Diagnosis of stroke with hemiparesis or older patient (over 65 years) with weakness following musculoskeletal impairment (for example post joint replacement or surgery following a fall) Not Applicable
Conditions
Interventions
Physiotherapists’ actions and clinical reasoning during their assessment of their patients’ functional mobility will be video recorded and analysed. Quantitative clinical measures and participants' bi
Sponsors
University of Bristol
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients: 1. Diagnosis of stroke with hemiparesis* or older patient (over 65 years) with weakness following musculoskeletal impairment (for example post joint replacement or surgery following a fall) 2. Being seen by a physiotherapist in the clinical partner service for rehabilitation of mobility (standing balance, transfers or walking) 3. Medically stable 4. Mental capacity to consent to the study according to members of the clinical team who are working with the patient * Note - Time after stroke is not limited and potential participants who had had a stroke can still take part if the stroke is not the first stroke. Potential participants with poor balance, sensory loss, visual field loss aphasia and cognitive impairments, but who have capacity to consent can be accommodated Physiotherapists: Physiotherapists who are working in clinical partner organisations with stroke or older patients to improve their mobility
Exclusion criteria
Exclusion criteria: Patients: 1. Diagnosis of neurological condition, other than stroke 2. Concurrent acute musculoskeletal conditions (e.g. fractures, sprains) which prevent weight-bearing 3. Morbidly obese - BMI > 40 kg/m2 4. Presence of ataxia 5. Judged by therapists to have a functional neurological disorder 6. Judged by therapist to have depression or anxiety that might prevent participation, or become increased because of participation in the study Physiotherapists: Less than 2 years’ experience of working with stroke or older patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Measured at a single timepoint: 1. Lower limb joint range of motion (passive and active) measured using a digital goniometer 2. Strength of lower limb musculature (ankle dorsiflexion/plantarflexion, knee flexion/extension and hip extension/abduction) measured using a Lafayette Hand-held Dynamometer 3. Functional performance measured using forward functional reach test and timed up and go test 4. Biomechanical measures of pelvic and lower limb motion using three-dimensional motion capture | — |
Secondary
| Measure | Time frame |
|---|---|
| Collected from patients' medical notes at a single timepoint: 1. Patient's gender, age 2. Reason for admission to service 3. Any relevant pre-existing diagnosis that would affect mobility 4. Information about current clinical condition affecting mobility. In the case of stroke, this will include date of stroke, side of stroke and type of stroke | — |
Countries
England, United Kingdom
Contacts
Public ContactJonathan;Leah Rossiter;Morris
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Outcome results
None listed