Wristband accelerometers to motivate arm exercise after stroke (WAVES): study protocol for a pilot randomized controlled trial

Sarah A. Moore; Ruth Da Silva; Madelaine Balaam; Lianne Brkic; Dan Jackson; Dan Jamieson; Thomas Ploetz; Helen Rodgers; Lisa Shaw; Frederike van Wijck; Christopher Price

doi:10.1186/s13063-016-1628-2

Wristband accelerometers to motivate arm exercise after stroke (WAVES): study protocol for a pilot randomized controlled trial

Sarah A. Moore, Ruth Da Silva, Madelaine Balaam, Lianne Brkic, Dan Jackson, Dan Jamieson, Thomas Ploetz, Helen Rodgers, Lisa Shaw, Frederike van Wijck, Christopher Price^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

15 Citations (Scopus)

89 Downloads (Pure)

Abstract

Background

Loss of upper limb function affects up to 85 % of acutestroke patients. Recovery of upper limb function requires regular intensivepractise of specific upper limb tasks. To enhance intensity of practiceinterventions are being developed to encourage patients to undertakeself-directed exercise practice. Most interventions do not translate well intoeveryday activities and stroke patients continue to find it difficultremembering integration of upper limb movements into daily activities. Awrist-worn device has been developed that monitors and provides ‘live’ upperlimb activity feedback to remind patients to use their stroke arm in dailyactivities (The CueS wristband). The aim of this trial is to assess thefeasibility of a multi-centre, observer blind, pilot randomised controlledtrial of the CueS wristband in clinical stroke services.

Methods/design

This pilot randomised controlled feasibility trial aims torecruit 60 participants over 15 months from North East England.Participants will be within 3 months of stroke which has caused newreduced upper limb function and will still be receiving therapy. Eachparticipant will be randomised to an intervention or control group.Intervention participants will wear a CueS wristband (between 8 am and8 pm) providing “live” feedback towards pre-set movement goals through asimple visual display and vibration prompts whilst undertaking a 4-week upperlimb therapy programme (reviewed twice weekly by an occupational/physiotherapist).Control participants will also complete the 4-week upper limb therapy programmebut will wear a ‘sham’ CueS wristband that monitors upper limb activity butprovides no feedback. Outcomes will determine study feasibility in terms ofrecruitment, retention, adverse events, adherence and collection of descriptiveclinical and accelerometer motor performance data at baseline, 4 weeks and8 weeks.

Discussion

The WAVES study will address an important gap in theevidence base by reporting the feasibility of undertaking an evaluation ofemerging and affordable technology to encourage impaired upper limb activityafter stroke. The study will establish whether the study protocol can besupported by clinical stroke services, thereby informing the design of a futuremulti-centre randomised controlled trial of clinical and cost-effectiveness.

Trial registration

ISRCTN:82306027.Registered 12 July 2016.

Original language	English
Article number	508 (2016)
Number of pages	9
Journal	Trials
Volume	17
DOIs	https://doi.org/10.1186/s13063-016-1628-2
Publication status	Published - 21 Oct 2016

Keywords

stroke, upper limb, accelerometer, feedback, self-management, self-directed, rehabilitation, randomised controlled trial
Stroke
Feedback
Randomised controlled trial
Accelerometer
Self-directed
Self-management
Upper limb
Rehabilitation

ASJC Scopus subject areas

Pharmacology (medical)
Medicine (miscellaneous)

Documents and Links

10.1186/s13063-016-1628-2

Moore, S.A. et al (2020) Wristband accelerometers to motivate arm exercise after stroke (WAVES) study protocol for a pilot randomized controlled trial
© The Author(s). 2016 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Final published version, 916 KBLicence: CC BY

