None listed
Conditions
Brief summary
Following acquired brain injury (ABI) caused by stroke or trauma many people cannot move around independently due to motor impairments such as weakness and poor coordination. These people require intensive repetitive practice to improve their ability to move around. Therefore the aim of this study is to determine if a two-week intensive package of functional training improves functional performance more than usual care in people with ABI admitted to a sub-acute ward for rehabilitation. Experimental design: An assessor blinded randomised controlled trial will be conducted. Each participant will be randomly allocated to an experimental or control group using the principles of concealed allocation. Participants allocated to the experimental group will receive usual care and a 2-week package of exercises and strategies that will provide them with additional opportunities to practice a functional task. This package will include a range of strategies individualised to the needs of the participant for increasing the amount of practice of a functional task. Participants allocated to the control group will receive usual care. Usual care for both groups will consist of two one-hour sessions of physiotherapy a day and will include one-to-one or group therapy with a physiotherapist. This therapy will involve strength, endurance, balance and coordination exercises as well as task-specific practice of sitting, sitting-to-standing, standing, and walking. All exercises will be tailored to the needs of each participant. Participants: 30 consecutively admitted patients to a sub-acute general adult rehabilitation unit.
Interventions
Participants allocated to the experimental group will receive usual care (see Usual care) and a 2-week package of exercises and strategies that will provide them with additional opportunities to practice a functional task*.
This package will include a range of strategies* individualised to the needs of the participant for increasing the amount of practice of a functional task. Participants will be required to perform as many repetitions of this task as they can per day.
*Details of functiona
Participants allocated to the experimental group will receive usual care (see Usual care) and a 2-week package of exercises and strategies that will provide them with additional opportunities to practice a functional task*. This package will include a range of strategies* individualised to the needs of the participant for increasing the amount of practice of a functional task. Participants will be required to perform as many repetitions of this task as they can per day. *Details of functional tasks and strategies used to increase repetitive practice have been omitted to minimise contamination between groups.
Sponsors
Davide de Sousa
Study design
Allocation
Randomised controlled trial
Primary purpose
Treatment
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Diagnosis of a first time stroke or any other acquired brain injury (ABI) that is not progressive Acute event < 6 months before the study onset Sufficient communication skills to indicate yes/no verbally or via gestures Sufficient cognition to consent or consent will be obtained from the person responsible Stroke/ABI has affected the ability to STS
Exclusion criteria
Limited joint range of movement or musculoskeletal conditions that would prevent participation Inability to participate in exercise i.e. Medically unwell Unable to follow instructions Expected length of stay of < 2 weeks
Outcome results
None listed