None listed
Conditions
Brief summary
The proposed project will evaluate the feasibility of using pedometers as a motivational tool to improve mobility outcomes in inpatient rehabilitation. All eligible patients on the rehabilitation ward will be invited once they are able to walk with or without the assistance of one person, with our without a gait aid for a minimum of 3 metres. All participants will be provided with a pedometer for the duration of their stay. Those in the pedometer intervention arm will record daily step counts and be encouraged by staff, family and friends to take more steps each day. Those in the control arm will wear pedometers fixed shut and will be encouraged to walk further each day. Mobility outcomes will be measured at two points, before allocation and discharge from the ward. Pedometer usability by participants will also be evaluated.
Interventions
Pedometer intervention arm: Pedometer intervention in addition to usual care.
Usual care: received by both groups. This includes individualised exercise prescribed by a physiotherapist, carried out by either a physiotherapist or allied health assistant (AHA) in individual and/or group settings. In addition, all participants receive an independent exercise programme with 3-6 exercises that they are encouraged to carry out independently and with supervision as required from family, visitors and s
Pedometer intervention arm: Pedometer intervention in addition to usual care. Usual care: received by both groups. This includes individualised exercise prescribed by a physiotherapist, carried out by either a physiotherapist or allied health assistant (AHA) in individual and/or group settings. In addition, all participants receive an independent exercise programme with 3-6 exercises that they are encouraged to carry out independently and with supervision as required from family, visitors and staff. All eligible participants will have walking included as an exercise in this program. All participants are provided with a daily exercise recording sheet for this program weekly. Pedometer intervention: Participants randomised into the intervention group will receive a Yamax Digiwalker SW200 pedometer (Yamax Corp., Tokyo, Japan). They will be instructed to wear it on the waist band, preferably on a less affected leg. It will be worn for all waking hours once a participant is dressed. It will be taken off when participants change into their night clothes. Those in the pedometer intervention arm will be asked to record the number of steps taken at the end of the day as displayed on the pedometer. Family and nursing staff will be asked to assist. The feedback to participants, family and staff will be to increase number of steps taken every day. No specific target will be given to limit increasing workload of ward physiotherapist. Participants will wear the pedometer for the duration of their stay as long as they are a rehabilitation patient. Their adherence will be monitored by staff daily. Activpal step data will also be compared to pedometer data and will show usage in the first 2 weeks.
Sponsors
Dr Chris Barr
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Eligible participants will be adults admitted to an inpatient rehabilitation ward with reduced mobility (relative to their premorbid mobility) with a clinician-assessed capacity for improvement in mobility. They will be eligible once they can walk a minimum of 3 metres on the ward, with or without the assistance of one person, with or without a walking aid.
Exclusion criteria
Exclusion criteria will be: insufficient English language skills to participate in rehabilitation and no available interpreter; severe receptive aphasia or inability to communicate; a medical condition precluding exercise (unstable cardiac disease, uncontrolled hypertension, uncontrolled metabolic diseases, large abdominal aortic aneurysm or a weight-bearing restriction such as non or touch weight bearing); not admitted under rehabilitation i.e. nursing home type; expected discharge date less than one week after recruitment to the study.
Outcome results
None listed