Activity monitors for increasing physical activity in adult stroke survivor

Journal article


Elizabeth A. Lynch, Karen Borschmann, Michele Callisaya, N. Fini, Heidi Janssen, Liam Johnson, Taryn M. Jones, Sharon Kramer, Suzanne Kuys, Niruthikha Mahendran, Dawn B. Simpson and Carolie English. (2018). Activity monitors for increasing physical activity in adult stroke survivor. Cochrane Database of Systematic Reviews. (7). https://doi.org/10.1002/14651858.CD012543.pub2
AuthorsElizabeth A. Lynch, Karen Borschmann, Michele Callisaya, N. Fini, Heidi Janssen, Liam Johnson, Taryn M. Jones, Sharon Kramer, Suzanne Kuys, Niruthikha Mahendran, Dawn B. Simpson and Carolie English
Abstract

Background
Stroke is the third leading cause of disability worldwide. Physical activity is important for secondary stroke prevention and for promoting functional recovery. However, people with stroke are more inactive than healthy age‐matched controls. Therefore, interventions to increase activity after stroke are vital to reduce stroke‐related disability.

Objectives
To summarise the available evidence regarding the effectiveness of commercially available, wearable activity monitors and smartphone applications for increasing physical activity levels in people with stroke.

Search methods
We searched the Cochrane Stroke Group Trials Register, CENTRAL, MEDLINE, Embase, CINAHL, SPORTDiscus, and the following clinical trial registers: WHO International Clinical Trials Registry Platform, Clinical Trials, EU Clinical Trial Register, ISRCTN Registry, Australian and New Zealand Clinical Trial Registry, and Stroke Trials Registry to 3 March 2018. We also searched reference lists, Web of Science forward tracking, and Google Scholar, and contacted trial authors to obtain further data if required. We did not restrict the search on language or publication status.

Selection criteria
We included all randomised controlled trials (RCTs) and randomised cross‐over trials that included use of activity monitors versus no intervention, another type of intervention, or other activity monitor. Participants were aged 18 years or older with a diagnosis of stroke, in hospital or living in the community. Primary outcome measures were steps per day and time in moderate‐to‐vigorous intensity activity. Secondary outcomes were sedentary time, time spent in light intensity physical activity, walking duration, fatigue, mood, quality of life, community participation and adverse events. We excluded upper limb monitors that only measured upper limb activity.

Data collection and analysis
We followed standard Cochrane methodology to analyse and interpret the data. At least two authors independently screened titles and abstracts for inclusion. We resolved disagreements by consulting a third review author. We extracted the following data from included studies into a standardised template: type of study, participant population, study setting, intervention and co‐interventions, time‐frame, and outcomes. We graded levels of bias as high, low, or unclear, and assessed the quality of evidence for each outcome using the GRADE approach.

Main results
We retrieved 28,098 references, from which we identified 29 potential articles. Four RCTs (in 11 reports) met the inclusion criteria.The sample sizes ranged from 27 to 135 (total 245 participants). Time poststroke varied from less than one week (n = 1), to one to three months (n = 2), or a median of 51 months (n = 1). Stroke severity ranged from a median of one to six on the National Institutes of Health Stroke Scale (NIHSS). Three studies were conducted in inpatient rehabilitation, and one was in a university laboratory. All studies compared use of activity monitor plus another intervention (e.g. a walking retraining programme or an inpatient rehabilitation programme) versus the other intervention alone. Three studies reported on the primary outcome of daily step counts.

There was no clear effect for the use of activity monitors in conjunction with other interventions on step count in a community setting (mean difference (MD) ‐1930 steps, 95% confidence interval (CI) ‐4410 to 550; 1 RCT, 27 participants; very low‐quality evidence), or in an inpatient rehabilitation setting (MD 1400 steps, 95% CI ‐40 to 2840; 2 RCTs, 83 participants; very low‐quality evidence). No studies reported the primary outcome moderate‐to‐vigorous physical activity, but one did report time spent in moderate and vigorous intensity activity separately: this study reported that an activity monitor in addition to usual inpatient rehabilitation increased the time spent on moderate intensity physical activity by 4.4 minutes per day (95% CI 0.28 to 8.52; 1 RCT, 48 participants; low‐quality evidence) compared with usual rehabilitation alone, but there was no clear effect for the use of an activity monitor plus usual rehabilitation for increasing time spent in vigorous intensity physical activity compared to usual rehabilitation (MD 2.6 minutes per day, 95% CI ‐0.8 to 6; 1 RCT, 48 participants; low‐quality evidence). The overall risk of bias was low, apart from high‐risk for blinding of participants and study personnel. None of the included studies reported any information relating to adverse effects.

Authors' conclusions
Only four small RCTs with 274 participants (three in inpatient rehabilitation and one in the community) have examined the efficacy of activity monitors for increasing physical activity after stroke. Although these studies showed activity monitors could be incorporated into practice, there is currently not enough evidence to support the use of activity monitors to increase physical activity after stroke.

