 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))
研究者
Avril Mansfield
Post-doctoral fellow
Toronto Rehabilitation Institute