None listed
Conditions
Brief summary
After stroke, there is strong evidence that indicates that the greater the intensity of practice in rehabilitation, the better the function outcome for the patient. Currently, there is no research that has determined the effect of instructions on increasing intensity of practice in rehabilitation. Therefore, the primary purpose of this study is to test three goal oriented instructions and compare them to a non-specific instruction. A non specific instruction, "do this exercise", was presented to a participant and the time taken to perform repetitions was recorded. Then, one of three goal oriented instructions were presented. These instructions are 1) “do [exercise] 25 times,”, 2) “do [exercise] 25 times as fast as you can and 3) “do [exercise] 25 times, as fast as you can, aiming for a personal best”, The time taken under each instruction was converted to repetitions per minute, Each participant received all three instructions in a random order, with one instruction presented per day over three days. For each instruction, the recorded time for twenty five repetitions was converted to a rate of repetitions/minute. The time taken to perform the twenty five repetitions under each goal oriented instruction was be compared with the non specific instruction and a percentage change in rate of repetitions was calculated. Statistical anaylsis was applied to determine if one instruction was more effective at increasing intensity of practice
Interventions
Participants were be observed performing 25 repetitions of one of their usual exercises in the rehabilitation gym, under a non-specific instruction " do this exercise". The time taken to perform 25 repetitions was recorded. This formed the baseline measure. After a short rest, the participant was was presented with one of the following goal oriented instructions:
• A: “stand up and sit down 25 times”
• B: “stand up and sit down 25 times as fast as you can”
• C: “stand up and sit down 25 times a
Participants were be observed performing 25 repetitions of one of their usual exercises in the rehabilitation gym, under a non-specific instruction " do this exercise". The time taken to perform 25 repetitions was recorded. This formed the baseline measure. After a short rest, the participant was was presented with one of the following goal oriented instructions: • A: “stand up and sit down 25 times” • B: “stand up and sit down 25 times as fast as you can” • C: “stand up and sit down 25 times as fast as you can, aim for your personal best!” The researcher provided additional encouragement whilst the participant performed the exercise such as “Go, Go, Go!”, “Over halfway there” and a countdown from 10 repetitions. The time taken to perform 25 repetitions under each exercises was recorded using a stopwatch. All participants received each of the three instructions over three days. The order the instructions were presented were block randomised. A new baseline measure was recorded each day.
Sponsors
Tessa Hillig
Study design
Allocation
Non-randomised trial
Intervention model
Crossover
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
greater than or equal to 18 years old; inpatients with an expected length of stay likely greater than one week or outpatients expected to attend at least five more therapy sessions able to perform 50 repetitions of a lower limb exercise without physical assistance (e.g. sit to stand, tilt table strengthening exercises, stepping exercises) sufficient English to understand simple instructions adequate cognition to follow simple instructions.
Exclusion criteria
Patients were excluded if they did not require inpatient physiotherapy rehabilitation and/or were not medically stable to participate in rehabilitation exercises.
Outcome results
None listed