Sit-to-stand Exercise Training With Performance Feedback

NCT02925039 | Unknown

• 1 other identifier: UStrathclydeBMEKerr01
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The sit-to-stand (STS) movement is a key functional movement critical to independent living. This movement is physically demanding to conduct, especially in older adults, and in the presence of physical impairments associated with a range of conditions, such as stroke, osteoarthritis, Parkinson disease and hip arthroplasty. A limited capacity to perform this movement increases the risk of falls, dependency and increased support for personal care and rehabilitation. Restoring independence in this movement is, therefore, considered a priority for physical rehabilitation. Sit-to-stand capacity can be regained through participating in rehabilitation exercises. Providing feedback on performance of this movement could enhance the training. Thus, it is an essential aspect of physical therapy. Healthcare providers are required to meet the needs of an increasingly frail population as well as meeting national, evidence-based, guidelines for improving outcomes in conditions such as stroke which includes an increase in the practice repetition of functional movements. Reliance on rehabilitation staff to provide practice, however, places a limit on practice volume, potentially restricting outcomes. Using technology to enhance safe, repetitive practice of this movement with minimal supervision from skilled professionals would be beneficial to patients and rehabilitation services. The primary aim of this study is to test the acceptability and feasibility of a STS training system that enhances movement feedback to patients undergoing rehabilitation. A secondary aim is to gather data on the effectiveness of the system compared to conventional rehabilitation. This information will inform a statistically powered phase 2 trial.

Conditions

Geriatric Diseases

Keywords

Rehabilitation; Geriatric

Outcome Measures

Primary Outcomes (1)

• sit to stand ability

  Five times sit to stand test

  6 weeks

Secondary Outcomes (1)

• Acceptability

  6 weeks

Study Arms (2)

Experimental

EXPERIMENTAL

Sit to stand training augmented with technology delivered movement feedback

Other: Rehab with computer feedback

Control

ACTIVE COMPARATOR

Sit to stand training as per normal practice

Other: Treatment as usual

Interventions

Rehab with computer feedback OTHER

Sit to stand training with addition of computerised feedback (speed, symmetry and trunk tilt)

Experimental

Treatment as usual OTHER

Treatment as usual

Control

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• Patients admitted to the geriatric rehabilitation ward at Gartnavel General (Greater Glasgow and Clyde Health Board).
• Patients with physical impairments that affect their ability to stand up from sitting (sit to stand).
• Patients that are medically stable.
• Patients able to give informed consent.
• Patients able to complete a STS movement with/without the help of a mobility aid or assistance of one other person.
• Patients able to follow a three-word instruction in English.

You may not qualify if:

• Patients unable to read feedback on a computer screen with or without the use of visual aids.
• Patients known to be epileptic/photosensitive or experience blackouts when exposed to certain light patterns or flashing images.
• Patients with coexisting physical impairments which prevent the practice of sit-to-stand e.g. bilateral amputee or an acute exacerbation of rheumatoid arthritis.
• Patients not expected to survive during the period of the study
• Patients with active dermatological problems that may preclude the use of double sided sticky tape.
• Patients with active medical conditions that may limit prescribed mobility exercise e.g. unstable angina.

Sponsors & Collaborators

• University of Strathclyde: lead

Study Sites (1)

Gartnavel General Hospital

Glasgow, Scotland, G44 3RL, United Kingdom

RECRUITING

MeSH Terms

Interventions

Rehabilitation; Therapeutics

Intervention Hierarchy (Ancestors)

Aftercare; Continuity of Patient Care; Patient Care; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Andrew Kerr

  University of Strathclyde

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Andrew Kerr, PhD

CONTACT

1416377647; a.kerr@strath.ac.uk

Sui Ho Fan, M.Eng

CONTACT

siu.Ho@strath.ac.uk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer

Model Details: Pilot Randomised controlled trial

Study Record Dates

• First Submitted: October 4, 2016
• First Posted: October 5, 2016
• Study Start: April 18, 2017
• Primary Completion: April 1, 2018
• Study Completion: April 1, 2019
• Last Updated: May 11, 2017

Record last verified: 2017-05

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)