Using wireless technology in clinical practice: does feedback of daily walking activity improve walking outcomes of individuals receiving rehabilitation post-stroke? Study protocol for a randomized controlled trial

详细信息    查看全文

• 作者：Avril Mansfield (1) (2) (3) (4)
  Jennifer S Wong (1)
  Mark Bayley (1) (2)
  Lou Biasin (1) (3)
  Dina Brooks (1) (3) (4)
  Karen Brunton (1) (3)
  Jo-Anne Howe (1) (3)
  Elizabeth L Inness (1) (3) (4)
  Simon Jones (1)
  Jackie Lymburner (1)
  Ramona Mileris (1)
  William E McIlroy (1) (2) (3) (4) (5)
  
• 关键词：Stroke ; Rehabilitation ; Walking ; Physical activity ; Goal setting ; Technology
• 刊名：BMC Neurology
• 出版年：2013
• 出版时间：December 2013
• 年：2013
• 卷：13
• 期：1
• 全文大小：237KB
• 参考文献：1. Potempa K, Braun LT, Tinknell T, Popovich J: Benefits of aerobic exercise after stroke. / Sports Med 1996, 21:337-46. CrossRef
  2. Robinson CA, Shumway-Cook A, Matsuda PN, Ciol MA: Understanding physical factors associated with participation in community ambulation following stroke. / Disabil Rehabil 2011, 33:1033-042. CrossRef
  3. Fulk GD, Reynolds C, Mondal S, Deutsch JE: Predicting home and community walking activity in people with stroke. / Arch Phys Med Rehabil 2010, 91:1582-586. CrossRef
  4. Pound P, Gompertz P, Ebrahim S: A patient-centred study of the consequences of stroke. / Clin Rehabil 1998, 12:338-47. CrossRef
  5. Lord SE, McPherson KM, McNaughton HK, Rochester L, Weatherall M: Community ambulation after stroke: how important and obtainable is it and what measures appear predictive? / Arch Phys Med Rehabil 2004, 85:234-39. CrossRef
  6. Bohannon RW, Andrews AW, Smith MB: Rehabilitation goals of patients with hemiplegia. / Int J Rehab Research 1988, 11:181-83. CrossRef
  7. Hesse S: Recovery of gait and other motor functions after stroke: novel physical and pharmacological treatment strategies. / Restor Neurol Neurosci 2004, 22:359-69.
  8. Logan PA, Dyas J: Using an interview study of transport use by people who have had a stroke to inform rehabilitation. / Clin Rehabil 2004, 18:703-08. CrossRef
  9. Langhammer B, Stanghelle JK, Lindmark B: Exercise and health-related quality of life during the first year following acute stroke. A randomized controlled trial. / Brain Inj 2008, 22:135-45. CrossRef
  10. Béthoux F, Calmels P, Gautheron V: Changes in the quality of life of hemiplegic stroke patients with time: a preliminary report. / Am J Phys Med Rehabil 1999, 78:19-3. CrossRef
  11. Teasell R, Bitensky J, Salter K, Bayona NA: The role of timing and intensity of rehabilitation therapies. / Top Stroke Rehabil 2005, 12:46-7. CrossRef
  12. Bode RK, Heinemann AW, Semik P, Mallinson T: Relative importance of rehabilitation therapy characteristics on functional outcomes for persons with stroke. / Stroke 2004, 35:2537-542. CrossRef
  13. Kwakkel G, Wagenaar RC, Koleman TW, Lankhorst GJ, Koetsier JC: Effects of intensity of rehabilitation after stroke: a research synthesis. / Stroke 1997, 28:1550-556. CrossRef
  14. Bayona NA, Bitensky J, Salter K, Teasell R: The role of task-specific training in rehabilitation therapies. / Top Stroke Rehabil 2005, 12:58-5.
  15. Richards CL, Malouin F, Wood-Dauphinee S, Bouchard J-P, Brunet D: Task-specific physical therapy for optimization of gait recovery in acute stroke patients. / Arch Phys Med Rehabil 1993, 74:612-20. CrossRef
  16. Lindsay MP, Gubitz G, Bayley M, Hill MD, Davies-Schinkel C, Singh S, Phillips S: Canadian best practice recommendations for stroke care (Update 2010). In / Book Canadian best practice recommendations for stroke care (Update 2010). City: Canadian Stroke Network; 2010.
  17. Salbach NM, Mayo NE, Wood-Dauphinee S, Hanley JA, Richards CL, C?té R: A task-oriented intervention enhances walking distance and speed in the first year post stroke: a randomized controlled trial. / Clin Rehabil 2004, 18:509-19. CrossRef
  18. Dean CM, Richards CL, Malouin F: Task-related circuit training improves performance of locomotor tasks in chronic stroke: a randomized controlled pilot trial. / Arch Phys Med Rehabil 2000, 81:409-17. CrossRef
  19. Prajapati SK, Gage WH, Brooks D, Black SE, McIlroy WE: A novel approach to ambulatory monitoring: investigation into the quantity and control of everyday walking in patients with subacute stroke. / Neurorehabil Neural Repair 2011, 25:6-4. CrossRef
  20. Manns PJ, Baldwin E: Ambulatory activity of stroke survivors: measurement of options for dose, intensity, and variability of activity. / Stroke 2009, 40:864-67. CrossRef
  21. Bernhardt J, Chan J, Nicola I, Collier JM: Little therapy, little physical activity: rehabilitation with the first 14 days of organized stroke unit care. / J Rehabil Med 2007, 39:43-8. CrossRef
  22. Prajapati SK, Mansfield A, Gage WH, Brooks D, McIlroy WE: Cardiovascular responses associated with daily walking in sub-acute stroke. / Stroke Res Treat 2013, 2013:612458.
  23. Michael K, Macko RF: Ambulatory activity intensity profiles, fitness, and fatigue in chronic stroke. / Top Stroke Rehabil 2007, 14:5-2. CrossRef
  24. Levack WMM, Taylor K, Siegert RJ, Dean SG, McPherson KM, Weatherall M: Is goal planning in rehabilitation effective? A systematic review. / Clin Rehabil 2006, 20:739-55. CrossRef
  25. Scobbie L, Wyke S, Dixon D: Identifying and applying psychological theory to setting and achieving rehabilitation goals. / Clin Rehabil 2009, 23:321-33. CrossRef
  26. Playford ED, Siegert R, Levack W, Freeman J: Areas of consensus and controversy about goal setting in rehabilitation: a conference report. / Clin Rehabil 2009, 23:334-44. CrossRef
  27. Scobbie L, Dixon D, Wyke S: Goal-setting and action planning in the rehabilitation setting: development of a theoretically informed practice framework. / Clin Rehabil 2011, 25:468-82. CrossRef
