Help guide our efforts to modernize
Send us your comments by March 14, 2020. Menu

Using Wireless-technology for Feedback of Daily Walking Activity Post-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: NCT01521234
Recruitment Status : Completed
First Posted : January 30, 2012
Last Update Posted : May 13, 2015
Information provided by (Responsible Party):
Avril Mansfield, Toronto Rehabilitation Institute

Brief Summary:
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.

Condition or disease Intervention/treatment Phase
Stroke Behavioral: Feedback of daily walking activity Not Applicable

Layout table for study information
Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 63 participants
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Using Wireless Technology in Clinical Practice: Does Feedback of Daily Walking Activity Improve Walking Outcomes of Individuals Receiving Rehabilitation Post-stroke?
Study Start Date : October 2012
Actual Primary Completion Date : January 2014
Actual Study Completion Date : June 2014

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Rehabilitation

Arm Intervention/treatment
Experimental: Feedback group
For participants assigned to the feedback group, physiotherapists will receive a summary of patients' walking activity for the previous week as a tool to guide goal planning. Physiotherapists will use the information as a 'homework checker' to determine if patients are complying with an assigned walking program. In the case of non-compliance, the physiotherapist will discuss a coping strategy for better integrating walking activity into the patients' day. In the event that the patient is meeting their specific sub-goals for walking activity, the physiotherapist will re-evaluate these sub-goals and suggest more challenging goals.
Behavioral: Feedback of daily walking activity
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.

No Intervention: No-feedback group
For participants assigned to the control group, physiotherapists will not receive accelerometer-based feedback of daily walking activity. However, physiotherapists will still discuss the achievement of walking goals with their patients. This is usual care around goal planning.

Primary Outcome Measures :
  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 Outcome Measures :
  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.

Information from the National Library of Medicine

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, Learn About Clinical Studies.

Layout table for eligibility information
Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

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

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): NCT01521234

Layout table for location information
Canada, Ontario
Toronto Rehabilitation Institute
Toronto, Ontario, Canada, M5G 2A2
Sponsors and Collaborators
Toronto Rehabilitation Institute
Layout table for investigator information
Principal Investigator: Avril Mansfield, PhD Toronto Rehabilitation Institute

Publications of Results:
Other Publications:
Layout table for additonal information
Responsible Party: Avril Mansfield, Post-doctoral fellow, Toronto Rehabilitation Institute Identifier: NCT01521234    
Other Study ID Numbers: OSN-Mansfield-2011
First Posted: January 30, 2012    Key Record Dates
Last Update Posted: May 13, 2015
Last Verified: May 2015
Additional relevant MeSH terms:
Layout table for MeSH terms
Cerebrovascular Disorders
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Vascular Diseases
Cardiovascular Diseases