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Observation of Physiotherapy Treatment Sessions - Exploring What Happens in Physiotherapy for Patients After Stroke.

This study has been completed.
Information provided by:
University of Southampton Identifier:
First received: August 11, 2011
Last updated: NA
Last verified: July 2009
History: No changes posted

Associated reactions are unintended and involuntary arm movements, normally seen as bending of the wrist and elbow, that may occur after stroke when a person is doing something effortful such as walking.

This is the first phase of a study that will investigate the effects that different approaches to physiotherapy have on the expression of associated reactions. During this phase, current practice among neuro-physiotherapists will be explored in relation to: the learning strategies used in stroke rehabilitation, the common interventions used in gait re-education, and the strategies adopted for the assessment and management of associated reactions.

The objectives are:

  • To provide an insight into the learning strategies used by physiotherapists during the re-education of walking, including the verbal dialogue that takes place and any preferences (overt or subconscious) adopted for one type of learning strategy.
  • To develop and refine a description of what is meant by the term "gait re-education"
  • To provide an insight into how therapists currently manage associated reactions

This phase of the study will explore these objectives using direct non-participation observation of a number of physiotherapy treatment sessions. This will provide an insight into the nature of the therapy that takes place for retraining walking(e.g. the types of exercises commonly used) and the nature of the learning strategies frequently adopted, including the amount and content of explicit verbal instruction and feedback that is provided to patients.


Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Prospective
Official Title: Do Implicit and Explicit Learning Strategies Applied During Gait Re-education Influence Concurrent Expression of Associated Reactions in Individuals With Hemiplegia? Phase 1a

Resource links provided by NLM:

Further study details as provided by University of Southampton:

Enrollment: 8
Study Start Date: January 2010
Study Completion Date: April 2010
Primary Completion Date: April 2010 (Final data collection date for primary outcome measure)

Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Patients with stroke will be recruited from two NHS Trusts - Royal Bournemouth and Christchuch Hospitals NHS Foundation Trust and Southampton City Primary Care Trust.

Inclusion Criteria:

  • has suffered a stroke
  • is currently receiving active rehabilitation that includes gait re-education
  • is exhibiting upper limb deficits
  • is able to provide informed consent.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01415843

United Kingdom
Royal Bournemouth and Christchurch NHS Foundation Trust
Bournemouth and Christchurch, Dorset, United Kingdom
Southampton City Primary Care Trust
Southampton, Hampshire, United Kingdom
Sponsors and Collaborators
University of Southampton
Study Chair: Jane Burridge, Professor University of Southampton
  More Information

Responsible Party: Mrs Louise Johnson, University of Southampton Identifier: NCT01415843     History of Changes
Other Study ID Numbers: 09/H0504/80
Study First Received: August 11, 2011
Last Updated: August 11, 2011

Additional relevant MeSH terms:
Cerebrovascular Disorders
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Vascular Diseases
Cardiovascular Diseases processed this record on August 18, 2017