  28. Locke EA, Latham GP: Building a practically useful theory of goal setting and task motivation, a 35-year odyssey. / Am Psychol 2002, 57:705-17. CrossRef
  29. Naik AD, Issac TT, Street RL, Kunik ME: Understanding the quality chasm for hypertension control in diabetes: a structured review of "co-maneuvers" used in clinical trials. / J Am Board Fam Med 2007, 20:429-78. CrossRef
  30. Oettingen G, Mayer D: The motivating function of thinking about the future: expectations versus fantasies. / J Pers Soc Psychol 2002, 83:1198-212. CrossRef
  31. Gebruers N, Vanroy C, Truijen S, Engelborghs S, De Deyn PP: Monitoring of physical activity after stroke: a systematic review of accelerometery-based measures. / Arch Phys Med Rehabil 2010, 91:288-97. CrossRef
  32. Perry J, Garrett M, Gronley JK, Mulroy ST: Classification of walking handicap in the stroke population. / Stroke 1995, 26:982-89. CrossRef
  33. Kernan WN, Viscoli CM, Makuch RW, Brass LM, Horwitz RI: Stratified randomization for clinical trials. / J Clin Epidemiol 1999, 52:19-6. CrossRef
  34. McEntegart DJ: The pursuit of balance using stratified and dynamic randomization techniques: an overview. / Drug Inf J 2003, 37:293-08. CrossRef
  35. McClain C: Collaborative rehabilitation goal setting. / Top Stroke Rehabil 2005, 12:56-0. CrossRef
  36. Holliday RC, Cano S, Freeman JA, Playford ED: Should patients participate in clinical decision making? An optimised balance block design controlled study of goal setting in a rehabilitation unit. / J Neurol Neurosurg Psychiatry 2007, 78:576-80. CrossRef
  37. Yang C-C, Hsu Y-L: A review of accelerometer-based wearable motion detectors for physical ambulatory monitoring. / Sensors 2010, 10:7772-788. CrossRef
  38. Ohkawara K, Oshima Y, Hikihara Y, Ishikawa-Takata K, Tabata I, Tanaka S: Real-time estimation of daily physical activity intensity by a triaxial accelerometer and a gravity-removal classification algorithm. / Br J Nutr 2011, 105:1681-691. CrossRef
  39. Goldstein LB, Bertels C, Davis JN: Interrater reliability of the NIH Stroke Scale. / Arch Neurol 1989, 46:660-62. CrossRef
  40. Gowland C, Stratford P, Ward M, Moreland J, Torresin W, Van Hullenaar S, Sanford J, Barreca S, Vanspall B, Plews N: Measuring physical impairment and disability with the Chedoke-McMaster Stroke Assessment. / Stroke 1993, 24:58-3. CrossRef
  41. Berg K, Wood-Dauphine S, Williams JI, Gayton D: Measuring balance in the elderly: preliminary development of an instrument. / Physiother Can 1989, 41:304-11. CrossRef
  42. Powell LE, Myers AM: The Activities-specific Balance Confidence (ABC) Scale. / J Gerontol A Biol Sci Med Sci 1995, 50A:M28-4. CrossRef
  43. Kasner SE: Clinical interpretation and use of stroke scales. / Lancet Neurol 2006, 5:603-12. CrossRef
  44. Blum L, Korner-Bitensky N: Usefulness of the Berg Balance Scale in stroke rehabilitation: a systematic review. / Phys Ther 2008, 88:559-66. CrossRef
  45. Botner EM, Miller WC, Eng JJ: Measurement properties of the Activities-specific Balance Confidence Scale among individuals with stroke. / Disabil Rehabil 2005, 27:156-63. CrossRef
  46. Robinett CS, Vondran MA: Functional ambulation velocity and distance requirements in rural and urban communities: a clinical report. / Phys Ther 1988, 68:1371-373.
  47. Shumway-Cook A, Patla AE, Stewart A, Ferrucci L, Ciol MA, Guralnik JM: Environmental demands assocaited with community mobility in older adults with and without mobility disabilities. / Phys Ther 2002, 82:670-81.
  48. Patterson KK, Gage WH, Brooks D, Black SE, McIlroy WE: Evaluation of gait symmetry after stroke: a comparison of current methods and recommendations for standardization. / Gait Posture 2010, 31:241-45. CrossRef
  49. Jones F, Partridge C, Reid F: The Stroke Self-Efficacy Questionnaire: measure individual confidence in functional performance after stroke. / Journal of Nursing and Healthcare of Chronic Illness 2008, 17:244-52.
  50. Riazi A, Jones F: Further psychometric evaluation of the Stroke self-efficacy questionnaire (SSEQ). / Int J Stroke 2010, 5:28. CrossRef
  51. Willer B, Ottenbacher KJ, Coad ML: The Community Integration Questionnaire: a comparative examination. / Am J Phys Med Rehabil 1994, 73:103-11. CrossRef
  52. Millis SR, Rosenthal M, Lourie IF: Predicting community integration after traumatic brain injury with neuropsychological measures. / Int J Neurosci 1994, 79:165-67. CrossRef
  53. Geurtsen GJ, Martina JD, van Heugten CM, Geurts ACH: A prospective study to evaluate a new residential community reintegration programme for severe chronic brain injury: the Brain Integration Programme. / Brain Inj 2008, 22:545-54. CrossRef
  54. Dalemans RJP, De Witte LP, Beurskens AJHM, Van den Heuvel WJA, Wade DT: An investigation into the social participation of stroke survivors with aphasia. / Disabil Rehabil 2010, 32:1678-685. CrossRef
  55. Dalemans RJ, de Witte LP, Beurskens AJ, van den Heuvel WJ, Wade DT: Psychometric properties of the community integration questionnaire adjusted for people with aphasia. / Arch Phys Med Rehabil 2010, 91:395-99. CrossRef
  56. Chan DYL, Chan CCH, Au DKS: Motor relearning programme for stroke patients: a randomized controlled trial. / Clin Rehabil 2006, 20:191-00. CrossRef
  57. Lachin JM: Statistical considerations in the intent-to-treat principle. / Control Clin Trials 2000, 21:167-89. CrossRef
  58. Chow S-C: / Sample size calculations in clinical research. New York: Taylor & Francis; 2003.
  59. Moher D, Schulz KF, Altman DG: The CONSORT statement: revised recommendations for improving the quality of reports of parallel-group randomised trials. / Lancet 2001, 357:1191-194. CrossRef
  60. Pocock SJ: When to stop a clinical trial. / Br Med J 1992, 305:235-40. CrossRef
  61. The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2377/13/93/prepub
  
