An exploratory randomized controlled trial of assisted practice for improving sit-to-stand in stroke patients in the hospital setting

Britton, Elizabeth; Harris, Nigel; Turton, Ailie

Abstract

Objectives: To evaluate the amount of practice achieved and assess potential for effects on performance of 30 minutes of daily training in sit-to-stand. Design: Randomized controlled pilot study. Setting: Stroke rehabilitation unit, UK. Participants: Eighteen stroke patients needing 'stand by' help to sit-to-stand. Interventions: In addition to usual rehabilitation the experimental group (n=9) practised sit-to-stand and leg strengthening exercises for 30 minutes, on weekdays for two weeks, with a physiotherapy assistant. The control group received arm therapy. Main outcome measures: Frequency of sit-to-stands per day. Performance measures: rise time, weight taken through the affected foot at 'thighs off', number of attempts needed to achieve three successful sit-to-stands and the number of sit-to-stands performed in 60 seconds. Outcome was measured one and two weeks after baseline assessment. Results: Sit-to-stand frequency averaged 18 per day. Thirty minutes of practice in sit-to-stand resulted in a mean of 50 (SD 17.2) extra stands per day. There was a significant mean difference of 10% body weight taken through the affected foot after one week of intervention: The control group had reduced weight through the affected leg while the training group increased weight (F1,16 = 11.1, P=0.004, 95% confidence interval (CI) - 16.61 to - 3.72). No significant differences between groups were found on other measures. Results two weeks after baseline were inconclusive due to loss of five participants. Conclusions: Task-specific practice given for 30 minutes a day appears promising for patients learning to sit-to-stand. © SAGE Publications 2008.

• Journal Article Type: Article
• Publication Date: May 1, 2008
• Deposit Date: Aug 20, 2010
• Publicly Available Date: Nov 15, 2016
• Journal: Clinical Rehabilitation
• Print ISSN: 0269-2155
• Electronic ISSN: 1477-0873
• Publisher: SAGE Publications
• Peer Reviewed: Peer Reviewed
• Volume: 22
• Issue: 5
• Pages: 458-468
• DOI: https://doi.org/10.1177/0269215507084644
• Public URL: https://uwe-repository.worktribe.com/output/1012706
• Publisher URL: http://dx.doi.org/10.1177/0269215507084644
• Contract Date: Nov 15, 2016