Year2018
JournalCochrane Database of Systematic Reviews
Journal citation(7)
PublisherJohn Wiley & Sons
ISSN1469-493X
Digital Object Identifier (DOI)https://doi.org/10.1002/14651858.CD012543.pub2
Scopus EID2-s2.0-85050653836
Publisher's version
File Access Level
Controlled
Publication process dates
Deposited23 Apr 2021
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Martin, Alanna C., Heazlewood, Ian, Kitic, Cecilia M., Lys, Isabelle and Johnson, Liam. (2019). Possible hormone predictors of physical performance in adolescent team sport athletes. Journal of Strength and Conditioning Research. 33(2), pp. 417 - 425. https://doi.org/10.1519/JSC.0000000000002014
Implementing a 6-day physiotherapy service in rehabilitation: Exploring staff perceptions
Caruana, Erin L., Kuys, Suzanne S., Clarke, Jane and Brauer, Sandra G.. (2019). Implementing a 6-day physiotherapy service in rehabilitation: Exploring staff perceptions. Australian Health Review. 43(1), pp. 29 - 35. https://doi.org/10.1071/AH17107
Identifying factors associated with sedentary time after stroke: Secondary analysis of pooled data from nine primary studies
Hendrickx, Wendy, Riveros, Carlos, Askim, Torunn, Bussmann, Johannes B. J., Callisaya, Michele L., Chastin, Sebastien F. M., Dean, Catherine M., Ezeugwu, Victor E., Jones, Taryn M., Kuys, Suzanne S., Mahendran, Niruthikha, Manns, Trish J., Mead, Gillian, Moore, Sarah A., Paul, Lorna, Pisters, Martijn F., Saunders, David H., Simpson, Dawn B., Tieges, Zoë, ... English, Carolie. (2019). Identifying factors associated with sedentary time after stroke: Secondary analysis of pooled data from nine primary studies. Topics in Stroke Rehabilitation. 26(5), pp. 327 - 334. https://doi.org/10.1080/10749357.2019.1601419
Steps, duration and intensity of usual walking practice during subacute rehabilitation after stroke: an observational study
Kuys, Suzanne S., Ada, Louise, Paratz, Jennifer and Brauer, Sandra G.. (2019). Steps, duration and intensity of usual walking practice during subacute rehabilitation after stroke: an observational study. Brazilian Journal of Physical Therapy. 23(1), pp. 56 - 61. https://doi.org/10.1016/j.bjpt.2018.06.001
The post ischaemic stroke cardiovascular exercise study : Protocol for a randomised controlled trial of fitness training for brain health
Johnson, Liam, Werden, Emilio, Shirbin, Chris, Bird, Laura, Landau, Elizabeth, Cumming, Toby, Churilov, Leonid, Bernhardt, Julie A., Thijs, Vincent and Brodtmann, Amy. (2018). The post ischaemic stroke cardiovascular exercise study : Protocol for a randomised controlled trial of fitness training for brain health. European Stroke Journal. 3(4), pp. 379-386. https://doi.org/10.1177/2396987318785845
Concurrent exergaming and transcranial direct current stimulation to improve balance in people with Parkinson's disease: study protocol for a randomised controlled trial
Dale M. Harris, Timo Rantalainen, Makii Muthalib, Liam Johnson, Rachel L. Duckham and Stuart T. Smith. (2018). Concurrent exergaming and transcranial direct current stimulation to improve balance in people with Parkinson's disease: study protocol for a randomised controlled trial. Trials. 19(387), pp. 1-13. https://doi.org/10.1186/s13063-018-2773-6
Improving physical activity after stroke via treadmill training and self management (IMPACT): A protocol for a randomised controlled trial
Sandra G. Brauer, Suzanne S. Kuy, Jennifer D. Paratz and Louise Ada. (2018). Improving physical activity after stroke via treadmill training and self management (IMPACT): A protocol for a randomised controlled trial. BMC Neurology. 18(1), pp. 1-8. https://doi.org/10.1186/s12883-018-1015-6
Health-related quality of life of people with multimorbidity at a community-based, interprofessional student-assisted clinic: Implications for assessment and intervention
Tyack, Zephanie, Kuys, Suzanne, Cornwell, Petrea, Frakes, Kerrie-Anne and McPhail, Steven. (2018). Health-related quality of life of people with multimorbidity at a community-based, interprofessional student-assisted clinic: Implications for assessment and intervention. Chronic Illness. 14(3), pp. 169 - 181. https://doi.org/10.1177/1742395317724849
Innovative STRoke Interactive Virtual thErapy (STRIVE) online platform for community-dwelling stroke survivors: A randomised controlled trial protocol
Johnson, Liam, Bird, Marie-Louise, Muthalib, Makii and Teo, Wei-Peng. (2018). Innovative STRoke Interactive Virtual thErapy (STRIVE) online platform for community-dwelling stroke survivors: A randomised controlled trial protocol. BMJ Open. 8(1), pp. 1 - 8. https://doi.org/10.1136/bmjopen-2017-018388
Activity monitors for increasing physical activity in adult stroke survivors
Lynch, Elizabeth A., Jones, Taryn M., Simpson, Dawn B., Fini, Natalie A., Kuys, Suzanne S., Borschmann, Karen, Kramer, Sharon, Johnson, Liam, Callisaya, Michele L., Mahendran, Niruthikha, Janssen, Heidi and English, Carolie. (2018). Activity monitors for increasing physical activity in adult stroke survivors. Cochrane Database of Systematic Reviews. 2018(7), pp. 1 - 63. https://doi.org/10.1002/14651858.CD012543.pub2
