None listed
Conditions
Brief summary
The intervention group will receive knowledge of results feedback during a physiotherapy session. Knowledge of results feedback is an objective measure of performance, for example, last session you were able to put 20kg through your leg for 15 out of 20 repetitions, this session you were able to put 20kg through your leg for 18 out of 20 repetitions. This information will be given to the participants immediately after each set of exercise repetitions within the treatment session and will be recorded on a recording sheet. The same type of knowledge of results feedback will be used for each exercise across sessions so that participants can see changes in their performance. The control group will receive usual therapy only which does not consist of the routine use of knowledge of results feedback. Change in motivation to practice and intensity or practice (,measured as exercise repetitions per minute) will be compared between the two groups to ascertain the effect of knowledge of results feedback. Hypothesis: The provision of knowledge of results feedback during therapy will increase stroke survivors’ motivation to practise and their intensity of practice.
Interventions
Intervention group - At a private rehabilitation clinic in Sydney, the participants in the intervention group will receive five face to face physiotherapy rehabilitation sessions, these will be at the frequency that is used for that participant (ie once a week or 3 times a week). During the physiotherapy sessions the participant will be provided knowledge of results feedback at the end of each set of exercise, in addition to their usual therapy. This will be done by the treating physiotherapist, who will record the results of each set of exercise on a practice sheet that is visible to the participant, and then discuss their results after each set of exercise (for example, last session you were able to put 20kg through your leg for 15 out of 20 repetitions. This session you were able to put 20kg through your leg for 18 out of 20 repetitions. Well done, you have improved.) This information will be given to the participants immediately after each set of exercise repetitions within the treatment session and will be recorded on a recording sheet. The same type of knowledge of results feedback will be used for each exercise across sessions so that participants can see changes in their performance. In order to assess fidelity of the intervention a researcher will observe one of the five therapy sessions for each participant in the intervention group, the session will be chosen at random.
Sponsors
Study design
Eligibility
Inclusion criteria
- Adults aged 18 years and above with a clinical diagnosis of stroke - Attending the Advanced Rehab Centre (ARC) Clinic in Artarmon, Sydney Australia - Able to attend six outpatient sessions of physiotherapy (one for baseline measurement followed by five sessions) - Participating in weight-bearing exercises to improve lower-limb tasks, such as standing and walking, for at least half of their physiotherapy session and capable of completing active exercise without physical assistance - Sufficient cognition to follow instructions and provide informed consent - Adequate English to follow simple instructions
Exclusion criteria
- Adults with diagnosed mental health disorders limiting their motivation and capacity to engage in exercise - Co-morbidities that can reduce exercise capacity such as COPD, symptomatic osteoarthritis, chronic pain, life-limiting disease and long COVID-19