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

Toronto Rehabilitation Institute

Status: Completed

Conditions: Stroke

Treatments: Behavioral: Feedback of daily walking activity

Study type: Interventional

Funder types: Other

Identifiers

NCT01521234

OSN-Mansfield-2011

Details and patient eligibility

About

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.

Enrollment: 63 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: Single Blind

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63 participants in 2 patient groups

Feedback group

Experimental 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.

Treatment:

Behavioral: Feedback of daily walking activity

No-feedback group

No Intervention group

Description:

For participants assigned to the control group, physiotherapists will not receive accelerometer-based feedback of daily walking activity. However, physiotherapists will still discuss the achievement of walking goals with their patients. This is usual care around goal planning.