Effects on walking performance and lower body strength by short message service guided training after stroke or transient ischemic attack (The STROKEWALK Study): a randomized controlled trial.
Study Goal
To determine if daily mobile-phone delivered training instructions improve physical activity and mobility in patients soon after stroke or transient ischemic attack.
Results Summary
The intervention group showed improved walking performance (30-meter median difference in the six-minute walking test) and lower body strength compared to the control group after three months.
Population
79 patients (mean age 63.9 years, 29 women) soon after stroke or transient ischemic attack.
Effective Dosage
Daily mobile phone instructional text messages for outdoor walking and functional leg exercises.
Duration
3 months
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
daily mobile phone text messages with guided training instructions | increase | composite mobility measures | patients soon after stroke or transient ischemic attack | - | improved | #1 |
daily mobile phone text messages with guided training instructions | increase | walking performance | patients soon after stroke or transient ischemic attack | - | improved | #2 |
daily mobile phone text messages with guided training instructions | increase | lower body strength | patients soon after stroke or transient ischemic attack | - | improved | #3 |
daily mobile phone instructional text messages to perform regular outdoor walking and functional leg exercises | increase | six-minute walking test | patients soon after stroke or transient ischemic attack | 30 metres | estimated median difference in the six-minute walking test was in favour of the intervention group | #4 |
OBJECTIVE: To evaluate whetherdaily mobile-phone delivered messages with training instructions during three months increase physical activity and overall mobility in patients soon after stroke or transient ischemic attack. DESIGN: Randomised controlled trial with intention-to-treat analyses. SETTING: University hospital. Data collection from November 2016 until December2018. SUBJECTS: Seventy-nine patients (mean (SD) age 63.9 (10.4) years, 29 were women) were allocated to either intervention ( INTERVENTIONS: The intervention group received standard care and daily mobile phone instructional text messages to perform regular outdoor walking and functional leg exercises. The control group received standard care; that is, primary care follow-up. MAIN MEASURES: Walking performance by six-minute walking test (m), lower body strength by five times chair-stand test (s), the short physical performance battery (0-12 points) and 10-metres walk test (m/s) were assessed at baseline and after three months. RESULTS: The estimated median difference in the six-minute walking test was in favour of the intervention group by 30 metres (95% CI, 55 to 1; effect size 0.64; CONCLUSIONS: Three months of daily mobile phone text messages with guided training instructions improved composite mobility measures; that is, walking performanceand lower body strength. CLINICAL TRIAL REGISTRY: The study is registered with ClinicalTrials.gov, number NCT02902367.