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Proceedings of SRR: Wristband accelerometers to motivate arm exercise after stroke (WAVES): A pilot randomized controlled trial

Lookup NU author(s): Ruth Da Silva, Sarah Moore, Dr Lisa Shaw, Emerita Professor Helen Rodgers, Dan JacksonORCiD, Dr Madeline Balaam, Dr Lou Sutcliffe, Lianne Brkic, Dr Thomas Ploetz, Professor Christopher PriceORCiD


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Presenting Author: Ruth Da Silva Type of abstract: ‘Research’ Abstract title: Wristband Accelerometers to motiVate arm Exercise after Stroke (WAVES): a pilot randomised controlled trial. Authors and affiliations:Ruth Da Silva1; Sarah A. Moore1; Frederike van Wijck2; Lisa Shaw1; Helen Rodgers1; Daniel Jackson3; Madeline Balaam3; Louise Sutcliffe1; Lianne Brkic1; Thomas Ploetz3; Christopher I. Price1.1Institute of Neuroscience, Newcastle University, Newcastle upon Tyne, UK; 2School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK 3School of Computing Science, Newcastle University, Newcastle upon Tyne, UK; Background: Engaging an impaired arm in daily activities can be challenging after stroke. We tested the feasibility of evaluating a wristband accelerometer which prompts wearers to increase arm activity whenever levels fall below a personalised threshold. Methods: Design: Parallel-group pilot RCT. Participants: Any arm impairment <3months post-stroke (target=60)Intervention: 4 week self-directed programme to encourage arm activity with twice weekly NHS therapist review (8 maximum) plus a wristband providing vibration prompts when pre-agreed hourly activity targets were not met.Control: Identical therapy programme plus wristband but without vibration prompts. Randomisation: Independent web-based service. Outcomes: Recruitment rate, adherence to the intervention, research assessments completed (Action Research Arm Test (ARAT) at 4 and 8 weeks). Results / findings:Thirty-three participants were recruited from four sites at a rate of 0.6/month/site (13 male, median age 71 years (IQR:62.5-80.5), median time post-stroke 26 days (IQR:15.5-45). Baseline ARAT for control (n=19) and intervention (n=14) groups were 15[2-35] and 37[16-45]. Wristbands were worn for a median of 18.5[IQR:8.0-23.5] and 25.0[IQR:21.8-28.0] days. Participants received a median of 6.0[IQR:4.3-8.0] and 7.5[IQR:6.8-8.0] therapy reviews respectively. Research assessments were completed for 28 and 25 patients at 4 and 8 weeks.Discussion: Recruitment fell below target of 1/site/month. Adherence was better within the intervention group, although randomisation had generated higher baseline function compared to controls. Results highlight the need for adequate clinical research support and service capacity to provide therapy reviews. Conclusion: Evaluation of a wristband with vibration prompts during a self-directed therapy programme appears feasible. Improved recruitment and retention are needed for a definitive efficacy trial.

Publication metadata

Author(s): Da Silva RH, Moore SA, Van Wijck F, Shaw L, Rodgers H, Jackson D, Balaam M, Sutcliffe L, Brkic L, Ploetz T, Price CI

Publication type: Conference Proceedings (inc. Abstract)

Publication status: Published

Conference Name: The Society of Research in Rehabilitation 40th Anniversary and Winter Meeting

Year of Conference: 2018

Online publication date: 06/07/2018

Acceptance date: 06/12/2017

ISSN: 0269-2155

Publisher: SAGE Publications Ltd


DOI: 10.1177/0269215518784346

Series Title: Clinical Rehabilitation