Augmented visual feedback of movement performance to enhance walking recovery after stroke: study protocol for a pilot randomised controlled trial.
Augmented visual feedback of movement performance to enhance walking recovery after stroke: study protocol for a pilot randomised controlled trial.
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DOI：
10.1186/1745-6215-13-163
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发表时间：
2012-09-11
期刊：
影响因子：
2.5
通讯作者：
Rowe P
中科院分区：
文献类型：
--
作者：
Thikey H;Grealy M;van Wijck F;Barber M;Rowe P
越来越多的证据表明，使用增强视觉反馈可能是一种有用的方法中风康复。在目前的临床实践中，运动表现的视觉反馈往往局限于使用镜子或视频。然而，这两种方法都不是最佳的，因为认知和自我形象问题会分散或困扰患者，他们的运动可能被衣服或有限的观点所掩盖。三维运动捕捉有可能为临床环境中的客观评估和反馈提供准确的运动学数据。然而，这些数据目前以数字或图形格式呈现，这在临床环境中通常是不切实际的。我们的假设是，使用定制的可视化软件来呈现这些运动学数据，这是为中风后的步态康复量身定制的，将提供一种方法，使运动表现的反馈可以以更有意义的方式传达给患者。这将增加患者对其康复的了解，并将使以更容易获得的方式跟踪进展。该假设将通过探索性（II期）随机对照试验进行评估。有资格参加这项试验的中风幸存者将处于中风亚急性期，并且行走能力受损（功能行走分类为1级或以上）。参与者（n = 45）将被随机分为三组，以比较在地面物理治疗步态训练期间可视化软件的使用与强度匹配和注意力匹配的安慰剂组和常规护理对照组。主要的衡量指标是步行速度。次要测量将是功能行走类别、计时起身和行走、Rivermead视觉步态评估、中风影响量表-16和与行走相关的时空参数。额外的定性测量将用于评估参与者对研究中提供的视觉反馈的体验。该试验的结果将探讨在步态康复过程中早期提供生物力学运动表现的视觉反馈是否能改善中风后的活动结果，并增加患者对其康复的理解。当前对照试验ISRCTN79005974
Increasing evidence suggests that use of augmented visual feedback could be a useful approach to stroke rehabilitation. In current clinical practice, visual feedback of movement performance is often limited to the use of mirrors or video. However, neither approach is optimal since cognitive and self-image issues can distract or distress patients and their movement can be obscured by clothing or limited viewpoints. Three-dimensional motion capture has the potential to provide accurate kinematic data required for objective assessment and feedback in the clinical environment. However, such data are currently presented in numerical or graphical format, which is often impractical in a clinical setting. Our hypothesis is that presenting this kinematic data using bespoke visualisation software, which is tailored for gait rehabilitation after stroke, will provide a means whereby feedback of movement performance can be communicated in a more meaningful way to patients. This will result in increased patient understanding of their rehabilitation and will enable progress to be tracked in a more accessible way. The hypothesis will be assessed using an exploratory (phase II) randomised controlled trial. Stroke survivors eligible for this trial will be in the subacute stage of stroke and have impaired walking ability (Functional Ambulation Classification of 1 or more). Participants (n = 45) will be randomised into three groups to compare the use of the visualisation software during overground physical therapy gait training against an intensity-matched and attention-matched placebo group and a usual care control group. The primary outcome measure will be walking speed. Secondary measures will be Functional Ambulation Category, Timed Up and Go, Rivermead Visual Gait Assessment, Stroke Impact Scale-16 and spatiotemporal parameters associated with walking. Additional qualitative measures will be used to assess the participant’s experience of the visual feedback provided in the study. Results from the trial will explore whether the early provision of visual feedback of biomechanical movement performance during gait rehabilitation demonstrates improved mobility outcomes after stroke and increased patient understanding of their rehabilitation. Current Controlled Trials ISRCTN79005974
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DOI：
10.1016/s0003-9993(95)80038-7
发表时间：
1995-01-01
影响因子：
4.3
作者：
JORGENSEN, HS;NAKAYAMA, H;OLSEN, TS
通讯作者：
OLSEN, TS
DOI：
10.1111/j.1532-5415.1991.tb01616.x
发表时间：
1991-02-01
影响因子：
6.3
作者：
PODSIADLO, D;RICHARDSON, S
通讯作者：
RICHARDSON, S
DOI：
10.1016/j.apmr.2004.11.016
发表时间：
2005-06-01
影响因子：
4.3
作者：
Viosca, E;Martínez, JL;González, C
通讯作者：
González, C
DOI：
10.1016/j.jstrokecerebrovasdis.2004.06.003
发表时间：
2004-07-01
期刊：
Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
影响因子：
--
作者：
Adamson, Joy;Beswick, Andy;Ebrahim, Shah
通讯作者：
Ebrahim, Shah
制定和评估复杂的干预措施：新的医学研究委员会指南。
DOI：
10.1136/bmj.a1655
发表时间：
2008-09-29
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Craig P;Dieppe P;Macintyre S;Michie S;Nazareth I;Petticrew M;Medical Research Council Guidance
通讯作者：
Medical Research Council Guidance