Allied health clinicians using translational research in action to develop a reliable stroke audit tool
Abery, Philip, Kuys, Suzanne, Lynch, Mary, Choy and nancy.lowchoy@acu.edu.au, Nancy Low Choy. (2018). Allied health clinicians using translational research in action to develop a reliable stroke audit tool. Journal of Evaluation in Clinical Practice. 24(4), pp. 718 - 725. https://doi.org/10.1111/jep.12951
Validity of multi-sensory array to measure energy expenditure of an activity bout in early stroke survivors
Kramer, Sharon Flora, Johnson, Liam, Bernhardt, Julie and Cumming, Toby. (2018). Validity of multi-sensory array to measure energy expenditure of an activity bout in early stroke survivors. Stroke Research and Treatment. 2018, pp. 1 - 8. https://doi.org/10.1155/2018/9134547
Tracking changes in glenohumeral joint position in acute post-stroke hemiparetic patients: An observational study
Choolun, Praline, Kuys, Suzanne and Bisset, Leanne. (2018). Tracking changes in glenohumeral joint position in acute post-stroke hemiparetic patients: An observational study. Disability and Rehabilitation. 40(3), pp. 259 - 266. https://doi.org/10.1080/09638288.2016.1250167
Allied health weekend service provision in Australian rehabilitation units
Caruana, Erin L., Kuys, Suzanne S. and Brauer, Sandra G.. (2018). Allied health weekend service provision in Australian rehabilitation units. Australasian Journal on Ageing. 37(2), pp. E42 - E48. https://doi.org/10.1111/ajag.12500
Reproducibility, longitudinal validity and interpretability of the Disease Burden Morbidity assessment in people with chronic disease
Tyack, Zephanie, Kuys, Suzanne, Cornwell, Petrea, Frakes, Kerrie-Anne and McPhail, Steven M.. (2018). Reproducibility, longitudinal validity and interpretability of the Disease Burden Morbidity assessment in people with chronic disease. Chronic Illness. 14(4), pp. 310 - 325. https://doi.org/10.1177/1742395318789469
The energy cost of steady-state physical activity in acute stroke
Kramer, Sharon, Cumming, Toby, Bernhardt, Julie and Johnson, Liam. (2018). The energy cost of steady-state physical activity in acute stroke. Journal of Stroke and Cerebrovascular Diseases. 27(4), pp. 1047 - 1054. https://doi.org/10.1016/j.jstrokecerebrovasdis.2017.11.010
Foot Complications in a Representative Australian Inpatient Population
Peter A Lazzarini, Sheree E. Hurn, Suzanne Kuys, Maarten C Kamp, Vanessa Ng, Courtney Thomas, Scott Jen, Jude Wills, Ewan Kinnear, Michael C D'Emden and Lloyd Reed. (2017). Foot Complications in a Representative Australian Inpatient Population. Journal of Diabetes Research. (4138095), pp. 1-12. https://doi.org/10.1155/2017/4138095
Gait outcomes of older adults receiving subacute hospital rehabilitation following orthopaedic trauma: A longitudinal cohort study
Mathew, Saira A., Varghese, Paul N., Kuys, Suzanne S., Heesch, Kristiann C. and McPhail, Steven M.. (2017). Gait outcomes of older adults receiving subacute hospital rehabilitation following orthopaedic trauma: A longitudinal cohort study. BMJ Open. 7(7), pp. 1 - 8. https://doi.org/10.1136/bmjopen-2017-016628
Aquatic exercise training is effective in maintaining exercise performance in trained heart failure patients: A randomised crossover pilot trial
Adsett, Julie, Morris, Norman, Kuys, Suzanne, Hwang, Rita, Mullins, Robert, Khatun, Mohsina, Paratz, Jennifer and Mudge, Alison. (2017). Aquatic exercise training is effective in maintaining exercise performance in trained heart failure patients: A randomised crossover pilot trial. Heart, Lung and Circulation. 26(6), pp. 572 - 579. https://doi.org/10.1016/j.hlc.2016.10.017
Using non-invasive transcranial stimulation to improve motor and cognitive function in parkinson’s disease: a systematic review and meta-analysis scientific reports
Goodwill, Alicia, Lum, Jarrad, Hendy, Ashlee, Muthalib, Makii, Johnson, Liam, Albein-Urios, Natalia and Teo, Wei-Peng. (2017). Using non-invasive transcranial stimulation to improve motor and cognitive function in parkinson’s disease: a systematic review and meta-analysis scientific reports. Scientific Reports. 7, pp. 1 - 11. https://doi.org/10.1038/s41598-017-13260-z
Structure and feasibility of extra practice during stroke rehabilitation: A systematic scoping review
Stewart, Claire, McCluskey, Annie, Ada, Louise and Kuys, Suzanne. (2017). Structure and feasibility of extra practice during stroke rehabilitation: A systematic scoping review. Australian Occupational Therapy Journal. 64(3), pp. 204 - 217. https://doi.org/10.1111/1440-1630.12351
Early rehabilitation after stroke
Bernhardt, Julie, Godecke, Erin, Johnson, Liam and Langhorne, Peter. (2017). Early rehabilitation after stroke. Current Opinion in Neurology. 30(1), pp. 48 - 54. https://doi.org/10.1097/WCO.0000000000000404
