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Completed

NCT Number: NCT01521234

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

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.

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Key information

Conditions

Stroke Brain Diseases Cardiovascular Diseases Central Nervous System Diseases Cerebrovascular Disorders Nervous System Diseases Vascular Diseases

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Toronto Rehabilitation Institute

Toronto, Ontario, M5G 2A2, Canada

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Feedback of daily walking activity

Behavioral

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.

Primary outcomes

  1. Change in walking activity from admission to discharge from rehabilitation

    Time frame: Admission and discharge from in-patient rehabilitation (approx. 4-6 weeks)

    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).

  2. Change in control of walking

    Time frame: Admission and discharge from in-patient rehabilitation (approx. 4-6 weeks)

    Self-selected walking speed and symmetry of spatio-temporal characteristics of walking

Secondary outcomes

  1. Change in self-efficacy

    Time frame: Admission and discharge from in-patient rehabilitation (approx. 4-6 weeks)

    Stroke self-efficacy questionnaire

  2. Goal attainment

    Time frame: Discharge from in-patient rehabilitation (4-6 weeks), discharge from out-patient rehabilitation (10-16 weeks)

    Rehabilitation goals are classified as 'achieved', 'partially achieved', 'not completed' or 'discontinued'.

  3. Community integration

    Time frame: Discharge from out-patient rehabilitation (10-16 weeks) and 3-month follow-up

    Community integration questionnaire

  4. Satisfaction with progress towards rehabilitation goals

    Time frame: Discharge from in-patient rehabilitation (4-6 weeks) and discharge from out-patient rehabilitation (10-16 weeks)

    Participants will be asked to rate satisfaction with progress towards goals on a 10-point scale

  5. Barriers to walking

    Time frame: Monitored throughout participants' enrolment (0-28 weeks)

    Open-ended question regarding participants' perceived barriers to walking.

  6. Falls

    Time frame: Monitored throughout participants' enrolment (0-28 weeks)

    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.

Sponsors and collaborators

Lead sponsor

Toronto Rehabilitation Institute

Other

Registry information

Official study title

Using Wireless Technology in Clinical Practice: Does Feedback of Daily Walking Activity Improve Walking Outcomes of Individuals Receiving Rehabilitation Post-stroke?

Important dates

Study start
2012
Primary completion
2014
Study completion
2014
First posted
Jan 30, 2012
Registry last updated
May 13, 2015

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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