Cite this

@article{5a4a7e839bf348f8b19487caca39542c,

title = "Wristband accelerometers to motivate arm exercise after stroke (WAVES): study protocol for a pilot randomized controlled trial",

abstract = "BackgroundLoss of upper limb function affects up to 85 % of acutestroke patients. Recovery of upper limb function requires regular intensivepractise of specific upper limb tasks. To enhance intensity of practiceinterventions are being developed to encourage patients to undertakeself-directed exercise practice. Most interventions do not translate well intoeveryday activities and stroke patients continue to find it difficultremembering integration of upper limb movements into daily activities. Awrist-worn device has been developed that monitors and provides {\textquoteleft}live{\textquoteright} upperlimb activity feedback to remind patients to use their stroke arm in dailyactivities (The CueS wristband). The aim of this trial is to assess thefeasibility of a multi-centre, observer blind, pilot randomised controlledtrial of the CueS wristband in clinical stroke services.Methods/designThis pilot randomised controlled feasibility trial aims torecruit 60 participants over 15 months from North East England.Participants will be within 3 months of stroke which has caused newreduced upper limb function and will still be receiving therapy. Eachparticipant will be randomised to an intervention or control group.Intervention participants will wear a CueS wristband (between 8 am and8 pm) providing “live” feedback towards pre-set movement goals through asimple visual display and vibration prompts whilst undertaking a 4-week upperlimb therapy programme (reviewed twice weekly by an occupational/physiotherapist).Control participants will also complete the 4-week upper limb therapy programmebut will wear a {\textquoteleft}sham{\textquoteright} CueS wristband that monitors upper limb activity butprovides no feedback. Outcomes will determine study feasibility in terms ofrecruitment, retention, adverse events, adherence and collection of descriptiveclinical and accelerometer motor performance data at baseline, 4 weeks and8 weeks.DiscussionThe WAVES study will address an important gap in theevidence base by reporting the feasibility of undertaking an evaluation ofemerging and affordable technology to encourage impaired upper limb activityafter stroke. The study will establish whether the study protocol can besupported by clinical stroke services, thereby informing the design of a futuremulti-centre randomised controlled trial of clinical and cost-effectiveness.Trial registrationISRCTN:82306027.Registered 12 July 2016.",

keywords = "stroke, upper limb, accelerometer, feedback, self-management, self-directed, rehabilitation, randomised controlled trial, Stroke, Feedback, Randomised controlled trial, Accelerometer, Self-directed, Self-management, Upper limb, Rehabilitation",

author = "Moore, {Sarah A.} and {Da Silva}, Ruth and Madelaine Balaam and Lianne Brkic and Dan Jackson and Dan Jamieson and Thomas Ploetz and Helen Rodgers and Lisa Shaw and {van Wijck}, Frederike and Christopher Price",

note = "Acceptance from webpage OA journal",

year = "2016",

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doi = "10.1186/s13063-016-1628-2",

language = "English",

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journal = "Trials",

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T1 - Wristband accelerometers to motivate arm exercise after stroke (WAVES): study protocol for a pilot randomized controlled trial

AU - Moore, Sarah A.

