Randomised controlled trial of an occupational therapy intervention to increase outdoor mobility after stroke

Abstract

Objective To evaluate an occupational therapy intervention to improve outdoor mobility after stroke.

Functioning at 6 months post stroke following discharge from inpatient rehabilitation

“…Intervention after discharge improves performance in extended ADL and community mobility. 20,21 Four (8.7%) participants were re-admitted for a second rehabilitation stay to optimise functioning. While the study did not permit further analysis, short re-admissions at a later stage of recovery may facilitate reintegration and improved community participation; the cost-and-benefit thereof requires further investigation.…”

Can We Improve Real World Walking After Stroke? A Systematic Review and Meta-Analysis

“…the total number of the control group was divided by two). Following reanalysis of the raw outcome data, two more studies (28,29) were able to meet our criteria. This meant that the review included 9 separate studies with 10 treatment arms.…”

“…The five remaining trials (33,35,28,29,34) included at least one behaviour change technique as defined by the CALO-RE taxonomy (32). Table 2 provides an overview of the studies included in the review.…”

“…Authors were contacted to request the raw data. Two of the authors contacted were able to provide this data (28,29) and these two studies were then able to be included following reanalysis of the data supplied. Reanalysis involved dichotomizing the raw data in Excel 2010 (into '0' for did not do and '1' for did do) and the scores summed for each item with means and standard deviations calculated.…”

“…Two of the studies (11,12) used the same outcome measure (StepWatch Activity monitor) so an additional analysis for these studies using a mean difference could be completed. Three studies (12,14,30) did a follow-up assessment at 3 months post intervention and two studies (29,31) at 6 months and so follow-up results could be included for five studies.…”