Sarah Tyson
Phase II pragmatic randomized controlled trial of patient-led therapies mMirror therapy and lower-limb exercises) during inpatient stroke rehabilitation
Tyson, Sarah; Wilkinson, Jack; Thomas, Nessa; Selles, Ruud; McCabe, Candy; Tyrrell, Pippa; Vail, Andy
Authors
Jack Wilkinson
Nessa Thomas
Ruud Selles
Candy McCabe Candy.Mccabe@uwe.ac.uk
Professor of Clinical Research and Practice
Pippa Tyrrell
Andy Vail
Abstract
© American Society of Neurorehabilitation. Background and objective. Patient-led therapy has the potential to increase the amount of therapy patients undertake during stroke rehabilitation and to enhance recovery. Our objective was to assess the feasibility and acceptability of 2 patient-led therapies during the acute stages of stroke care: mirror therapy for the upper limb and lower-limb exercises for the lower limb. Methods. This was a blind assessed, multicenter, pragmatic randomized controlled trial of patient-led upper-limb mirror therapy and patient-led lower leg exercises. Stroke survivors with upper and lower limb limitations, undergoing inpatient rehabilitation and able to consent were recruited at least 1 week poststroke. Results. Both interventions proved feasible, with >90% retention. No serious adverse events were reported. Both groups did less therapy than recommended; typically 5 to 15 minutes for 7 days or less. Participants receiving mirror therapy (n = 63) tended to do less practice than those doing lower-limb exercises (n = 31). Those with neglect did 69% less mirror therapy than those without (P =.02), which was not observed in the exercise group. Observed between-group differences were modest but neglect, upper-limb strength, and dexterity showed some improvement in the mirror therapy group. No changes were seen in the lower-limb group. Conclusions. Both patient-led mirror therapy and lower-limb exercises during inpatient stroke care are safe, feasible, and acceptable and warrant further investigation. Practice for 5 to 15 minutes for 7 days is a realistic prescription unless strategies to enhance adherence are included.
Journal Article Type | Article |
---|---|
Acceptance Date | Jan 9, 2015 |
Online Publication Date | Jan 9, 2015 |
Publication Date | Oct 1, 2015 |
Publicly Available Date | Jun 5, 2019 |
Journal | Neurorehabilitation and Neural Repair |
Print ISSN | 1545-9683 |
Electronic ISSN | 1552-6844 |
Publisher | SAGE Publications |
Peer Reviewed | Peer Reviewed |
Volume | 29 |
Issue | 9 |
Pages | 818-826 |
DOI | https://doi.org/10.1177/1545968314565513 |
Keywords | stroke, patient-led, mirror therapy, exercise |
Public URL | https://uwe-repository.worktribe.com/output/805239 |
Publisher URL | http://dx.doi.org/10.1177/1545968314565513 |
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