None listed
Conditions
Brief summary
The aim of the study was to explore dynamics change of physical activity (PA), psychological and functional outcomes and correlation between them in patient during early or chronic in-patient post-stroke rehabilitation. Two separate groups of patients during inpatient rehabilitation participated independently in the research project. One group consisted of non-ambulatory patients during early rehabilitation phase (<3 month from stroke onset). The second group consisted of patients in chronic phase (>6 month from stroke onset), who could walk, but only with orthopaedic aid (like cane, quad cane, crutch, walker) Methods: All participants were measured at baseline (1) and 6 weeks post (2) conventional rehabilitation with Barthel Index (BI), Berg Balance Scale (BBS), Trunk Control Test (TCT) Stroke Impact Scale (SIS), General Self-Efficacy Scale (GSES), Stroke Self-Efficacy Questionnaire (SSEQ), original scale of belief in own impact on recovery (BiOIoR), Hospital Anxiety and Depression Scale (HADS), Acceptance of Illness Scale (AIS) and when patient could walk- Time Up & Go and 6 Minute Walk Test. Daily PA was assessed over 6 weeks using Caltrac accelerometer. All results were analysed with within-group comparison, separately for early non-ambulatory stoke patients, and separately for chronic walking with aid stroke patients.
Interventions
It is a prospective observational pilot study involving consecutive stroke patients who were qualified for early or chronic post-stroke in-patient rehabilitation to rehabilitation hospital.
All participants underwent conventional rehabilitation included individualized sessions of physiotherapy, speech, occupational, and psychological therapy and other usual care provided in rehabilitation hospitals. Rehabilitation was carried out 5 days a week (with additional shorter therapy at Saturday) for 6
It is a prospective observational pilot study involving consecutive stroke patients who were qualified for early or chronic post-stroke in-patient rehabilitation to rehabilitation hospital. All participants underwent conventional rehabilitation included individualized sessions of physiotherapy, speech, occupational, and psychological therapy and other usual care provided in rehabilitation hospitals. Rehabilitation was carried out 5 days a week (with additional shorter therapy at Saturday) for 6 weeks. Physiotherapy lasted around 1 hour and consisted of neurophysiological methods and mobility, functional, balance and arm training. In this observational study the following research activities were conducted: an overview of the information collected, e.g. medical history; measurements of physical activity, psychological and functional outcomes. For the observational data collection, to assess physical activity, participants wear Caltrac accelerometer in each of 6 weeks from morning to evening. Psychologists provided questionnaires twice, on admission and after 6 weeks of rehabilitation in face to face form, usually for two days (2 separate visit for around 30 minutes). Physiotherapists provided functional assessment twice, on admission and after 6 weeks of rehabilitation in direct form. Medical history was collected from medical records during multiple visits in rehabilitation hospital. The observation lasted from Apriill 2019 and August 2021. Data coding and data operations to database finished at May 2022. Data analysis and interpretation finished at August 2022.
Sponsors
Marcin Blaszcz
Study design
Allocation
Non-randomised trial
Intervention model
Other
Primary purpose
Educational / counselling / training
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
50 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
The inclusion criterion for all subjects (non-ambulatory and ambulatory): hemiparesis (ischaemic stroke of the right or left hemisphere of the brain); age between 50 and 85 years; providing informed, written consent for participation in a research experiment; patients discharged from the neurological / stroke unit with a stable clinical condition allowing participating in the research protocol and without significant cognitive impairment and dementia (Mini-Mental State Examination score> 23 points). Criteria for two separate functional groups (from two different centres): Functional criteria for non-ambulatory patient: • in the early phase (up to 3 months) after a stroke. • maintaining the sitting position independently for at least 30 seconds, but patients able to perform an independent (unassisted) transfer to the wheelchair are excluded. Functional criteria for ambulatory patient: • in the chronic phase (more than 6 months after a stroke); • able to walk at least 10 m with orthopaedic support or assistance, but patients walk completely independently (including without any orthopaedic help or assistance) are excluded.
Exclusion criteria
Based on the evaluation performed by psychologist, patients with insufficient cognitive functions to acquire knowledge from educational films and / or monitor their own progress and / or to use physiotherapists' instructions are excluded. Other exclusion criteria severe mixed or sensory aphasia, dementia according to MMSE=<23, intellectual disability, significant cognitive disorders or hemispatial neglect.
Outcome results
None listed