The ARCAS study: Auditory Rhythmical Cueing for gait in Acute Stroke.

  • Research type

    Research Study

  • Full title

    Feasibility and acceptability of an auditory rhythmical cueing intervention targeting balance and gait in early rehabilitation (ARCAS).

  • IRAS ID

    240339

  • Contact name

    Sarah Moore

  • Contact email

    s.a.moore@newcastle.ac.uk

  • Sponsor organisation

    Northumbria Healthcare NHS Foundation Trust

  • Duration of Study in the UK

    0 years, 6 months, 1 days

  • Research summary

    Difficulties with walking is a common and distressing problem following stroke and can lead to reduced independence. Research suggests that using an auditory cue, such as a regular beat or pulse, as part of rehabilitation can improve walking. It is also recommended that early rehabilitation following stroke delivers the best outcome for patients.

    Study aim:To determine whether the use of auditory cueing in early stroke rehabilitation is feasible during a balance and gait therapy programme.

    Study participants: Adults following acute stroke with walking problems.
    Participants must be able to sit unsupported and stand with assistance of 1 or 2 people. They will be recruited from the acute stroke unit at North Tyneside General Hospital 2 days to 4 weeks following stroke. A total of 12 participants will be recruited.

    Study setting: Acute stroke unit - North Tyneside General Hospital and participants homes if they are discharged within the study period.

    Intervention:Participants will receive auditory rhythmical cueing intervention targeting balance and gait for 30 minutes x5 / week for 3 weeks within the physiotherapy gym on the stroke unit or at home if discharged within the intervention period. The 30 minutes will consist of balance exercises and walking practice using auditory cueing with a metronome.

    Measures:1. What the participants and the therapists think of the intervention will be assessed by questionnaires. The questionnaires contain open and closed questionas and have been developed specifically for this study.

    2.The stroke surviviors trunk control, balance and walking will be assessed before and after the intervention.

    Study Duration: 12 months

    Future Plans: This study will be used to inform a larger study testing if the intervention works and how much it costs.

  • REC name

    North East - Newcastle & North Tyneside 2 Research Ethics Committee

  • REC reference

    18/NE/0373

  • Date of REC Opinion

    20 Dec 2018

  • REC opinion

    Favourable Opinion