Using Wireless-technology for Feedback of Daily Walking Activity Post-stroke

Not Applicable

Completed

• Conditions: Stroke
• Interventions: Behavioral: Feedback of daily walking activity

• Registration Number: NCT01521234
• Lead Sponsor: Toronto Rehabilitation Institute

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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2012-01-23
• Study First Submitted QC: 2012-01-25
• Study First Posted: 2012-01-30
• Study Start: 2012-10
• Primary Completion: 2014-01
• Study Completion: 2014-06
• Status Verified: 2015-05
• Last Update Submitted: 2015-05-11
• Last Update Posted: 2015-05-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 63

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Feedback group	Feedback of daily walking activity	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.

Primary Outcome Measures

Name	Time	Method
Change in walking activity from admission to discharge from rehabilitation	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	Admission and discharge from in-patient rehabilitation (approx. 4-6 weeks)	Self-selected walking speed and symmetry of spatio-temporal characteristics of walking

Secondary Outcome Measures

Name	Time	Method
Change in self-efficacy	Admission and discharge from in-patient rehabilitation (approx. 4-6 weeks)	Stroke self-efficacy questionnaire
Goal attainment	Discharge from in-patient rehabilitation (4-6 weeks), discharge from out-patient rehabilitation (10-16 weeks)	Rehabilitation goals are classified as 'achieved', 'partially achieved', 'not completed' or 'discontinued'.
Community integration	Discharge from out-patient rehabilitation (10-16 weeks) and 3-month follow-up	Community integration questionnaire
Satisfaction with progress towards rehabilitation goals	Discharge from in-patient rehabilitation (4-6 weeks) and discharge from out-patient rehabilitation (10-16 weeks)	Participants will be asked to rate satisfaction with progress towards goals on a 10-point scale
Barriers to walking	Monitored throughout participants' enrolment (0-28 weeks)	Open-ended question regarding participants' perceived barriers to walking.
Falls	Monitored throughout participants' enrolment (0-28 weeks)	Increased walking activity might increase the risk for falls. Falls experienced throughout the study will be recorded to determine if there are more falls in the experimental group.

Trial Locations

Locations (1)

Toronto Rehabilitation Institute; 🇨🇦 Toronto, Ontario, Canada