ORCID Profile
0000-0001-8719-6795
Current Organisations
La Trobe University
,
James Cook University
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Publisher: Elsevier BV
Date: 12-2012
Publisher: Informa UK Limited
Date: 14-06-2018
Publisher: Elsevier BV
Date: 2010
DOI: 10.1016/S1836-9553(10)70020-5
Abstract: Does mechanically assisted walking with body weight support result in more independent walking and is it detrimental to walking speed or capacity in non-ambulatory patients early after stroke? Systematic review with meta-analysis of randomised trials. Non-ambulatory adult patients undergoing inpatient rehabilitation up to 3 months after stroke. Mechanically assisted walking (eg, treadmill, electromechanical gait trainer, robotic device, servo-motor) with body weight support (eg, harness with or without handrail, but not handrail alone) versus assisted overground walking of longer than 15 min duration. The primary outcome was the proportion of participants achieving independent walking. Secondary outcomes were walking speed measured as m/s during the 10-m Walk Test and walking capacity measured as distance in m during the 6-min Walk Test. Six studies comprising 549 participants were identified and included in meta-analyses. Mechanically assisted walking with body weight support resulted in more people walking independently at 4 weeks (RD 0.23, 95% CI 0.15 to 0.30) and at 6 months (RD 0.23, 95% CI 0.07 to 0.39), faster walking at 6 months (MD 0.12 m/s, 95% CI 0.02 to 0.21), and further walking at 6 months (MD 55 m, 95% CI 15 to 96) than assisted overground walking. Mechanically assisted walking with body weight support is more effective than overground walking at increasing independent walking in non-ambulatory patients early after stroke. Furthermore, it is not detrimental to walking speed or capacity and clinicians should therefore be confident about implementing this intervention.
Publisher: Hindawi Limited
Date: 14-10-2012
DOI: 10.5402/2012/823180
Abstract: Aim . Self-report diaries are a low-cost method of measuring community participation but may be inaccurate, while the “gold standard,” observation is time consuming and costly. This study aimed to investigate the feasibility and validity of a global positioning system (GPS) for measuring outings after stroke. Design . Cross-sectional cohort study. Methods . Twenty ambulant people with stroke wore a GPS device and kept a diary for 7 days, and 18 were observed for half a day. We recorded recruitment rate, user perceptions, and data extraction time. GPS data were analysed against Google maps. Percent exact agreement (PEA) with observation was calculated for GPS and diary. Results . Of 23 eligible participants, 20 consented (mean 3.6 years after stroke). GPS data recovery was high (87%). Some participants had difficulty operating the on/off switch and reading the small screen. Data extraction took an average of 5 hours per participant. PEA with observation was high for number of outings (GPS 94% diary 89%) but lower for purpose of outings (GPS 71% diary 82%). Conclusions . The GPS device and diary were both feasible and valid for measuring outings after stroke. Simultaneous use of GPS and diaries is recommended for comprehensive analysis of outings.
No related grants have been discovered for Janine Prestes Vargas.