An interventional study of Feedback of daily walking activity in Stroke, sponsored by Toronto Rehabilitation Institute. Completed at 1 site in Canada. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-05-13.
Sponsored by Toronto Rehabilitation Institute · Not applicable, Interventional, and Treatment
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.
7,286 studies on the registry are indexed under Stroke; 2,007 are open to participants now.
This study's enrollment of 63 is above the median of 50 across 5,369 interventional studies indexed under Stroke.
Browse Stroke studies →Toronto Rehabilitation Institute is the lead sponsor of 39 studies on the registry; 5 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Inclusion Criteria:
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.
Behavioral: Feedback of daily walking activity
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.
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.
Change in walking activity from admission to discharge from rehabilitation
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).
Time frame: Admission and discharge from in-patient rehabilitation (approx. 4-6 weeks)
Change in control of walking
Self-selected walking speed and symmetry of spatio-temporal characteristics of walking
Time frame: Admission and discharge from in-patient rehabilitation (approx. 4-6 weeks)
Change in self-efficacy
Stroke self-efficacy questionnaire
Time frame: Admission and discharge from in-patient rehabilitation (approx. 4-6 weeks)
Goal attainment
Rehabilitation goals are classified as 'achieved', 'partially achieved', 'not completed' or 'discontinued'.
Time frame: Discharge from in-patient rehabilitation (4-6 weeks), discharge from out-patient rehabilitation (10-16 weeks)
Community integration
Community integration questionnaire
Time frame: Discharge from out-patient rehabilitation (10-16 weeks) and 3-month follow-up
Satisfaction with progress towards rehabilitation goals
Participants will be asked to rate satisfaction with progress towards goals on a 10-point scale
Time frame: Discharge from in-patient rehabilitation (4-6 weeks) and discharge from out-patient rehabilitation (10-16 weeks)
Barriers to walking
Open-ended question regarding participants' perceived barriers to walking.
Time frame: Monitored throughout participants' enrolment (0-28 weeks)
Falls
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.
Time frame: Monitored throughout participants' enrolment (0-28 weeks)
This study is completed, as verified in May 2015. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
Toronto Rehabilitation Institute