Kenny, M, Gilmartin, J and Thompson, C orcid.org/0000-0002-9369-1204 (2020) Video-guided exercise after stroke: a feasibility randomised controlled trial. Physiotherapy Theory and Practice. pp. 1-12. ISSN 0959-3985
Abstract
Background: Facilitating self-directed upper-limb exercise in people after a stroke whilst not in therapy sessions may increase therapy intensity and improve outcomes. Objectives: To investigate the feasibility and acceptability of video-guided exercise for facilitating upper-limb exercise after stroke. Methods: A single-blind feasibility randomized controlled trial with embedded qualitative study in stroke wards at a large teaching hospital in the United Kingdom. Fourteen participants with stroke were randomized to either video-guided exercise intervention or a “treatment-as-usual” control group. Intervention participants received a computer tablet containing filmed individualized exercises to guide out of therapy practice. The primary outcome measure was the Motor status scale (MSS) for the upper limb, which was used to guide possible sample sizes for a future main trial. Qualitative focus group and interview data on feasibility/acceptability were collected and analyzed. Results: The intervention was acceptable, but the need for motivation/support to exercise was highlighted. Based on similar assumptions to the feasibility study, circa ninety-two patients in each group would be needed to detect a difference of 5 in upper-limb motor status for a main trial. Conclusion: A trial of video-guided exercise is feasible, although an optimal main trial would require some relatively minor changes to design, outcome measures, eligibility, and the intervention.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2020 Taylor & Francis Group, LLC. This is an author produced version of a paper published in Physiotherapy Theory and Practice. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | Pilot clinical trial; stroke; physiotherapy; mobile tablet; self-directed exercise |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Healthcare (Leeds) > Nursing Adult (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 12 Aug 2020 13:51 |
Last Modified: | 20 Jul 2021 00:38 |
Status: | Published online |
Publisher: | Taylor and Francis |
Identification Number: | 10.1080/09593985.2020.1790072 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:164268 |