• 作者单位：Avril Mansfield (1) (2) (3) (4)
  Jennifer S Wong (1)
  Mark Bayley (1) (2)
  Lou Biasin (1) (3)
  Dina Brooks (1) (3) (4)
  Karen Brunton (1) (3)
  Jo-Anne Howe (1) (3)
  Elizabeth L Inness (1) (3) (4)
  Simon Jones (1)
  Jackie Lymburner (1)
  Ramona Mileris (1)
  William E McIlroy (1) (2) (3) (4) (5)
  
  1. Balance Mobility and Falls Clinic and Mobility Research Team, Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada
  2. Heart and Stroke Foundation Centre for Stroke Recovery, Toronto Rehabilitation Institute and Sunnybrook Health Sciences Centre sites, Toronto, ON, Canada
  3. Department of Physical Therapy, University of Toronto, Toronto, ON, Canada
  4. Graduate Department of Rehabilitation Science, University of Toronto, Toronto, ON, Canada
  5. Department of Kinesiology, University of Waterloo, Waterloo, ON, Canada
  

文摘

Background Regaining independent ambulation 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 feedback from these devices can be downloaded to a computer to produce reports. 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. Methods Participants will be randomly assigned to one of two groups: feedback or no feedback. Participants will wear accelerometers daily during in- and out-patient rehabilitation and, for participants in the feedback group, the participants-treating physiotherapist will receive regular reports of walking activity. The primary outcome measures are the amount of daily walking completed, as measured using the accelerometers, and spatio-temporal characteristics of walking (e.g. walking speed). We will also examine goal attainment, satisfaction with progress towards goals, stroke self-efficacy, and community-integration. Discussion Increased walking activity during rehabilitation is expected to improve walking function and community re-integration following discharge. In addition, a focus on altering walking behaviour within the rehabilitation setting may lead to altered behaviour and increased activity patterns after discharge. Trial registration ClinicalTrials.gov NCT01521234