Stroke
Conditions
Brief summary
Regaining independent walking is the top priority for individuals recovering from stroke. Thus, physical rehabilitation post-stroke should focus on improving walking function and endurance. However, the amount of walking completed by individuals with stroke attending rehabilitation is far below that required for independent community ambulation. There has been increased interest in accelerometer-based monitoring of walking post-stroke. Walking monitoring could be integrated within the goal-setting process for those with ambulation goals in rehabilitation. The purpose of this study is to determine the effect of accelerometer-based feedback of daily walking activity during rehabilitation on the frequency and duration of walking post-stroke.
Interventions
BEHAVIORALFeedback of daily walking activity
Participants will wear accelerometers every weekday during in-patient rehabilitation to monitor walking activity. Feedback of daily walking activity will be provided to the patients' treating physiotherapists to assist with goal-planning around walking.
Sponsors
Toronto Rehabilitation Institute
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* individuals with sub-acute stroke attending in-patient rehabilitation at Toronto Rehab * patients who have identified improving walking function as a rehabilitation goal * patients who can walk without supervision at the time of recruitment into the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in walking activity from admission to discharge from rehabilitation | Admission and discharge from in-patient rehabilitation (approx. 4-6 weeks) | Total daily walking acitivty, measured by number of steps per day, total duration of walking activity, total distance walked, and frequency of 'long' walking bouts (\>5 minutes in duration). |
| Change in control of walking | Admission and discharge from in-patient rehabilitation (approx. 4-6 weeks) | Self-selected walking speed and symmetry of spatio-temporal characteristics of walking |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Community integration | Discharge from out-patient rehabilitation (10-16 weeks) and 3-month follow-up | Community integration questionnaire |
| Satisfaction with progress towards rehabilitation goals | Discharge from in-patient rehabilitation (4-6 weeks) and discharge from out-patient rehabilitation (10-16 weeks) | Participants will be asked to rate satisfaction with progress towards goals on a 10-point scale |
| Change in self-efficacy | Admission and discharge from in-patient rehabilitation (approx. 4-6 weeks) | Stroke self-efficacy questionnaire |
| Falls | Monitored throughout participants' enrolment (0-28 weeks) | Increased walking activity might increase the risk for falls. Falls experienced throughout the study will be recorded to determine if there are more falls in the experimental group. |
| Barriers to walking | Monitored throughout participants' enrolment (0-28 weeks) | Open-ended question regarding participants' perceived barriers to walking. |
| Goal attainment | Discharge from in-patient rehabilitation (4-6 weeks), discharge from out-patient rehabilitation (10-16 weeks) | Rehabilitation goals are classified as 'achieved', 'partially achieved', 'not completed' or 'discontinued'. |
Countries
Canada
Outcome results
None listed