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Effects on walking performance and lower body strength by short message service guided training after stroke or transient ischemic attack (The STROKEWALK Study): a randomized controlled trial
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation. Department of Neuroscience, Physiotherapy, Uppsala University, Uppsala, Sweden; Centre for Clinical Research, Sörmland, Uppsala University, Eskilstuna, Sweden.
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2021 (English)In: Clinical Rehabilitation, ISSN 0269-2155, E-ISSN 1477-0873, Vol. 35, no 2, p. 276-287Article in journal (Refereed) Published
Abstract [en]

Objective: To evaluate whetherdaily mobile-phone delivered messages with training instructions during three months increase physical activity and overall mobility in patients soon after stroke or transient ischemic attack.

Design: Randomised controlled trial with intention-to-treat analyses.

Setting: University hospital. Data collection from November 2016 until December2018.

Subjects: Seventy-nine patients (mean (SD) age 63.9 (10.4) years, 29 were women) were allocated to either intervention (n = 40) or control group (n = 39). Participants had to be independent (modified Ranking Scale <= 2) and able to perform the six-minute walking test at discharge from the hospital.

Interventions: The intervention group received standard care and daily mobile phone instructional text messages to perform regular outdoor walking and functional leg exercises. The control group received standard care; that is, primary care follow-up.

Main measures: Walking performance by six-minute walking test (m), lower body strength by five times chair-stand test (s), the short physical performance battery (0-12 points) and 10-metres walk test (m/s) were assessed at baseline and after three months.

Results: The estimated median difference in the six-minute walking test was in favour of the intervention group by 30 metres (95% CI, 55 to 1; effect size 0.64; P = 0.037) and in the chair-stand test by 0.88 seconds (95% CI, 0.02 to 1.72; effect size 0.64; P = 0.034). There were no differences between groups on the short physical performance battery or in 10-metres walking time.

Conclusions: Three months of daily mobile phone text messages with guided training instructions improved composite mobility measures; that is, walking performanceand lower body strength.

Place, publisher, year, edition, pages
Sage Publications, 2021. Vol. 35, no 2, p. 276-287
Keywords [en]
Stroke, TIA, physical activity, secondary prevention, rehabilitation interventions
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:umu:diva-175806DOI: 10.1177/0269215520954346ISI: 000570913000001PubMedID: 32942914Scopus ID: 2-s2.0-85091136431OAI: oai:DiVA.org:umu-175806DiVA, id: diva2:1476667
Funder
The Swedish Stroke AssociationAvailable from: 2020-10-15 Created: 2020-10-15 Last updated: 2021-07-01Bibliographically approved

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Eriksson, Staffan

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