AU - Da Silva, Ruth

AU - Balaam, Madelaine

AU - Brkic, Lianne

AU - Jackson, Dan

AU - Jamieson, Dan

AU - Ploetz, Thomas

AU - Rodgers, Helen

AU - Shaw, Lisa

AU - van Wijck, Frederike

AU - Price, Christopher

N1 - Acceptance from webpage OA journal

PY - 2016/10/21

Y1 - 2016/10/21

N2 - BackgroundLoss of upper limb function affects up to 85 % of acutestroke patients. Recovery of upper limb function requires regular intensivepractise of specific upper limb tasks. To enhance intensity of practiceinterventions are being developed to encourage patients to undertakeself-directed exercise practice. Most interventions do not translate well intoeveryday activities and stroke patients continue to find it difficultremembering integration of upper limb movements into daily activities. Awrist-worn device has been developed that monitors and provides ‘live’ upperlimb activity feedback to remind patients to use their stroke arm in dailyactivities (The CueS wristband). The aim of this trial is to assess thefeasibility of a multi-centre, observer blind, pilot randomised controlledtrial of the CueS wristband in clinical stroke services.Methods/designThis pilot randomised controlled feasibility trial aims torecruit 60 participants over 15 months from North East England.Participants will be within 3 months of stroke which has caused newreduced upper limb function and will still be receiving therapy. Eachparticipant will be randomised to an intervention or control group.Intervention participants will wear a CueS wristband (between 8 am and8 pm) providing “live” feedback towards pre-set movement goals through asimple visual display and vibration prompts whilst undertaking a 4-week upperlimb therapy programme (reviewed twice weekly by an occupational/physiotherapist).Control participants will also complete the 4-week upper limb therapy programmebut will wear a ‘sham’ CueS wristband that monitors upper limb activity butprovides no feedback. Outcomes will determine study feasibility in terms ofrecruitment, retention, adverse events, adherence and collection of descriptiveclinical and accelerometer motor performance data at baseline, 4 weeks and8 weeks.DiscussionThe WAVES study will address an important gap in theevidence base by reporting the feasibility of undertaking an evaluation ofemerging and affordable technology to encourage impaired upper limb activityafter stroke. The study will establish whether the study protocol can besupported by clinical stroke services, thereby informing the design of a futuremulti-centre randomised controlled trial of clinical and cost-effectiveness.Trial registrationISRCTN:82306027.Registered 12 July 2016.

AB - BackgroundLoss of upper limb function affects up to 85 % of acutestroke patients. Recovery of upper limb function requires regular intensivepractise of specific upper limb tasks. To enhance intensity of practiceinterventions are being developed to encourage patients to undertakeself-directed exercise practice. Most interventions do not translate well intoeveryday activities and stroke patients continue to find it difficultremembering integration of upper limb movements into daily activities. Awrist-worn device has been developed that monitors and provides ‘live’ upperlimb activity feedback to remind patients to use their stroke arm in dailyactivities (The CueS wristband). The aim of this trial is to assess thefeasibility of a multi-centre, observer blind, pilot randomised controlledtrial of the CueS wristband in clinical stroke services.Methods/designThis pilot randomised controlled feasibility trial aims torecruit 60 participants over 15 months from North East England.Participants will be within 3 months of stroke which has caused newreduced upper limb function and will still be receiving therapy. Eachparticipant will be randomised to an intervention or control group.Intervention participants will wear a CueS wristband (between 8 am and8 pm) providing “live” feedback towards pre-set movement goals through asimple visual display and vibration prompts whilst undertaking a 4-week upperlimb therapy programme (reviewed twice weekly by an occupational/physiotherapist).Control participants will also complete the 4-week upper limb therapy programmebut will wear a ‘sham’ CueS wristband that monitors upper limb activity butprovides no feedback. Outcomes will determine study feasibility in terms ofrecruitment, retention, adverse events, adherence and collection of descriptiveclinical and accelerometer motor performance data at baseline, 4 weeks and8 weeks.DiscussionThe WAVES study will address an important gap in theevidence base by reporting the feasibility of undertaking an evaluation ofemerging and affordable technology to encourage impaired upper limb activityafter stroke. The study will establish whether the study protocol can besupported by clinical stroke services, thereby informing the design of a futuremulti-centre randomised controlled trial of clinical and cost-effectiveness.Trial registrationISRCTN:82306027.Registered 12 July 2016.

KW - stroke, upper limb, accelerometer, feedback, self-management, self-directed, rehabilitation, randomised controlled trial

KW - Stroke

KW - Feedback

KW - Randomised controlled trial

KW - Accelerometer

KW - Self-directed

KW - Self-management

KW - Upper limb

KW - Rehabilitation

U2 - 10.1186/s13063-016-1628-2

DO - 10.1186/s13063-016-1628-2

M3 - Article

C2 - 27769310

SN - 1745-6215

VL - 17

JO - Trials

JF - Trials

M1 - 508 (2016)

ER -

Wristband accelerometers to motivate arm exercise after stroke (WAVES): study protocol for a pilot randomized controlled trial

Abstract

Keywords

ASJC Scopus subject areas

Documents and Links

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