A pragmatic implementation of a 6-day physiotherapy service in a mixed inpatient rehabilitation unit
Caruana, Erin L., Kuys, Suzanne S., Clarke, Jane and Bauer, Sandra G.. (2017). A pragmatic implementation of a 6-day physiotherapy service in a mixed inpatient rehabilitation unit. Disability and Rehabilitation. 39(17), pp. 1738 - 1743. https://doi.org/10.1080/09638288.2016.1211181
Inter- and intra-tester reliability of the acute brain injury physiotherapy assessment (ABIPA) in patients with acquired brain injury
Gesch, Janelle, Choy, Nancy L., Weeks, Benjamin, Nascimento, Margarida, Steele, Mike and Kuys, Suzanne. (2017). Inter- and intra-tester reliability of the acute brain injury physiotherapy assessment (ABIPA) in patients with acquired brain injury. Brain Injury. 31(13-14), pp. 1799 - 1806. https://doi.org/10.1080/02699052.2017.1346298
The silent overall burden of foot disease in a representative hospitalised population
Lazzarini, Peter A., Hurn, Sheree E., Kuys, Suzanne S., Kamp, Maarten C., Ng, Vanessa, Thomas, Courtney, Jen, Scott, Wills, Jude, Kinnear, Ewan M., d'Emden, Michael C. and Reed, Lloyd F.. (2017). The silent overall burden of foot disease in a representative hospitalised population. International Wound Journal. 14(4), pp. 716 - 728. https://doi.org/10.1111/iwj.12683
Promoting physical activity after stroke via self-management: A feasibility study
Preston, Elisabeth, Dean, Catherine M., Ada, Louise, Stanton, Rosalyn, Brauer, Sandy, Kuys, Suzanne and Waddington, Gordon. (2017). Promoting physical activity after stroke via self-management: A feasibility study. Topics in Stroke Rehabilitation. 24(5), pp. 353 - 360. https://doi.org/10.1080/10749357.2017.1304876
The effect of aerobic exercise on brain-derived neurotrophic factor in people with neurological disorders: A Systematic Review and Meta-Analysis
Mackay, Christopher P., Kuys, Suzanne S. and Brauer, Sandra G.. (2017). The effect of aerobic exercise on brain-derived neurotrophic factor in people with neurological disorders: A Systematic Review and Meta-Analysis. Neural Plasticity. 2017, pp. 1 - 9. https://doi.org/10.1155/2017/4716197
Accelerometer and global positioning system measurement of recovery of community ambulation across the first 6 months after stroke : An exploratory prospective study
Mahendran, Niruthikha, Kuys, Suzanne S. and Brauer, Sandra G.. (2016). Accelerometer and global positioning system measurement of recovery of community ambulation across the first 6 months after stroke : An exploratory prospective study. Archives of Physical Medicine and Rehabilitation. 97(9), pp. 1465-1472. https://doi.org/10.1016/j.apmr.2016.04.013
Overexpression and knock-down studies highlight that a disintegrin and metalloproteinase 28 controls proliferation and migration in human prostate cancer
Caroline Rudnicka, Satsuki Mochizuki, Yasunori Okada, Claire McLaughlin, Peter J. Leedman, Lisa Stuart, Michael Epis, Gerard Hoyne, Sherif Boulos, Liam Johnson, Markus Schlaich and Vance Matthews. (2016). Overexpression and knock-down studies highlight that a disintegrin and metalloproteinase 28 controls proliferation and migration in human prostate cancer. Medicine. 95(40), pp. 1-8. https://doi.org/10.1097/MD.0000000000005085
Progesterone and estradiol levels are predictors of performance in a test of anaerobic capacity in young female netball athletes
Heazlewood, Ian, Martin, Alanna, Johnson, Liam, Lys, Isabelle and Kitic, Cecilia M.. (2016). Progesterone and estradiol levels are predictors of performance in a test of anaerobic capacity in young female netball athletes. Australia: Exercise & Sports Science Australia. pp. 167 - 167
Poor mobility in hospitalized adults of all ages
Mudge, Alison, McRae, Prue, McHugh, Kirstie, Griffin, Lauren, Hitchen, Andrew, Walker, James, Cruickshank, Mark, Morris, Norman R. and Kuys, Suzanne Shanelle. (2016). Poor mobility in hospitalized adults of all ages. Journal of Hospital Medicine. 11(4), pp. 289 - 291. https://doi.org/10.1002/jhm.2536
Accelerometer use in young people with Down syndrome: A preliminary cross-validation and reliability study
Peiris, Casey L., Cumming, Toby B., Kramer, Sharon, Johnson, Liam, Taylor, Nicholas and Shields, Nora. (2016). Accelerometer use in young people with Down syndrome: A preliminary cross-validation and reliability study. Journal of Intellectual and Developmental Disability. 42(4), pp. 339-350. https://doi.org/10.3109/13668250.2016.1260100
Testosterone levels are predictors of multistage fitness test performance in young male and female hockey athletes
Heazlewood, Ian, Martin, Alanna, Johnson, Liam, Lys, Isabelle Yoke Yien and Kitic, Cecilia M.. (2016). Testosterone levels are predictors of multistage fitness test performance in young male and female hockey athletes. 7th Exercise and Sports Science Australia (ESSA) Research to Practice Conference, Melbourne, Australia, 14th - 16th April, 2016. Australia: Exercise & Sports Science Australia.
