A community-based, bionic leg rehabilitation program for patients with chronic stroke: clinical trial protocol

Hdl Handle:
http://hdl.handle.net/10034/620681
Title:
A community-based, bionic leg rehabilitation program for patients with chronic stroke: clinical trial protocol
Authors:
Wright, Amy; Stone, Keeron; Lambrick, Danielle; Fryer, Simon; Stoner, Lee; Tasker, Edward; Jobson, Simon; Smith, Grace; Batten, John; Batey, Jo; Hudson, Vicky; Hobbs, Helen; Faulkner, James
Abstract:
Stroke is a major global health problem whereby many survivors have unmet needs concerning mobility during recovery. As such, the use of robotic assisted devices (i.e., a bionic leg) within a community-setting may be an important adjunct to normal physiotherapy in chronic stroke survivors. This study will be a dual-centre, randomized, parallel group clinical trial to investigate the impact of a community based, training program using a bionic leg on biomechanical, cardiovascular and functional outcomes in stroke survivors. Following a baseline assessment which will assess gait, postural sway, vascular health (blood pressure, arterial stiffness) and functional outcomes (6-minute walk), participants will be randomized to a 10-week program group, incorporating either: i) physiotherapy plus community-based bionic leg training program, ii) physiotherapy only, or iii) usual care control. The training program will involve participants engaging in a minimum of 1 hour per day of bionic leg activities at home. Follow up assessment, identical to baseline, will occur after 10-weeks, 3 and 12 months post intervention. Given the practical implications of the study, the clinical significance of using the bionic leg will be assessed for each outcome variable. The potential improvements in gait, balance, vascular health and functional status may have a meaningful impact on patients’ quality of life. The integration of robotic devices within home-based rehabilitation programs may prove to be a cost effective, practical and beneficial resource for stroke survivors.
Affiliation:
University of Winchester; University of Gloucestershire; University of Southampton; University of North Carolina; University of Chester; Hobbs Rehabilitation Winchester
Citation:
Wright, A., et al., (2018). A community-based Bionic leg rehabilitation program for patients with chronic stroke: clinical trial protocol. Journal of Stroke and Cerebrovascular Diseases, 27(2), 372-380. http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2017.09.002
Publisher:
Elsevier
Journal:
Journal of Stroke and Cerebrovascular Diseases
Publication Date:
30-Oct-2017
URI:
http://hdl.handle.net/10034/620681
DOI:
10.1016/j.jstrokecerebrovasdis.2017.09.002
Additional Links:
http://www.strokejournal.org/article/S1052-3057(17)30473-1/fulltext
Type:
Article
Language:
en
EISSN:
1532-8511
Appears in Collections:
Sport and Exercise Sciences

Full metadata record

DC FieldValue Language
dc.contributor.authorWright, Amyen
dc.contributor.authorStone, Keeronen
dc.contributor.authorLambrick, Danielleen
dc.contributor.authorFryer, Simonen
dc.contributor.authorStoner, Leeen
dc.contributor.authorTasker, Edwarden
dc.contributor.authorJobson, Simonen
dc.contributor.authorSmith, Graceen
dc.contributor.authorBatten, Johnen
dc.contributor.authorBatey, Joen
dc.contributor.authorHudson, Vickyen
dc.contributor.authorHobbs, Helenen
dc.contributor.authorFaulkner, Jamesen
dc.date.accessioned2017-10-24T13:46:53Z-
dc.date.available2017-10-24T13:46:53Z-
dc.date.issued2017-10-30-
dc.identifier.citationWright, A., et al., (2018). A community-based Bionic leg rehabilitation program for patients with chronic stroke: clinical trial protocol. Journal of Stroke and Cerebrovascular Diseases, 27(2), 372-380. http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2017.09.002en
dc.identifier.doi10.1016/j.jstrokecerebrovasdis.2017.09.002-
dc.identifier.urihttp://hdl.handle.net/10034/620681-
dc.description.abstractStroke is a major global health problem whereby many survivors have unmet needs concerning mobility during recovery. As such, the use of robotic assisted devices (i.e., a bionic leg) within a community-setting may be an important adjunct to normal physiotherapy in chronic stroke survivors. This study will be a dual-centre, randomized, parallel group clinical trial to investigate the impact of a community based, training program using a bionic leg on biomechanical, cardiovascular and functional outcomes in stroke survivors. Following a baseline assessment which will assess gait, postural sway, vascular health (blood pressure, arterial stiffness) and functional outcomes (6-minute walk), participants will be randomized to a 10-week program group, incorporating either: i) physiotherapy plus community-based bionic leg training program, ii) physiotherapy only, or iii) usual care control. The training program will involve participants engaging in a minimum of 1 hour per day of bionic leg activities at home. Follow up assessment, identical to baseline, will occur after 10-weeks, 3 and 12 months post intervention. Given the practical implications of the study, the clinical significance of using the bionic leg will be assessed for each outcome variable. The potential improvements in gait, balance, vascular health and functional status may have a meaningful impact on patients’ quality of life. The integration of robotic devices within home-based rehabilitation programs may prove to be a cost effective, practical and beneficial resource for stroke survivors.en
dc.language.isoenen
dc.publisherElsevieren
dc.relation.urlhttp://www.strokejournal.org/article/S1052-3057(17)30473-1/fulltexten
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/en
dc.subjectRobotic assisteden
dc.subjectStroke survivorsen
dc.subjectWalkingen
dc.subjectGaiten
dc.subjectBlood pressureen
dc.titleA community-based, bionic leg rehabilitation program for patients with chronic stroke: clinical trial protocolen
dc.typeArticleen
dc.identifier.eissn1532-8511-
dc.contributor.departmentUniversity of Winchester; University of Gloucestershire; University of Southampton; University of North Carolina; University of Chester; Hobbs Rehabilitation Winchesteren
dc.identifier.journalJournal of Stroke and Cerebrovascular Diseasesen
dc.date.accepted2017-09-07-
or.grant.openaccessYesen
rioxxterms.funderUnfundeden
rioxxterms.identifier.projectUnfundeden
rioxxterms.versionAMen
rioxxterms.licenseref.startdate2018-10-30-
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