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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
de Sousa, Davide G. Harvey, Lisa A. Dorsch, Simone Varettas, Bronwyn Jamieson, Serena Murphy, Abby Giaccari, Sarah
de Sousa, Davide G.
Harvey, Lisa A.
Dorsch, Simone
Varettas, Bronwyn
Jamieson, Serena
Murphy, Abby
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.
Keywords
stroke, sit-to-stand, repetitive training, physical therapy, randomised trial
Date
2019
Type
Journal article
Journal
Journal of Physiotherapy
Book
Volume
65
Issue
3
Page Range
152-158
Article Number
ACU Department
School of Allied Health
Faculty of Health Sciences
Faculty of Health Sciences
Collections
Relation URI
Source URL
Event URL
Open Access Status
Published as ‘gold’ (paid) open access
License
CC BY-NC-ND 4.0
File Access
Open