Acceptability and deliverability of an auditory rhythmical cueing (ARC) training programme for use at home and outdoors to improve gait and physical activity post-stroke

Archives of Physiotherapy

Sue Lord¹  Silvia Del Din²  Heather Hunter³  Lynn Rochester³  Sarah A. Moore⁴  Patricia McCue⁵  Christopher I. M. Price⁵  Lisa Shaw⁵  Helen Rodgers⁶ 

[1] Auckland University of Technology, 55 Wellesley St E, 1010, Auckland, New Zealand;Institute of Translational and Clinical Research, Faculty of Medical Sciences, Newcastle University, NE1 7RU, Newcastle upon Tyne, UK;Institute of Translational and Clinical Research, Faculty of Medical Sciences, Newcastle University, NE1 7RU, Newcastle upon Tyne, UK;Newcastle upon Tyne Hospitals NHS Foundation Trust, Royal Victoria Hospital, Queen Victoria Road, NE1 4LP, Newcastle upon Tyne, UK;Institute of Translational and Clinical Research, Faculty of Medical Sciences, Newcastle University, NE1 7RU, Newcastle upon Tyne, UK;Stroke Northumbria, Northumbria Healthcare NHS Foundation Trust, Rake Lane, North Shields, NE29 8NH, Tyne and Wear, UK;Department of Sport, Exercise, and Rehabilitation, Faculty of Health and Life Sciences, Northumbria University, NE7 7XA, Newcastle upon Tyne, UK;Stroke Research Group, Population Health Sciences Institute, Faculty of Medical Sciences, Henry Wellcome Building, The Medical School, Framlington Place, Newcastle University, NE2 4HH, Newcastle upon Tyne, UK;Stroke Research Group, Population Health Sciences Institute, Faculty of Medical Sciences, Henry Wellcome Building, The Medical School, Framlington Place, Newcastle University, NE2 4HH, Newcastle upon Tyne, UK;Newcastle upon Tyne Hospitals NHS Foundation Trust, Royal Victoria Hospital, Queen Victoria Road, NE1 4LP, Newcastle upon Tyne, UK;Stroke Northumbria, Northumbria Healthcare NHS Foundation Trust, Rake Lane, North Shields, NE29 8NH, Tyne and Wear, UK;

关键词: Acceptability;    Stroke;    Gait;    Exercise;    Auditory rhythmical cueing;   

DOI  :  10.1186/s40945-021-00126-x

来源: Springer

【 摘 要 】

BackgroundAlthough laboratory studies demonstrate that training programmes using auditory rhythmical cueing (ARC) may improve gait post-stroke, few studies have evaluated this intervention in the home and outdoors where deployment may be more appropriate. This manuscript reports stakeholder refinement of an ARC gait and balance training programme for use at home and outdoors, and a study which assessed acceptability and deliverability of this programme.MethodsProgramme design and content were refined during stakeholder workshops involving physiotherapists and stroke survivors. A two-group acceptability and deliverability study was then undertaken. Twelve patients post-stroke with a gait related mobility impairment received either the ARC gait and balance training programme or the gait and balance training programme without ARC. Programme provider written notes, participant exercise and fall diaries, adverse event monitoring and feedback questionnaires captured data about deliverability, safety and acceptability of the programmes.ResultsThe training programme consisted of 18 sessions (six supervised, 12 self-managed) of exercises and ARC delivered by a low-cost commercially available metronome. All 12 participants completed the six supervised sessions and 10/12 completed the 12 self-managed sessions. Provider and participant session written records and feedback questionnaires confirmed programme deliverability and acceptability.ConclusionAn ARC gait and balance training programme refined by key stakeholders was feasible to deliver and acceptable to participants and providers.Trial registrationISCTRN 12/03/2018.

【 授权许可】

CC BY