http://clinicaltrials.gov/show/NCT01891565
Purpose
The
amount of active therapy provided to patients on an inpatient stroke
rehabilitation unit has been reported as often insufficient.
Observational studies have found that in the first 14 days post stroke,
patients receive very little therapy and have very low activity levels.
More opportunity to practice may, however, improve short-term outcomes
such as the level of mobility, endurance, use of the affected arm and
leg, and length of stay. The Stroke Inpatient Rehabilitation
Reinforcement of ACTivity (SIRRACT) trial will utilize sensors that
reveal the type, quantity, and aspects of quality of patient activities
outside of the confines of research laboratories. SIRRACT will deploy
inexpensive Personal Activity Monitors (PAMs), comprised of triaxial
accelerometers worn on the thighs.
The objectives of the study are:
i. To assess the impact of
feedback from Personal Activity Monitors (PAM)s on amount of active
practice, walking speed and distance in stroke patients undergoing
rehabilitation.
ii. To assess the impact
of feedback from PAMs on physical, psycho-emotional, cognitive and
ecosocial Health-Related Quality of Life of stroke patients undergoing
rehabilitation.
iii. To assess the acceptability of thigh-strapped accelerometer use among stroke patients undergoing rehabilitation.
iv. To assess the reliability and validity of thigh-strapped accelerometer use among stroke patients undergoing rehabilitation.
Hypotheses In moderate to
severely disabled subjects who are receiving in-patient rehabilitation,
daily feedback from PAMs about purposeful activity will increase the
amount of active practice by >30%, a higher proportion of subjects
who reach the level of independence for walking, and increase walking
speed by 25%, leading to higher mean walking speeds and distances at the
time of discharge from inpatient rehabilitation. Daily feedback from
PAMs on increase in walking speed and distances will improve physical,
psychological, cognitive and ecosocial domains of Health-related quality
of life.
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