Augmented visual feedback of movement performance to enhance walking recovery after stroke: study protocol for a pilot randomised controlled trial.
Background: Increasing evidence suggests that use of augmented visual feedback could be a useful approach to stroke rehabilitation. In current clinical practice, visual feedback of movement performance is often limited to the use of mirrors or video. However, neither approach is optimal since cognit...
| Publicado en: | Trials Vol. 13; no. 1; pp. 163 - 164 |
|---|---|
| Autores principales: | , , , , |
| Formato: | protocol research Journal Article |
| Publicado: |
BioMed Central
2012
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104307461&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104307461 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17456215 38OC jtl: Trials issn: 17456215 maglogo: N pubinfo: dt: 2012 vid: 13 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 104307461 NLM22967674 2011923753 10.1186/1745-6215-13-163 NLM22967674 PMC3541174 104307461 ppf: 163 ppct: 1 formats: tig: atl: Augmented visual feedback of movement performance to enhance walking recovery after stroke: study protocol for a pilot randomised controlled trial. aug: au: Thikey, Heather Grealy, Madeleine van Wijck, Frederike Barber, Mark Rowe, Philip affil: Bioengineering Department, University of Strathclyde, Wolfson Building, 106 Rottenrow East, Glasgow, UK. heather.thikey@strath.ac.uk. sug: subj: Computer Graphics Psychotherapy Stroke Rehabilitation Study Design Therapeutic Exercise Visual Perception Walking Biomechanics Clinical Assessment Tools Disability Evaluation Exercise Test Gait Human Physical Examination Pilot Studies Protocols Randomized Controlled Trials Recovery Scales Scotland Software Design Stroke Diagnosis Stroke Physiopathology Stroke Psychosocial Factors Time Factors Treatment Outcomes Videorecording ab: Background: Increasing evidence suggests that use of augmented visual feedback could be a useful approach to stroke rehabilitation. In current clinical practice, visual feedback of movement performance is often limited to the use of mirrors or video. However, neither approach is optimal since cognitive and self-image issues can distract or distress patients and their movement can be obscured by clothing or limited viewpoints. Three-dimensional motion capture has the potential to provide accurate kinematic data required for objective assessment and feedback in the clinical environment. However, such data are currently presented in numerical or graphical format, which is often impractical in a clinical setting. Our hypothesis is that presenting this kinematic data using bespoke visualisation software, which is tailored for gait rehabilitation after stroke, will provide a means whereby feedback of movement performance can be communicated in a more meaningful way to patients. This will result in increased patient understanding of their rehabilitation and will enable progress to be tracked in a more accessible way.Methods: The hypothesis will be assessed using an exploratory (phase II) randomised controlled trial. Stroke survivors eligible for this trial will be in the subacute stage of stroke and have impaired walking ability (Functional Ambulation Classification of 1 or more). Participants (n = 45) will be randomised into three groups to compare the use of the visualisation software during overground physical therapy gait training against an intensity-matched and attention-matched placebo group and a usual care control group. The primary outcome measure will be walking speed. Secondary measures will be Functional Ambulation Category, Timed Up and Go, Rivermead Visual Gait Assessment, Stroke Impact Scale-16 and spatiotemporal parameters associated with walking. Additional qualitative measures will be used to assess the participant's experience of the visual feedback provided in the study.Discussion: Results from the trial will explore whether the early provision of visual feedback of biomechanical movement performance during gait rehabilitation demonstrates improved mobility outcomes after stroke and increased patient understanding of their rehabilitation.Trial Registration: Current Controlled Trials ISRCTN79005974. pubtype: Academic Journal doctype: protocol research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|