An acute bout of exercise improves the cognitive performance of older adults
Johnson, Liam, Addamo, Patricia K., Raj, Isaac Selva, Borkoles, Erika, Wyckelsma, Victoria, Cyarto, Elizabeth V. and Polman, Remco C.. (2016). An acute bout of exercise improves the cognitive performance of older adults. Journal of Aging and Physical Activity. 24(4), pp. 591-598. https://doi.org/10.1123/japa.2015-0097
Proposal for a candidate core set of fitness and strength tests for patients with childhood or adult idiopathic inflammatory myopathies
Van Der Stap, Djamilla K. D., Rider, Lisa G., Alexanderson, Helene, Huber, Adam M., Gualano, Bruno, Gordon, Patrick, Van Der Net, Janjaap, Mathiesen, Pernille, Johnson, Liam G., Ernste, Floranne C., Feldman, Brian M., Houghton, Kristin M., Singh-Grewal, Davinder, Kutzbach, Abraham Garcia, Munters, Li Alemo and Takken, Tim. (2016). Proposal for a candidate core set of fitness and strength tests for patients with childhood or adult idiopathic inflammatory myopathies. Journal of Rheumatology. 43(1), pp. 169 - 176. https://doi.org/10.3899/jrheum.150270
Concurrent transcranial direct current stimulation and progressive resistance training in Parkinson's disease: Study protocol for a randomised controlled trial
Hendy, Ashlee M., Tillman, Alex, Rantalainen, Timo, Muthalib, Makii, Johnson, Liam, Kidgell, Dawson J., Wundersitz, Daniel, Enticott, Peter G. and Teo, Wei-Peng. (2016). Concurrent transcranial direct current stimulation and progressive resistance training in Parkinson's disease: Study protocol for a randomised controlled trial. Trials. 17(1), pp. 1 - 13. https://doi.org/10.1186/s13063-016-1461-7
General versus spinal anaesthesia and postoperative delirium in an orthogeriatric population
Ilango, Sivarajah, Pulle, Ranjeev Chrys, Bell, Jack J. and Kuys, Suzanne Shanelle. (2016). General versus spinal anaesthesia and postoperative delirium in an orthogeriatric population. Australasian Journal on Ageing. 35(1), pp. 42 - 47. https://doi.org/10.1111/ajag.12212
Energy Expenditure and Cost during Walking after Stroke: A Systematic Review
Kramer, Sharon, Johnson, Liam, Bernhardt, Julie and Cumming, Toby. (2016). Energy Expenditure and Cost during Walking after Stroke: A Systematic Review. Archives of Physical Medicine and Rehabilitation. 97(4), pp. 619-632. https://doi.org/10.1016/j.apmr.2015.11.007
An exploratory analysis of possible hormone predictors of physical performance in male and female adolescent basketball athletes
Martin, Alanna, Heazlewood, Ian, Kitic, Cecilia M., Lys, Isabelle Yoke Yien and Johnson, Liam. (2016). An exploratory analysis of possible hormone predictors of physical performance in male and female adolescent basketball athletes. Australia: Australian Strength and Conditioning Association. pp. 1 - 1
Light physical activity is positively associated with cognitive performance in older community dwelling adults
Johnson, Liam G., Butson, Michael L., Polman, Remco C., Raj, Isaac S., Borkoles, Erika, Scott, David, Aitken, Dawn and Jones, Graeme. (2016). Light physical activity is positively associated with cognitive performance in older community dwelling adults. Journal of Science and Medicine in Sport. 19(11), pp. 877-882. https://doi.org/10.1016/j.jsams.2016.02.002
Direct inpatient burden caused by foot-related conditions: A multisite point-prevalence study
Lazzarini, Peter A., Hurn, Sheree E., Kuys, Suzanne Shanelle, Kamp, Maarten C., Ng, Vanessa, Thomas, Courtney, Jen, Scott D., Kinnear, Ewan, d'Emden, Michael C. and Reed, Lloyd. (2016). Direct inpatient burden caused by foot-related conditions: A multisite point-prevalence study. BMJ Open. 6(6), pp. 1 - 15. https://doi.org/10.1136/bmjopen-2015-010811
Balance self-efficacy in older adults following inpatient rehabilitation
Kuys, Suzanne S., Donovan, Jacquelin, Mattin, Sarah and Low Choy, Nancy L.. (2015). Balance self-efficacy in older adults following inpatient rehabilitation. International Journal of Rehabilitation Research. 38(2), pp. 167-172. https://doi.org/10.1097/MRR.0000000000000106
Demographics and discharge outcomes of dysvascular and non-vascular lower limb amputees at a subacute rehabilitation unit : A 7-year series
Batten, Heather, Kuys, Suzanne, McPhail, Steven, Varghese, Paulose and Nitz, Jennifer. (2015). Demographics and discharge outcomes of dysvascular and non-vascular lower limb amputees at a subacute rehabilitation unit : A 7-year series. Australian Health Review. 39(1), pp. 76-84. https://doi.org/10.1071/AH14042
A systematic review of axillary web syndrome (AWS)
Yeung, W. M., McPhail, Steven M. and Kuys, Suzanne Shanelle. (2015). A systematic review of axillary web syndrome (AWS). Journal of Cancer Survivorship. 9(4), pp. 576 - 598. https://doi.org/10.1007/s11764-015-0435-1
Early mobilization after stroke: Early adoption but limited evidence
Bernhardt, Julie, English, Carolie, Johnson, Liam and Cumming, Toby B.. (2015). Early mobilization after stroke: Early adoption but limited evidence. Stroke. 46(4), pp. 1141 - 1146. https://doi.org/10.1161/STROKEAHA.114.007434
Lower limb progressive resistance training improves leg strength but not gait speed or balance in Parkinson's disease: A systematic review and meta-analysis
Tillman, Alex Tillman, Muthalib, Makii, Hendy, Ashlee M., Johnson, Liam G., Rantalainen, Timo, Kidgell, Dawson J., Enticott, Peter G. and Teo, Wei-Peng. (2015). Lower limb progressive resistance training improves leg strength but not gait speed or balance in Parkinson's disease: A systematic review and meta-analysis. Frontiers in Aging Neuroscience. 7, pp. 1 - 10. https://doi.org/10.3389/fnagi.2015.00040
Comparison of sit-to-stand strategies used by older adults and people living with dementia
Dolecka, Urszula, Ownsworth, Tamara and Kuys, Suzanne. (2015). Comparison of sit-to-stand strategies used by older adults and people living with dementia. Archives of Gerontology and Geriatrics. 60(3), pp. 528 - 534. https://doi.org/10.1016/j.archger.2014.12.007
Interactive effects of GPI stimulation and levodopa on postural control in Parkinson's disease
Johnson, Liam, Rodrigues, Julian, Teo, Wei-Peng, Walters, Susan, Stell, Rick, Thickbroom, Gary and Mastaglia, Frank. (2015). Interactive effects of GPI stimulation and levodopa on postural control in Parkinson's disease. Gait & Posture. 41(4), pp. 929 - 934. https://doi.org/10.1016/j.gaitpost.2015.03.346
Prevalence of foot disease and risk factors in general inpatient populations: A systematic review and meta-analysis
Lazzarini, Peter A., Hurn, Sheree E., Fernando, Malindu E., Jen, Scott D., Kuys, Suzanne S., Kamp, Maarten C. and Reed, Lloyd F.. (2015). Prevalence of foot disease and risk factors in general inpatient populations: A systematic review and meta-analysis. BMJ Open. 5(11), pp. 1 - 15. https://doi.org/10.1136/bmjopen-2015-008544
Progesterone and estradiol levels predict planned agility, 10M and 20M sprint performance in young male Australian football athletes
Martin, Alanna C., Heazlewood, Ian T., Lys, Isabelle, Kitic, Cecilia M. and Johnson, Liam. (2015). Progesterone and estradiol levels predict planned agility, 10M and 20M sprint performance in young male Australian football athletes. Journal of Australian Strength and Conditioning. 23(6), pp. 43 - 46.
