4.4 Article

Assessing the fidelity of the independently getting up off the floor (IGO) technique as part of the ReTrain pilot feasibility randomised controlled trial for stroke survivors

Journal

DISABILITY AND REHABILITATION
Volume 44, Issue 25, Pages 7829-7838

Publisher

TAYLOR & FRANCIS LTD
DOI: 10.1080/09638288.2021.1998672

Keywords

Falls; physical rehabilitation; hemiparesis; adherence; stroke

Categories

Funding

  1. Stroke Association [TSA-2014-03]
  2. National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care South West Peninsula at the Royal Devon and Exeter NHS Foundation Trust
  3. ARC East of England

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This study explored the feasibility and effectiveness of teaching stroke survivors to independently get off the floor, showing that most participants successfully mastered the skill with low risk of injury. Trainers should be aware of comorbidities that may impact implementation and adjust teaching accordingly to individual needs.
Purpose Hemiparesis and physical deconditioning following stroke lead to an increase in falls, which many individuals cannot get up from. Teaching stroke survivors to independently get off the floor (IGO) might mitigate long-lie complications. IGO was taught as part of a community-based, functional rehabilitation training programme (ReTrain). We explore the feasibility of teaching IGO and assess participant's level of mastery, adherence, and injury risk. Materials and methods Videos of participants (n = 17) performing IGO at early, middle, and late stages of the ReTrain programme were compared to a manualised standard. A visual, qualitative analysis was used to assess technique mastery, adherence, and injury risk. Results Most participants (64%) achieved independent, safe practice of IGO. A good (73%) level of adherence to IGO and low incidence of risk of injury (6.8%) were observed. Deviations were made to accommodate for non-stroke related comorbidities. Conclusions IGO was successfully and safely practised by stroke survivors including those with hemiparesis. Trainers should be aware of comorbidities that may impede completion of IGO and modify teaching to accommodate individual need. Further research should assess if IGO can be utilised by individuals who have other disabilities with unilateral impairments and whether IGO has physical, functional and economic benefit.

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