Two weeks of intensive sit-to-stand training in addition to usual care improves sit-to-stand ability in people who are unable to stand up independently after stroke : A randomised trial

Journal article

de Sousa, Davide G., Harvey, Lisa A., Dorsch, Simone, Varettas, Bronwyn, Jamieson, Serena, Murphy, Abby and Giaccari, Sarah. (2019). Two weeks of intensive sit-to-stand training in addition to usual care improves sit-to-stand ability in people who are unable to stand up independently after stroke : A randomised trial. Journal of Physiotherapy. 65(3), pp. 152-158. https://doi.org/10.1016/j.jphys.2019.05.007
Authorsde Sousa, Davide G., Harvey, Lisa A., Dorsch, Simone, Varettas, Bronwyn, Jamieson, Serena, Murphy, Abby and Giaccari, Sarah
Abstract

Question
Does intensive sit-to-stand training in addition to usual care improve sit-to-stand ability in people who are unable to stand up independently after stroke?

Design
A multi-centre randomised controlled trial with concealed allocation, assessor blinding and intention-to-treat analysis.

Participants
Thirty patients from two Sydney hospitals, < 3 months after stroke, with a mean Modified Rankin Scale score of 4 points (SD 0.5).

Intervention
All participants received usual care. Participants in the experimental group attended two additional sessions of physiotherapy per day for 2 weeks. These sessions were individualised to the needs of each participant in order to increase the amount and intensity of sit-to-stand training.

Outcome measures
Outcome measures were taken at baseline and at 2 weeks. The primary outcome was clinicians’ impressions of sit-to-stand change, measured using videos and a 15-point Global Impressions of Change Scale. Secondary outcomes were sit-to-stand ability, composite strength of key muscles of the affected lower limb, gross lower limb extension strength, the Goal Attainment Scale, and ranking of change in ability to move from sitting to standing.

Results
All participants completed the trial. The mean between-group difference for clinicians’ impressions of sit-to-stand change was 1.57/15 points (95% CI 0.02 to 3.11). The secondary outcomes that indicated a treatment effect were gross lower limb extension strength and ranking of change in ability to move from sitting to standing, with mean between-group differences of 6.2 deg (95% CI 0.5 to 11.8) and −7 (95% CI −1 to −13), respectively.

Conclusion
Two weeks of intensive sit-to-stand training in addition to usual care improves sit-to-stand ability in people who are unable to stand up independently after stroke.

Keywordsstroke; sit-to-stand; repetitive training; physical therapy; randomised trial
Year2019
JournalJournal of Physiotherapy
Journal citation65 (3), pp. 152-158
PublisherElsevier
ISSN1836-9553
Digital Object Identifier (DOI)https://doi.org/10.1016/j.jphys.2019.05.007
Scopus EID2-s2.0-85067278341
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range152-158
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online2019
Publication process dates
Deposited09 Jun 2021
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