Observation of Physiotherapy Treatment Sessions - Exploring What Happens in Physiotherapy for Patients After Stroke.

Stroke Clinical Trial

Official title:

Do Implicit and Explicit Learning Strategies Applied During Gait Re-education Influence Concurrent Expression of Associated Reactions in Individuals With Hemiplegia? Phase 1a

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01415843
• Other study ID #: 09/H0504/80
• Status: Completed
• Start date: January 2010
• Est. completion date: April 2010

Study information

• Verified date: April 2021
• Source: University of Southampton
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

This is the first phase of a study that will investigate the effects that different approaches to physiotherapy have on the expression of associated reactions. During this phase, current practice among neuro-physiotherapists will be explored in relation to: the learning strategies used in stroke rehabilitation, the common interventions used in gait re-education, and the strategies adopted for the assessment and management of associated reactions.

Description:

Associated reactions are unintended and involuntary arm movements, normally seen as bending of the wrist and elbow, that may occur after stroke when a person is doing something effortful such as walking.

The objectives are:

• To provide an insight into the learning strategies used by physiotherapists during the re-education of walking, including the verbal dialogue that takes place and any preferences (overt or subconscious) adopted for one type of learning strategy.

• To develop and refine a description of what is meant by the term "gait re-education"

• To provide an insight into how therapists currently manage associated reactions

This phase of the study will explore these objectives using direct non-participation observation of a number of physiotherapy treatment sessions. This will provide an insight into the nature of the therapy that takes place for retraining walking(e.g. the types of exercises commonly used) and the nature of the learning strategies frequently adopted, including the amount and content of explicit verbal instruction and feedback that is provided to patients.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 8
• Est. completion date: April 2010
• Est. primary completion date: April 2010
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

• has suffered a stroke

• is currently receiving active rehabilitation that includes gait re-education

• is exhibiting upper limb deficits

• is able to provide informed consent.

Related Conditions & MeSH terms

• Stroke

Locations

Country	Name	City	State
United Kingdom	Royal Bournemouth and Christchurch NHS Foundation Trust	Bournemouth	Dorset
United Kingdom	Southampton City Primary Care Trust	Southampton	Hampshire

Sponsors (1)

Lead Sponsor	Collaborator
University of Southampton

Country where clinical trial is conducted

United Kingdom, 

References & Publications (1)

Johnson L, Burridge JH, Demain SH. Internal and external focus of attention during gait re-education: an observational study of physical therapist practice in stroke rehabilitation. Phys Ther. 2013 Jul;93(7):957-66. doi: 10.2522/ptj.20120300. Epub 2013 Ap — View Citation