Stroke
Conditions
Keywords
disability, walking, feedback, exercise
Brief summary
This purpose of this study is to determine the effect of different levels of feedback on participation in a home exercise regimen and the amount of walking performed by patients recently discharged from the acute rehabilitation setting.
Detailed description
The UCFit (University of California's U Cycle to Fitness) device is a standard commercial arm and leg restorator modified to collect pedaling data and to transmit it wirelessly to a central database, allowing for remote exercise monitoring. In this study, patients with stroke will perform pedaling exercise on the UCFit device prior to and then for a period of twelve weeks after discharge to home from inpatient rehabilitation. Differing levels of feedback will be provided to study subjects and corresponding changes in the amount of pedaling and walking performed will be identified. The results of this study will offer insight into the activity levels of disabled persons in their home environments. Furthermore, it will help in the identification of strategies that can increase activity levels in the critical period after discharge to home.
Interventions
Once a week subjects will receive feedback about the total time spent cycling and walking in the previous week. Subjects in this intervention group will also receive feedback about average cycling speed, distance pedaled, average walking speed, and distance walked in the previous week.
Once a week subjects will receive feedback about total time spent cycling and walking in the previous week.
Sponsors
Study design
Eligibility
Inclusion criteria
* diagnosis of stroke * no major contraindications to participating in light-to-moderate exertion * able to follow and retain verbal directions to carry out simple lower extremity repetitive exercises * planned discharge to home with family available to assist
Exclusion criteria
* pre-morbid limitations in walking related to another medical disease * body mass index \>30 * fractures or contractures that prevent use of an extremity for pedaling * impairment in cognition that precludes a full understanding of the risks and benefits of this study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Walking speed | three months | Fastest safe walking speed over 10 meters |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Distance walked in 3 minutes | three months | Distance walked at fastest safe speed over 3 minutes |
Countries
United States