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

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01415843
Recruitment Status : Completed
First Posted : August 12, 2011
Last Update Posted : August 12, 2011
Information provided by:
University of Southampton

Brief Summary:

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.

Condition or disease

Study Type : Observational
Actual Enrollment : 8 participants
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
Study Start Date : January 2010
Actual Primary Completion Date : April 2010
Actual Study Completion Date : April 2010

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Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
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.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): 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

Responsible Party: Mrs Louise Johnson, University of Southampton Identifier: NCT01415843     History of Changes
Other Study ID Numbers: 09/H0504/80
First Posted: August 12, 2011    Key Record Dates
Last Update Posted: August 12, 2011
Last Verified: July 2009

Additional relevant MeSH terms:
Cerebrovascular Disorders
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Vascular Diseases
Cardiovascular Diseases