Exergaming as a viable therapeutic tool to improve static and dynamic balance among older adults and people with idiopathic Parkinson's disease: A systematic review and meta-analysis
Harris, Dale M., Rantalainen, Timo, Muthalib, Makii, Johnson, Liam G. and Teo, Wei-Peng. (2015). Exergaming as a viable therapeutic tool to improve static and dynamic balance among older adults and people with idiopathic Parkinson's disease: A systematic review and meta-analysis. Frontiers in Aging Neuroscience. 7, pp. 1 - 12. https://doi.org/10.3389/fnagi.2015.00167
Clinically important improvements in motor function are achievable during inpatient rehabilitation by stroke patients with severe motor disability : A prospective observational study
Hayward, Kathryn, Kuys, Suzanne, Barker, Ruth and Brauer, Sandra. (2014). Clinically important improvements in motor function are achievable during inpatient rehabilitation by stroke patients with severe motor disability : A prospective observational study. NeuroRehabilitation. 34(4), pp. 773 - 779. https://doi.org/10.3233/NRE-141076
Gait speed in ambulant older people in long term care : A systematic review and meta-analysis
Kuys, Suzanne, Peel, Nancye, Klein, Kerenaftali, Slater, Alexandra and Hubbard, Ruth. (2014). Gait speed in ambulant older people in long term care : A systematic review and meta-analysis. Journal of the American Medical Directors Association (JAMDA) (print). 15(3), pp. 194 - 200. https://doi.org/10.1016/j.jamda.2013.10.015
The Queensland High Risk Foot Form (QHRFF) - Is it a reliable and valid tool for foot disease?
Lazzarini, Peter A., Ng, Vanessa, Kinnear, Ewan M., Kamp, Maarten C., Kuys, Suzanne S., Hurst, Cameron and Reed, Lloyd F.. (2014). The Queensland High Risk Foot Form (QHRFF) - Is it a reliable and valid tool for foot disease? Journal of Foot and Ankle Research. 7(7), pp. 1 - 18. https://doi.org/10.1186/1757-1146-7-7
The Queensland high risk foot form (QHRFF) - is it a reliable and valid clinical research tool for foot disease?
Lazzarini, Peter A., Ng, Vanessa, Kinnear, Ewan, Kamp, Maarten C., Kuys, Suzanne Shanelle, Hurst, Cameron and Reed, Lloyd. (2014). The Queensland high risk foot form (QHRFF) - is it a reliable and valid clinical research tool for foot disease? Journal of Foot and Ankle Research. 7(1), pp. 1 - 18. https://doi.org/10.1186/1757-1146-7-7
Use and validation of the balance outcome measure for elder rehabilitation in acute care
Kuys, Suzanne, Crouch, Tom, Dolecka, Urszula, Steele, Michael and Low Choy, Nancy. (2014). Use and validation of the balance outcome measure for elder rehabilitation in acute care. New Zealand Journal of Physiotherapy. 42(1), pp. 16 - 21.
