A community-based, bionic leg rehabilitation program for patients with chronic stroke: clinical trial protocol

Amy Wright, Keeron Stone, Danielle Lambrick, Simon Fryer, Lee Stoner, Edward Tasker, Simon Jobson, Grace Smith, John Batten, Joanne Batey, Vicky Hudson, Helen Hobbs, James Faulkner

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Stroke is a major global health problem whereby many survivors have unmet needs concerning mobility during recovery. As such, the use of robotic assisted devices (i.e., a bionic leg) within a community-setting may be an important adjunct to normal physiotherapy in chronic stroke survivors. This study will be a dual-centre, randomized, parallel group clinical trial to investigate the impact of a community based, training program using a bionic leg on biomechanical, cardiovascular and functional outcomes in stroke survivors. Following a baseline assessment which will assess gait, postural sway, vascular health (blood pressure, arterial stiffness) and functional outcomes (6-minute walk), participants will be randomized to a 10-week program group, incorporating either: i) physiotherapy plus community-based bionic leg training program, ii) physiotherapy only, or iii) usual care control. The training program will involve participants engaging in a minimum of 1 hour per day of bionic leg activities at home. Follow up assessment, identical to baseline, will occur after 10-weeks, 3 and 12 months post intervention. Given the practical implications of the study, the clinical significance of using the bionic leg will be assessed for each outcome variable. The potential improvements in gait, balance, vascular health and functional status may have a meaningful impact on patients’ quality of life. The integration of robotic devices within home-based rehabilitation programs may prove to be a cost effective, practical and beneficial resource for stroke survivors.
Original languageEnglish
JournalJournal of Stroke and Cerebrovascular Diseases
Publication statusPublished - 30 Oct 2017

Keywords

  • Robotic assisted
  • stroke survivors
  • walking
  • gait
  • blood pressure

Cite this

Wright, A., Stone, K., Lambrick, D., Fryer, S., Stoner, L., Tasker, E., ... Faulkner, J. (2017). A community-based, bionic leg rehabilitation program for patients with chronic stroke: clinical trial protocol. Journal of Stroke and Cerebrovascular Diseases.
Wright, Amy ; Stone, Keeron ; Lambrick, Danielle ; Fryer, Simon ; Stoner, Lee ; Tasker, Edward ; Jobson, Simon ; Smith, Grace ; Batten, John ; Batey, Joanne ; Hudson, Vicky ; Hobbs, Helen ; Faulkner, James. / A community-based, bionic leg rehabilitation program for patients with chronic stroke: clinical trial protocol. In: Journal of Stroke and Cerebrovascular Diseases. 2017.
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abstract = "Stroke is a major global health problem whereby many survivors have unmet needs concerning mobility during recovery. As such, the use of robotic assisted devices (i.e., a bionic leg) within a community-setting may be an important adjunct to normal physiotherapy in chronic stroke survivors. This study will be a dual-centre, randomized, parallel group clinical trial to investigate the impact of a community based, training program using a bionic leg on biomechanical, cardiovascular and functional outcomes in stroke survivors. Following a baseline assessment which will assess gait, postural sway, vascular health (blood pressure, arterial stiffness) and functional outcomes (6-minute walk), participants will be randomized to a 10-week program group, incorporating either: i) physiotherapy plus community-based bionic leg training program, ii) physiotherapy only, or iii) usual care control. The training program will involve participants engaging in a minimum of 1 hour per day of bionic leg activities at home. Follow up assessment, identical to baseline, will occur after 10-weeks, 3 and 12 months post intervention. Given the practical implications of the study, the clinical significance of using the bionic leg will be assessed for each outcome variable. The potential improvements in gait, balance, vascular health and functional status may have a meaningful impact on patients’ quality of life. The integration of robotic devices within home-based rehabilitation programs may prove to be a cost effective, practical and beneficial resource for stroke survivors.",
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author = "Amy Wright and Keeron Stone and Danielle Lambrick and Simon Fryer and Lee Stoner and Edward Tasker and Simon Jobson and Grace Smith and John Batten and Joanne Batey and Vicky Hudson and Helen Hobbs and James Faulkner",
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Wright, A, Stone, K, Lambrick, D, Fryer, S, Stoner, L, Tasker, E, Jobson, S, Smith, G, Batten, J, Batey, J, Hudson, V, Hobbs, H & Faulkner, J 2017, 'A community-based, bionic leg rehabilitation program for patients with chronic stroke: clinical trial protocol', Journal of Stroke and Cerebrovascular Diseases.

