Effect of information feedback on training standing up following stroke: a pilot feasibility study

Rosalyn Stanton, Louise Ada, Catherine M Dean, Elisabeth Preston

Research output: Contribution to journalArticleResearchpeer-review

Abstract

BACKGROUND AND OBJECTIVE: The ability to stand up is reduced following stroke. Traditional biofeedback is effective in improving the performance of lower limb activities. The aim of this study was to investigate the feasibility of and potential for information feedback from a simple inexpensive device to improve the ability to stand up from a chair in people following stroke.

METHODS: A single-group study with pre-post measures design was used. Twenty people with hemiplegic stroke in inpatient rehabilitation received 10 sessions over 2 weeks of information feedback about foot placement during training of standing up. Progression involved increasing repetitions, increasing difficulty and fading feedback. Feasibility was determined by adherence, time taken, acceptability and safety. Clinical outcomes were the time taken to stand up, quality and foot position measured using the 5-Times-Sit-To-Stand-Test and carryover into daily activities measured by covert observation.

RESULTS: The study was feasible with 97% of sessions completed, taking 19 (SD 6) to 25 (SD 10) minutes. Participants understood (4.6/5), found useful (4.6/5), challenging (4.4/5) and would recommend (4.7/5) the training. The time to stand up 5 times decreased by 24 (95% CI -48 to -1) s, and the quality of standing improved by 1.0/10.0 (95% CI 0.2 to 1.8). Carryover of the correct foot placement occurred to real life, with the beginning foot position correct 2.1/3.0 (95% CI 1.6 to 2.6) and end foot position correct 1.8/3.0 (95% CI 1.2 to 2.4) occasions.

CONCLUSIONS: The training is feasible and has the potential to improve the ability to stand up.

LanguageEnglish
Pages413-419
Number of pages7
JournalTopics in Stroke Rehabilitation
Volume23
Issue number6
DOIs
Publication statusPublished - 2016

Fingerprint

Feasibility Studies
Foot
Stroke
Beginning of Human Life
Inpatients
Lower Extremity
Rehabilitation
Observation
Safety
Equipment and Supplies

Keywords

  • Feedback
  • Physical therapy
  • Rehabilitation
  • Standing up
  • Stroke

Cite this

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title = "Effect of information feedback on training standing up following stroke: a pilot feasibility study",
abstract = "BACKGROUND AND OBJECTIVE: The ability to stand up is reduced following stroke. Traditional biofeedback is effective in improving the performance of lower limb activities. The aim of this study was to investigate the feasibility of and potential for information feedback from a simple inexpensive device to improve the ability to stand up from a chair in people following stroke.METHODS: A single-group study with pre-post measures design was used. Twenty people with hemiplegic stroke in inpatient rehabilitation received 10 sessions over 2 weeks of information feedback about foot placement during training of standing up. Progression involved increasing repetitions, increasing difficulty and fading feedback. Feasibility was determined by adherence, time taken, acceptability and safety. Clinical outcomes were the time taken to stand up, quality and foot position measured using the 5-Times-Sit-To-Stand-Test and carryover into daily activities measured by covert observation.RESULTS: The study was feasible with 97{\%} of sessions completed, taking 19 (SD 6) to 25 (SD 10) minutes. Participants understood (4.6/5), found useful (4.6/5), challenging (4.4/5) and would recommend (4.7/5) the training. The time to stand up 5 times decreased by 24 (95{\%} CI -48 to -1) s, and the quality of standing improved by 1.0/10.0 (95{\%} CI 0.2 to 1.8). Carryover of the correct foot placement occurred to real life, with the beginning foot position correct 2.1/3.0 (95{\%} CI 1.6 to 2.6) and end foot position correct 1.8/3.0 (95{\%} CI 1.2 to 2.4) occasions.CONCLUSIONS: The training is feasible and has the potential to improve the ability to stand up.",
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Effect of information feedback on training standing up following stroke : a pilot feasibility study. / Stanton, Rosalyn; Ada, Louise; Dean, Catherine M; Preston, Elisabeth.

In: Topics in Stroke Rehabilitation, Vol. 23, No. 6, 2016, p. 413-419.

Research output: Contribution to journalArticleResearchpeer-review

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T1 - Effect of information feedback on training standing up following stroke

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AU - Ada, Louise

AU - Dean, Catherine M

AU - Preston, Elisabeth

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N2 - BACKGROUND AND OBJECTIVE: The ability to stand up is reduced following stroke. Traditional biofeedback is effective in improving the performance of lower limb activities. The aim of this study was to investigate the feasibility of and potential for information feedback from a simple inexpensive device to improve the ability to stand up from a chair in people following stroke.METHODS: A single-group study with pre-post measures design was used. Twenty people with hemiplegic stroke in inpatient rehabilitation received 10 sessions over 2 weeks of information feedback about foot placement during training of standing up. Progression involved increasing repetitions, increasing difficulty and fading feedback. Feasibility was determined by adherence, time taken, acceptability and safety. Clinical outcomes were the time taken to stand up, quality and foot position measured using the 5-Times-Sit-To-Stand-Test and carryover into daily activities measured by covert observation.RESULTS: The study was feasible with 97% of sessions completed, taking 19 (SD 6) to 25 (SD 10) minutes. Participants understood (4.6/5), found useful (4.6/5), challenging (4.4/5) and would recommend (4.7/5) the training. The time to stand up 5 times decreased by 24 (95% CI -48 to -1) s, and the quality of standing improved by 1.0/10.0 (95% CI 0.2 to 1.8). Carryover of the correct foot placement occurred to real life, with the beginning foot position correct 2.1/3.0 (95% CI 1.6 to 2.6) and end foot position correct 1.8/3.0 (95% CI 1.2 to 2.4) occasions.CONCLUSIONS: The training is feasible and has the potential to improve the ability to stand up.

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