%0 Journal Article
%T Wristband Accelerometers to motiVate arm Exercises after Stroke (WAVES): a pilot randomized controlled trial
%A Christopher I Price
%A Frederike van Wijck
%A Helen Rodgers
%A Lisa Shaw
%A Louise Sutcliffe
%A Ruth H Da-Silva
%A Sarah A Moore
%J Clinical Rehabilitation
%@ 1477-0873
%D 2019
%R 10.1177/0269215519834720
%X To evaluate the feasibility of a multicentre, observer-blind, pilot randomized controlled trial (RCT) of a wristband accelerometer with activity-dependent vibration alerts to prompt impaired arm use after stroke. Parallel-group pilot RCT. Four English stroke services. Patients 0每3ˋmonths post stroke with a new arm deficit. Participants were randomized to wear a prompting or ＆sham＊ wristband during a four-week self-directed therapy programme with twice-weekly therapy review. Recruitment, retention and adherence rates, safety and completion of assessments were reported. Arm recovery was measured by Action Research Arm Test (ARAT) and Motor Activity Log (MAL) without statistical comparison. In total, 33 patients were recruited (0.6 per month/site; median time post stroke: 26ˋdays (interquartile range (IQR):15.5每45)). Baseline, four-week and eight-week median (IQR) ARAT for the control group (nˋ=ˋ19) were 15 (2每35), 35 (15每26) and 31 (21每55) and those for the intervention group (nˋ=ˋ14) were 37 (16每45), 57 (29每57) and 57 (37每57), respectively; for MAL Amount of Use, the corresponding values in the control group were 0.2 (0.0每1.2), 1.1 (0.3每2.9) and 1.2 (0.7每2.9) and in the intervention group were 1.4 (0.5每2.6), 3.8 (1.9每4.5) and 3.7 (2.1每4.3). Four participants withdrew from the study. Wristbands were worn for 79% of the recommended time. The intervention and control group participants received a median of 6.0 (IQR: 4.3每8.0) and 7.5 (IQR: 6.8每8.0) therapy reviews. A median of 8 (IQR: 6每10) prompts were delivered per intervention participant/day. Research assessments were completed for 28/29 and 25/28 patients at four and eight weeks. Eight serious adverse events were reported, all unrelated to the intervention. A multicentre RCT of wristband accelerometers to prompt arm activity early after stroke is feasible. A total sample of 108 participants would be required
%K Stroke
%K rehabilitation
%K upper extremity (arm)
%K accelerometer
%K self-directed
%U https://journals.sagepub.com/doi/full/10.1177/0269215519834720