Caroline M Stretton1, Suzie Mudge1, Nicola M Kayes1, Kathryn M McPherson1,2. 1. 1 Centre for Person Centred Research, School of Clinical Sciences, AUT University, Auckland, New Zealand. 2. 2 Health Research Council of New Zealand, Auckland, New Zealand.
Abstract
OBJECTIVE: This study aimed to determine the effectiveness of current interventions to improve real-world walking for people with stroke and specifically whether benefits are sustained. DATA SOURCES: EBSCO Megafile, AMED, Cochrane, Scopus, PEDRO, OTSeeker and Psychbite databases were searched to identify relevant studies. REVIEW METHODS: Proximity searching with keywords such as ambulat*, walk*, gait, mobility*, activit* was used. Randomized controlled trials that used measures of real-world walking were included. Two reviewers independently assessed methodological quality using the Cochrane Risk of Bias Tool and extracted the data. RESULTS: Nine studies fitting the inclusion criteria were identified, most of high quality. A positive effect overall was found indicating a small effect of interventions on real-world walking (SMD 0.29 (0.17, 0.41)). Five studies provided follow-up data at >3-6 months, which demonstrated sustained benefits (SMD 0.32 (0.16, 0.48)). Subgroup analysis revealed studies using exercise alone were not effective (SMD 0.19 (-0.11, 0.49)), but those incorporating behavioural change techniques (SMD 0.27 (0.12, 0.41)) were. CONCLUSIONS: A small but significant effect was found for current interventions and benefits can be sustained. Interventions that include behaviour change techniques appear more effective at improving real-world walking habits than exercise alone.
OBJECTIVE: This study aimed to determine the effectiveness of current interventions to improve real-world walking for people with stroke and specifically whether benefits are sustained. DATA SOURCES: EBSCO Megafile, AMED, Cochrane, Scopus, PEDRO, OTSeeker and Psychbite databases were searched to identify relevant studies. REVIEW METHODS: Proximity searching with keywords such as ambulat*, walk*, gait, mobility*, activit* was used. Randomized controlled trials that used measures of real-world walking were included. Two reviewers independently assessed methodological quality using the Cochrane Risk of Bias Tool and extracted the data. RESULTS: Nine studies fitting the inclusion criteria were identified, most of high quality. A positive effect overall was found indicating a small effect of interventions on real-world walking (SMD 0.29 (0.17, 0.41)). Five studies provided follow-up data at >3-6 months, which demonstrated sustained benefits (SMD 0.32 (0.16, 0.48)). Subgroup analysis revealed studies using exercise alone were not effective (SMD 0.19 (-0.11, 0.49)), but those incorporating behavioural change techniques (SMD 0.27 (0.12, 0.41)) were. CONCLUSIONS: A small but significant effect was found for current interventions and benefits can be sustained. Interventions that include behaviour change techniques appear more effective at improving real-world walking habits than exercise alone.
Authors: Loretta Dipietro; Wayne W Campbell; David M Buchner; Kirk I Erickson; Kenneth E Powell; Bonny Bloodgood; Timothy Hughes; Kelsey R Day; Katrina L Piercy; Alison Vaux-Bjerke; Richard D Olson Journal: Med Sci Sports Exerc Date: 2019-06 Impact factor: 5.411
Authors: Celine Timmermans; Melvyn Roerdink; Marielle W van Ooijen; Carel G Meskers; Thomas W Janssen; Peter J Beek Journal: Trials Date: 2016-08-26 Impact factor: 2.279
Authors: Bianca Callegari; Daniela Rosa Garcez; Alex Tadeu Viana da Cruz Júnior; Aline do Socorro Soares Cardoso Almeida; Skarleth Raissa Andrade Candeira; Nathalya Ingrid Cardoso do Nascimento; Ketlin Jaquelline Santana de Castro; Ramon Costa de Lima; Tatiana Generoso Campos Pinho Barroso; Givago da Silva Souza; Anselmo de Athayde Costa E Silva Journal: Hong Kong Physiother J Date: 2021-03-26