Using Wireless-technology for Feedback of Daily Walking Activity Post-stroke

Completed

Phase N/A Results N/A

Trial Description

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.

Conditions

Interventions

  • Feedback of daily walking activity Behavioral
    Intervention Desc: 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.
    ARM 1: Kind: Experimental
    Label: Feedback group
    Description: For participants assigned to the feedback group, physiotherapists will receive a summary of patients' walking activity for the previous week as a tool to guide goal planning. Physiotherapists will use the information as a 'homework checker' to determine if patients are complying with an assigned walking program. In the case of non-compliance, the physiotherapist will discuss a coping strategy for better integrating walking activity into the patients' day. In the event that the patient is meeting their specific sub-goals for walking activity, the physiotherapist will re-evaluate these sub-goals and suggest more challenging goals.

Trial Design

  • Allocation: Randomized
  • Masking: Single Blind (Outcomes Assessor)
  • Purpose: Treatment
  • Endpoint: Efficacy Study
  • Intervention: Single Group Assignment

Outcomes

Type Measure Time Frame Safety Issue
Primary Change in walking activity from admission to discharge from rehabilitation Admission and discharge from in-patient rehabilitation (approx. 4-6 weeks) No
Primary Change in control of walking Admission and discharge from in-patient rehabilitation (approx. 4-6 weeks) No
Secondary Change in self-efficacy Admission and discharge from in-patient rehabilitation (approx. 4-6 weeks) No
Secondary Goal attainment Discharge from in-patient rehabilitation (4-6 weeks), discharge from out-patient rehabilitation (10-16 weeks) No
Secondary Community integration Discharge from out-patient rehabilitation (10-16 weeks) and 3-month follow-up No
Secondary Satisfaction with progress towards rehabilitation goals Discharge from in-patient rehabilitation (4-6 weeks) and discharge from out-patient rehabilitation (10-16 weeks) No
Secondary Barriers to walking Monitored throughout participants' enrolment (0-28 weeks) No
Secondary Falls Monitored throughout participants' enrolment (0-28 weeks) Yes

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