Factors affecting the ability of the stroke survivor to drive their own recovery outside of therapy during inpatient stroke rehabilitation
Eng, Xue Wen, Brauer, Sandra, Kuys, Suzanne, Lord, Matthew and Hayward, Kathryn. (2014). Factors affecting the ability of the stroke survivor to drive their own recovery outside of therapy during inpatient stroke rehabilitation. Stroke Research and Treatment. https://doi.org/10.1155/2014/626538
Factors affecting the ability of the stroke survivor to drive their own recovery outside of therapy during inpatient stroke rehabilitation
Eng, Xue Wen, Brauer, Sandra, Kuys, Suzanne Shanelle, Lord, Matthew and Hayward, Kathryn. (2014). Factors affecting the ability of the stroke survivor to drive their own recovery outside of therapy during inpatient stroke rehabilitation. Stroke Research and Treatment. https://doi.org/10.1155/2014/626538
Development and preliminary validation of the Acute Brain Injury Physiotherapy Assessment (ABIPA)
Gesch, Janelle, Low Choy, Nancy, Weeks, Benjamin, Passier, Leanne, Nascimento, Margarida, Haines, Terry and Kuys, Suzanne. (2014). Development and preliminary validation of the Acute Brain Injury Physiotherapy Assessment (ABIPA). Brain Impairment. 15(2), pp. 132 - 145. https://doi.org/10.1017/BrImp.2014.13
Activity limitations experienced by people with stroke who received inpatient rehabiliation: Differences between 2001, 2005, and 2011
Kuys, Suzanne Shanelle, Bew, Paul, Lynch, Mary and Brauer, Sandy. (2014). Activity limitations experienced by people with stroke who received inpatient rehabiliation: Differences between 2001, 2005, and 2011. Archives of Physical Medicine and Rehabilitation. 95(4), pp. 741 - 746. https://doi.org/10.1016/j.apmr.2013.12.008
The health outcomes and costs of people attending an interdisciplinary chronic disease service in regional Australia: protocol for a longitudinal cohort investigation
Tyack, Zephanie, Frakes, Kerrie-Anne, Cornwell, Petrea, Kuys, Suzanne, Barnett, Adrian and McPhail, Steven. (2013). The health outcomes and costs of people attending an interdisciplinary chronic disease service in regional Australia: protocol for a longitudinal cohort investigation. BMC Health Services Research. 13(410), pp. 1 - 7. https://doi.org/10.1186/1472-6963-13-410
The effects of a supervised Pilates training program on balance in Parkinson's disease
Johnson, Liam, Putrino, David, James, Ian, Rodrigues, Julian, Stell, Rick, Thickbroom, Gary and Mastaglia, Frank. (2013). The effects of a supervised Pilates training program on balance in Parkinson's disease. Advances in Parkinson's Disease. 2(2), pp. 58 - 61. https://doi.org/10.4236/apd.2013.22011
Physiotherapy students find guided journals useful to develop reflective thinking and practice during their first clinical placement : A qualitative study
Constantinou, Maria and Kuys, Suzanne. (2013). Physiotherapy students find guided journals useful to develop reflective thinking and practice during their first clinical placement : A qualitative study. Physiotherapy (print). 99(1), pp. 49 - 55. https://doi.org/10.1016/j.physio.2011.12.002
Clinical and posturographic correlates of falling in Parkinson's disease
Johnson, Liam, James, Ian, Rodrigues, Julian, Stell, Rick, Thickbroom, Gary and Mastaglia, Frank. (2013). Clinical and posturographic correlates of falling in Parkinson's disease. Movement Disorders. 28(9), pp. 1250 - 1256. https://doi.org/10.1002/mds.25449
Feasibility of an interdisciplinary early intervention for patients with low levels of responsiveness following an acquired brain injury
Seeto, Treena, Kuys, Suzanne Shanelle, Budden, Cassandra, Griffin, Erin, Kajewski, Haylee and McPhail, Steven. (2013). Feasibility of an interdisciplinary early intervention for patients with low levels of responsiveness following an acquired brain injury. Brain Impairment. 14(2), pp. 213 - 221. https://doi.org/10.1017/BrImp.2013.20
Frequency of urinary incontinence in people with chronic heart failure
Hwang, Rita, Chuan, Francine, Peters, Robyn and Kuys, Suzanne. (2013). Frequency of urinary incontinence in people with chronic heart failure. Heart & Lung: the journal of acute and critical care. 42(1), pp. 26 - 31. https://doi.org/10.1016/j.hrtlng.2012.08.003
Feasibility of an interdisciplinary early intervention for patients with low levels of responsiveness following an acquired brain injury
Seeto, Treena, Kuys, Suzanne, Budden, Cassandra, Griffin, Erin, Kajewski, Haylee and McPhail, Steven. (2013). Feasibility of an interdisciplinary early intervention for patients with low levels of responsiveness following an acquired brain injury. Brain Impairment. 14(2), pp. 213 - 221. https://doi.org/10.1017/BrImp.2013.20
Frequency of urinary incontinence in people with chronic heart failure
Hwang, Rita, Chuan, Francine, Peters, Robyn and Kuys, Suzanne Shanelle. (2013). Frequency of urinary incontinence in people with chronic heart failure. Heart & Lung: the journal of acute and critical care. 42(1), pp. 26 - 31. https://doi.org/10.1016/j.hrtlng.2012.08.003
Feasibility of gaming console exercise and its effect on endurance, gait and balance in people with an acquired brain injury
McClanachan, Nelson, Gesch, Janelle, Wuthapanich, Nampech, Fleming, Jennifer and Kuys, Suzanne Shanelle. (2013). Feasibility of gaming console exercise and its effect on endurance, gait and balance in people with an acquired brain injury. Brain Injury. 27(12), pp. 1402 - 1408. https://doi.org/10.3109/02699052.2013.823654
Feasibility of gaming console exercise and its effect on endurance, gait and balance in people with an acquired brain injury
McClanachan, Nelson, Gesch, Janelle, Wuthapanich, Nampech, Fleming, Jennifer and Kuys, Suzanne. (2013). Feasibility of gaming console exercise and its effect on endurance, gait and balance in people with an acquired brain injury. Brain Injury. 27(12), pp. 1402 - 1408. https://doi.org/10.3109/02699052.2013.823654
What are the key conditions associated with lower limb amputations in a major Australian teaching hospital?
Lazzarini, Peter, O'Rourke, Sharon, Russell, Anthony, Clark, Damien and Kuys, Suzanne Shanelle. (2012). What are the key conditions associated with lower limb amputations in a major Australian teaching hospital? Journal of Foot and Ankle Research. 5(12), pp. 1 - 9. https://doi.org/10.1186/1757-1146-5-12
What are the key conditions associated with lower limb amputations in a major Australian teaching hospital?