A community-based, bionic leg rehabilitation program for patients with chronic stroke: clinical trial protocol. / Wright, Amy; Stone, Keeron; Lambrick, Danielle; Fryer, Simon; Stoner, Lee; Tasker, Edward; Jobson, Simon; Smith, Grace; Batten, John; Batey, Joanne; Hudson, Vicky; Hobbs, Helen; Faulkner, James.

In: Journal of Stroke and Cerebrovascular Diseases, 30.10.2017.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - A community-based, bionic leg rehabilitation program for patients with chronic stroke: clinical trial protocol

AU - Wright, Amy

AU - Stone, Keeron

AU - Lambrick, Danielle

AU - Fryer, Simon

AU - Stoner, Lee

AU - Tasker, Edward

AU - Jobson, Simon

AU - Smith, Grace

AU - Batten, John

AU - Batey, Joanne

AU - Hudson, Vicky

AU - Hobbs, Helen

AU - Faulkner, James

PY - 2017/10/30

Y1 - 2017/10/30

N2 - Stroke is a major global health problem whereby many survivors have unmet needs concerning mobility during recovery. As such, the use of robotic assisted devices (i.e., a bionic leg) within a community-setting may be an important adjunct to normal physiotherapy in chronic stroke survivors. This study will be a dual-centre, randomized, parallel group clinical trial to investigate the impact of a community based, training program using a bionic leg on biomechanical, cardiovascular and functional outcomes in stroke survivors. Following a baseline assessment which will assess gait, postural sway, vascular health (blood pressure, arterial stiffness) and functional outcomes (6-minute walk), participants will be randomized to a 10-week program group, incorporating either: i) physiotherapy plus community-based bionic leg training program, ii) physiotherapy only, or iii) usual care control. The training program will involve participants engaging in a minimum of 1 hour per day of bionic leg activities at home. Follow up assessment, identical to baseline, will occur after 10-weeks, 3 and 12 months post intervention. Given the practical implications of the study, the clinical significance of using the bionic leg will be assessed for each outcome variable. The potential improvements in gait, balance, vascular health and functional status may have a meaningful impact on patients’ quality of life. The integration of robotic devices within home-based rehabilitation programs may prove to be a cost effective, practical and beneficial resource for stroke survivors.

AB - Stroke is a major global health problem whereby many survivors have unmet needs concerning mobility during recovery. As such, the use of robotic assisted devices (i.e., a bionic leg) within a community-setting may be an important adjunct to normal physiotherapy in chronic stroke survivors. This study will be a dual-centre, randomized, parallel group clinical trial to investigate the impact of a community based, training program using a bionic leg on biomechanical, cardiovascular and functional outcomes in stroke survivors. Following a baseline assessment which will assess gait, postural sway, vascular health (blood pressure, arterial stiffness) and functional outcomes (6-minute walk), participants will be randomized to a 10-week program group, incorporating either: i) physiotherapy plus community-based bionic leg training program, ii) physiotherapy only, or iii) usual care control. The training program will involve participants engaging in a minimum of 1 hour per day of bionic leg activities at home. Follow up assessment, identical to baseline, will occur after 10-weeks, 3 and 12 months post intervention. Given the practical implications of the study, the clinical significance of using the bionic leg will be assessed for each outcome variable. The potential improvements in gait, balance, vascular health and functional status may have a meaningful impact on patients’ quality of life. The integration of robotic devices within home-based rehabilitation programs may prove to be a cost effective, practical and beneficial resource for stroke survivors.

KW - Robotic assisted

KW - stroke survivors

KW - walking

KW - gait

KW - blood pressure

M3 - Article

ER -

Wright A, Stone K, Lambrick D, Fryer S, Stoner L, Tasker E et al. A community-based, bionic leg rehabilitation program for patients with chronic stroke: clinical trial protocol. Journal of Stroke and Cerebrovascular Diseases. 2017 Oct 30.