Avril Mansfield1, Jennifer S Wong2, Jessica Bryce3, Karen Brunton2, Elizabeth L Inness2, Svetlana Knorr3, Simon Jones3, Babak Taati4, William E McIlroy5. 1. Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada Heart and Stroke Foundation Canadian Partnership for Stroke Recovery, Toronto, Ontario, Canada University of Toronto, Toronto, Ontario, Canada Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada Avril.Mansfield@uhn.ca. 2. Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada University of Toronto, Toronto, Ontario, Canada. 3. Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada. 4. Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada Heart and Stroke Foundation Canadian Partnership for Stroke Recovery, Toronto, Ontario, Canada University of Toronto, Toronto, Ontario, Canada. 5. Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada Heart and Stroke Foundation Canadian Partnership for Stroke Recovery, Toronto, Ontario, Canada University of Toronto, Toronto, Ontario, Canada Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada University of Waterloo, Waterloo, Ontario, Canada.
Abstract
BACKGROUND: Regaining independent ambulation is important to those with stroke. Increased walking practice during "down time" in rehabilitation could improve walking function for individuals with stroke. OBJECTIVE: To determine the effect of providing physiotherapists with accelerometer-based feedback on patient activity and walking-related goals during inpatient stroke rehabilitation. METHODS:Participants with stroke wore accelerometers around both ankles every weekday during inpatient rehabilitation. Participants were randomly assigned to receive daily feedback about walking activity via their physiotherapists (n = 29) or to receive no feedback (n = 28). Changes in measures of daily walking (walking time, number of steps, average cadence, longest bout duration, and number of "long" walking bouts) and changes in gait control and function assessed in-laboratory were compared between groups. RESULTS: There was no significant increase in walking time, number of steps, longest bout duration, or number of long walking bouts for the feedback group compared with the control group (P values > .20). However, individuals who received feedback significantly increased cadence of daily walking more than the control group (P = .013). From the in-laboratory gait assessment, individuals who received feedback had a greater increase in walking speed and decrease in step time variability than the control group (P values < .030). CONCLUSION: Feedback did not increase the amount of walking completed by individuals with stroke. However, there was a significant increase in cadence, indicating that intensity of daily walking was greater for those who received feedback than the control group. Additionally, more intense daily walking activity appeared to translate to greater improvements in walking speed.
RCT Entities:
BACKGROUND: Regaining independent ambulation is important to those with stroke. Increased walking practice during "down time" in rehabilitation could improve walking function for individuals with stroke. OBJECTIVE: To determine the effect of providing physiotherapists with accelerometer-based feedback on patient activity and walking-related goals during inpatient stroke rehabilitation. METHODS:Participants with stroke wore accelerometers around both ankles every weekday during inpatient rehabilitation. Participants were randomly assigned to receive daily feedback about walking activity via their physiotherapists (n = 29) or to receive no feedback (n = 28). Changes in measures of daily walking (walking time, number of steps, average cadence, longest bout duration, and number of "long" walking bouts) and changes in gait control and function assessed in-laboratory were compared between groups. RESULTS: There was no significant increase in walking time, number of steps, longest bout duration, or number of long walking bouts for the feedback group compared with the control group (P values > .20). However, individuals who received feedback significantly increased cadence of daily walking more than the control group (P = .013). From the in-laboratory gait assessment, individuals who received feedback had a greater increase in walking speed and decrease in step time variability than the control group (P values < .030). CONCLUSION: Feedback did not increase the amount of walking completed by individuals with stroke. However, there was a significant increase in cadence, indicating that intensity of daily walking was greater for those who received feedback than the control group. Additionally, more intense daily walking activity appeared to translate to greater improvements in walking speed.
Authors: Jonathan Hui; Richard Heyden; Tim Bao; Nicholas Accettone; Catherine McBay; Julie Richardson; Ada Tang Journal: Physiother Can Date: 2018 Impact factor: 1.037
Authors: Elizabeth A Lynch; Taryn M Jones; Dawn B Simpson; Natalie A Fini; Suzanne S Kuys; Karen Borschmann; Sharon Kramer; Liam Johnson; Michele L Callisaya; Niruthikha Mahendran; Heidi Janssen; Coralie English Journal: Cochrane Database Syst Rev Date: 2018-07-27
Authors: Ian D Cameron; Suzanne M Dyer; Claire E Panagoda; Geoffrey R Murray; Keith D Hill; Robert G Cumming; Ngaire Kerse Journal: Cochrane Database Syst Rev Date: 2018-09-07
Authors: Nancye M Peel; Sanjoy K Paul; Ian D Cameron; Maria Crotty; Susan E Kurrle; Leonard C Gray Journal: PLoS One Date: 2016-08-26 Impact factor: 3.240