Lazzarini, Peter, O'Rourke, Sharon, Russell, Anthony, Clark, Damien and Kuys, Suzanne. (2012). What are the key conditions associated with lower limb amputations in a major Australian teaching hospital? Journal of Foot and Ankle Research. 5(1), pp. 1 - 9. https://doi.org/10.1186/1757-1146-5-12
Activity level of hospital medical inpatients: An observational study
Kuys, Suzanne S., Dolecka, Urszula E. and Guard, Amanda. (2012). Activity level of hospital medical inpatients: An observational study. Archives of Gerontology and Geriatrics. 55(2), pp. 417 - 421. https://doi.org/10.1016/j.archger.2012.02.008
Allied health professionals and cardiometabolic disease risk screening in the workplace: a study of two companies in Darwin, Australia
Semple, Stuart J. and Johnson, Liam. (2012). Allied health professionals and cardiometabolic disease risk screening in the workplace: a study of two companies in Darwin, Australia. 18(1), pp. 65 - 74.
Can Wii work it out?
Cyarto, Elizabeth V., Kuys, Suzanne, Henwood, Tim R. and Blackberry, Irene. (2011). Can Wii work it out? Telecommunications Journal of Australia. 61(3), pp. 37.1 - 37.12.
Higher-intensity treadmill walking during rehabilitation after stroke in feasible and not detrimental to walking pattern or quality: A pilot randomized trial
Kuys, Suzanne S., Brauer, Sandra G. and Ada, Louise. (2011). Higher-intensity treadmill walking during rehabilitation after stroke in feasible and not detrimental to walking pattern or quality: A pilot randomized trial. Clinical Rehabilitation. 25(4), pp. 316 - 326. https://doi.org/10.1177/0269215510382928
Higher-intensity treadmill walking during rehabilitation after stroke in feasible and not detrimental to walking pattern or quality : A pilot randomized trial
Kuys, Suzanne, Brauer, Sandra and Ada, Louise. (2011). Higher-intensity treadmill walking during rehabilitation after stroke in feasible and not detrimental to walking pattern or quality : A pilot randomized trial. Clinical Rehabilitation. 25(4), pp. 316 - 326. https://doi.org/10.1177/0269215510382928
Appropriate seating for medical patients: An audit
Kuys, Suzanne, Dolecka, Urszula and Morrison, Carol. (2011). Appropriate seating for medical patients: An audit. Australian Health Review. 35(3), pp. 316 - 319. https://doi.org/10.1071/AH10943
Changes in falls risk factors for geriatric diagnostic groups across inpatient, outpatient and domiciliary rehabilitation settings
Morrison, Gregory, Lee, Huang-Ling, Kuys, Suzanne, Clarke, Jane, Bew, Paul and Haines, Terry. (2011). Changes in falls risk factors for geriatric diagnostic groups across inpatient, outpatient and domiciliary rehabilitation settings. Disability and Rehabilitation. 33(11), pp. 900 - 907. https://doi.org/10.3109/09638288.2010.514019
Trial of an allied health workload allocation model
Simmons, Nadine and Kuys, Suzanne. (2011). Trial of an allied health workload allocation model. Australian Health Review. 35(2), pp. 168 - 175. https://doi.org/10.1071/AH09860
Test-retest reliability of the GAITRite system in people with stroke undergoing rehabilitation
Kuys, Suzanne, Brauer, Sandra and Ada, Louise. (2011). Test-retest reliability of the GAITRite system in people with stroke undergoing rehabilitation. Disability and Rehabilitation. 33(19-20), pp. 1848 - 1853. https://doi.org/10.3109/09638288.2010.549895
Appropriate seating for medical patients: An audit
Kuys, Suzanne S., Dolecka, Urszula E. and Morrison, Carol A.. (2011). Appropriate seating for medical patients: An audit. Australian Health Review. 35(3), pp. 316 - 319. https://doi.org/10.1071/AH10943
Gaming console exercise and cycle or treadmill exercise provide similar cardiovascular demand in adults with cystic fibrosis : A randomised cross-over trial
Kuys, Suzanne, Hall, Kathleen, Peasey, Maureen, Wood, Michelle, Cobb, Robyn and Bell, Scott. (2011). Gaming console exercise and cycle or treadmill exercise provide similar cardiovascular demand in adults with cystic fibrosis : A randomised cross-over trial. Journal of Physiotherapy. 57(1), pp. 35 - 40. https://doi.org/10.1016/S1836-9553(11)70005-4
Trial of an allied health workload allocation model
Simmons, Nadine and Kuys, Suzanne Shanelle. (2011). Trial of an allied health workload allocation model. Australian Health Review. 35(2), pp. 168 - 175. https://doi.org/10.1071/AH09860
Dose-response relationship between physiotherapy resource provision with function and balance improvements in patients following stroke : A multi-centre observational study
Haines, Terry, Kuys, Suzanne, Clarke, Jane, Morrison, Gregory and Bew, Paul. (2011). Dose-response relationship between physiotherapy resource provision with function and balance improvements in patients following stroke : A multi-centre observational study. Journal of Evaluation in Clinical Practice. 17(1), pp. 136 - 142. https://doi.org/10.1111/j.1365-2753.2010.01380.x
Higher-intensity treadmill walking during rehabilitation after stroke in feasible and not detrimental to walking pattern or quality: A pilot randomized trial
Kuys, Suzanne, Brauer, Sandra and Ada, Louise. (2011). Higher-intensity treadmill walking during rehabilitation after stroke in feasible and not detrimental to walking pattern or quality: A pilot randomized trial. Clinical Rehabilitation. 25(4), pp. 316 - 326. https://doi.org/10.1177/0269215510382928
A controlled trial of mindfulness training in schools : The importance of practice for an impact on well-being
Huppert, Felicia and Johnson, D. (2010). A controlled trial of mindfulness training in schools : The importance of practice for an impact on well-being. The Journal of Positive Psychology. 5(4), pp. 264 - 274. https://doi.org/10.1080/17439761003794148