Feasibility and Outcomes of a Community-Based, Pedometer-Monitored Walking Program in Chronic Stroke: A Pilot Study

Sullivan, John T.; Espe, Lauren; Kelly, Amanda; Veilbig, Laura E.; Kwasny, Mary

doi:10.1310/tsr2102-101

Cited by 37 publications

(44 citation statements)

References 69 publications

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“…One of three single‐group studies detected small postintervention within‐group effects on measures of sedentary behavior (Cohen's d = 0.26 to 0.31, P < .05) . Two of three single‐group studies assessed but did not detect follow‐up effects . Only one study was identified to have the lowest risk for bias (Cochrane Risk for Bias score = 4) and did not detect statistically significant effects on total level of daily physical activity.…”

Section: Resultsmentioning

confidence: 96%

“…Fourteen studies measured changes in step count using a variety of devices . Activity counts were assessed in three studies using the ActiGraph (Actigraph Corp, Pensacola), Sensewear Armband (Body Media, San Francisco), or GENEActiv (ActivInsights, Cambridge) .…”

Section: Resultsmentioning

confidence: 99%

“…Three RCTs, one nonrandomized parallel group study, and three single‐group studies employed exercise, behavior change techniques, and education. Among the three RCTs, no between‐group effects on change scores were detected at post‐intervention.…”

Section: Resultsmentioning

confidence: 99%

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Influence of Interventions on Daily Physical Activity and Sedentary Behavior after Stroke: A Systematic Review

Kringle

Gibbs

Campbell

et al. 2019

PM&R

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Background Evidence suggests that frequent engagement in daily activities requiring physical activity may influence risk factors for recurrent stroke. The effects of nonpharmacological interventions on daily physical activity levels and sedentary behavior are unclear. Objective To describe the effects of interventions on levels of daily physical activity and sedentary behavior among people with stroke. Methods OVID/Medline, CINAHL, PsycINFO, and the Cochrane Database were searched using the following search terms: stroke, rehabilitation, intervention, sedentary, physical activity, lifestyle, self‐management, and exercise. Data extraction and risk of bias assessment were conducted by two authors. Results Thirty‐one interventions were identified that included exercise, behavior change techniques, and education components. These components were delivered alone and in varying combinations. At postintervention, between‐group effects on change scores (Cohen's d = 0.17–0.75, P < .05) or between‐group differences in odds of participating in daily physical activity (odds ratio [OR] = 2.07, P < .05) were detected in six studies, and within‐group effects in nine studies (Cohen's d = 0.21–3.97, P < .05). At follow‐up, between‐group differences in odds of participating in daily physical activity were detected in one study (OR = 2.64, P < .05), and within‐group effects in two studies (Cohen's d = 0.25, P < .05). No effects (P < .05) were detected in 17 studies. Conclusion It may be possible to modify daily physical activity levels and sedentary behavior poststroke; however, there is insufficient evidence to suggest the superiority of a particular intervention approach. Future studies should explore the unique contributions of individual intervention components to guide development of parsimonious multicomponent interventions that are effective for promoting daily physical activity and reducing sedentary behavior among people with stroke. Level of Evidence I.

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Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 99%

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Influence of Interventions on Daily Physical Activity and Sedentary Behavior after Stroke: A Systematic Review

Kringle

Gibbs

Campbell

et al. 2019

PM&R

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“…In the study by Effing et al (2011) on 153 clients with COPD (Chronic Obstructive Pulmonary Disease) in the Netherlands, improved exercise capacity and improved exercise behaviour were reported after one year of community-based physiotherapeutic treatment. In another study by community physiotherapists in the United States (Sullivan et al, 2014), the use of pedometers for 6 weeks enhanced satisfaction and improved activity in chronic stroke clients. Physiotherapy intervention through workshops and postural training for the community of underprivileged school children in India proved beneficial in fostering better ergonomics and postures (Rajan and Koti, 2013a).…”

Section: Investing In Community-based Physiotherapy: the Non-economicmentioning

confidence: 95%

Investing in Community-based Physiotherapy: the Non-economic Benefits

Rajan

2014

DCID

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“…Previous studies on stroke survivors measured the duration of motor activity by video-taping or based on the therapist’s report [914]; whereas few studies quantified the amount of practice during stroke rehabilitation [4101516]. Pedometers are wearable devices that provide useful information on physical activity [17] and they can also be used in stroke survivors [18] to detect daily step activity [1] or to assist in the community-based walking program [19]. The specific aims of this study were (1) to explore the volume of practice and progression during 120 minutes of TOCT and to assess their possible correlation with locomotor function improvements; (2) to test the use of pedometer- and observation-based measures in detecting step activity during TOCT.…”

Section: Introductionmentioning

confidence: 99%

Monitoring Step Activity During Task-Oriented Circuit Training in High-Functioning Chronic Stroke Survivors: A Proof-of-Concept Feasibility Study

et al. 2016

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ObjectiveTo explore the amount of practice and progression during task-oriented circuit training (TOCT) in chronic stroke survivors; to test the use of pedometers and observation-based measures in detecting step activity; to verify the possible correlation between step activity and locomotor function improvements.MethodsSix community-dwelling chronic stroke survivors underwent 10 TOCT sessions (2 hours/each) over 2 weeks in which they were trained both on a treadmill and on six task-oriented workstations (W1–W6). During the sessions, they wore a piezoelectric pedometer and step activities were recorded. Outcome measures were as follows: % of activities during which pedometers worked properly; pedometer-based measures (total step counts, treadmill steps, workstation steps—total and W2,W3,W5,W6); observation-based measures (number of repetitions in task W1 and W4); walking speed changes measured by the 10-m walking test (10MWT) and walking endurance changes (6-minute walking test) after TOCT.ResultsDuring TOCT sessions (n=57), activities were recorded through pedometer-based measures in 4 out of the 6 patients. The total amount of step activity was 5,980.05±1,968.39 steps (54.29% in task-oriented workstations, 37.67% on treadmill, and 8.03% during breaks). Exercise progression was highlighted significantly by observational measures (W1, W4). A positive correlation was observed between increased gait speed and observational stair step repetitions progression (W1) (r=0.91, p=0.01) or pedometer-based tandem exercise step progression (W3) (r=0.98, p=0.01).ConclusionTOCT can be considered a high-intensity, progressive intervention to restore locomotor function in chronic stroke survivors. Pedometer-based measures might help in quantifying TOCT's volume of practice; however, further investigations are required.

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Feasibility and Outcomes of a Community-Based, Pedometer-Monitored Walking Program in Chronic Stroke: A Pilot Study

Abstract: This study represents a preliminary step in determining the effectiveness of pedometer-based interventions for enhancing physical activity in persons with chronic stroke. Further study is warranted.

Cited by 37 publications

References 69 publications

Influence of Interventions on Daily Physical Activity and Sedentary Behavior after Stroke: A Systematic Review

Influence of Interventions on Daily Physical Activity and Sedentary Behavior after Stroke: A Systematic Review

Investing in Community-based Physiotherapy: the Non-economic Benefits

Monitoring Step Activity During Task-Oriented Circuit Training in High-Functioning Chronic Stroke Survivors: A Proof-of-Concept Feasibility Study

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