MAP-ABI: Mobility and Activity Patterns in Hospitalised Severe Brain Injury
Study Details
Study Description
Brief Summary
The purpose of this observational study is to quantify physical activity patterns in patients with severe acquired brain injury admitted for in-hospital rehabilitation.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Detailed Description
Patients admitted for rehabilitation will be included for two periods of one-week monitorization of physical activity. The investigators will include all patients with moderate to severe brain injury.
This is an observational cross-sectional study including patients 18 years or above. Patients with conditions such as unstable fractures that restricts mobilisation are excluded. Physical activity is measured continuously during rehabilitation at two separate seven-day periods using a body-worn activity tracker. The first period will be initiated in the early phase of rehabilitation (3 days after admission) and the second at the late phase (10 days before discharge).
Baseline variables considered predictors, confounders or modifiers for physical activity will be collected along with registration of variables during the measurement periods and functional outcome variables at discharge.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Activity monitor group No intervention will be applied. All patients will have activity monitors placed at the distal part of the femur and on the torso. Normal rehabilitation will be performed as usual. |
Other: Activity monitor group
No intervention will be applied. All included patients will be monitored with body-worn physical activity monitors during two periods.
|
Outcome Measures
Primary Outcome Measures
- Early physical activity [Continuous measure of physical activity during day three to ten of rehabilitation]
Activity data collected in the early phase will be the exposure variable. Amount of minutes patients are physically active.
Secondary Outcome Measures
- Late physical activity [Continuous measure of physical activity during day three to ten before discharge from rehabilitation]
Activity data collected in the early phase will be the exposure variable. Amount of minutes patients are physically active.
- Functional Independence Measure (discharge) [Discharge from rehabilitation (3 months)]
Functional scale evaluating independence from a score of 18 (worst) to 126 (best)
- Glasgow Coma Scale (GCS) (admission) [Admission]
Coma scale with score between 3 (worst) to 15 (best)
- Comorbidities at admission [Admission]
Number of comorbidities
- Early Functional Ability (EFA) score [Admission]
Early signs of functional ability. Score between 20 (worst) and 100 (best)
- Ranchos Los Amigos Score [Admission]
Level of cognitive function. Score between 1 (worst) and 8 (best)
- Length of stay at intensive care unit [Retrospectively recorded at admission to the rehabilitation department]
Number of days at intensive care unit before admission to rehabilitation unit
- Agitated Behaviour Scale (ABS) [Day three to ten of rehabilitation]
Days with ABS above 22. Dichotomised outcome with scores above 22 indicating agitated behaviour.
Other Outcome Measures
- Complications during rehabilitation [Rehabilitation period (3 months)]
Registration of the number of complications during rehabilitation stay at hospital (e.g. pneumonia, unrinary infection, hydrocephalus etc). Predefined in protocol.
Eligibility Criteria
Criteria
Inclusion Criteria:
- 18 years old
Exclusion Criteria:
-
Planned discharge within two weeks
-
Fractures of lower extremities, pelvis or spine prohibiting weight-bearing
-
Amputation of lower extremities
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Department of Brain and Spinal Cord Injury | Hvidovre | Denmark | 2650 |
Sponsors and Collaborators
- Christian Riberholt
- SENS Innovation Aps
Investigators
- Principal Investigator: Vibeke Wagner, MsC, Rigshospitalet, Department of Brain and Spinal Cord Injury
Study Documents (Full-Text)
None provided.More Information
Publications
- Ferguson T, Olds T, Curtis R, Blake H, Crozier AJ, Dankiw K, Dumuid D, Kasai D, O'Connor E, Virgara R, Maher C. Effectiveness of wearable activity trackers to increase physical activity and improve health: a systematic review of systematic reviews and meta-analyses. Lancet Digit Health. 2022 Aug;4(8):e615-e626. doi: 10.1016/S2589-7500(22)00111-X.
- Fini NA, Bernhardt J, Said CM, Billinger SA. How to Address Physical Activity Participation After Stroke in Research and Clinical Practice. Stroke. 2021 Jun;52(6):e274-e277. doi: 10.1161/STROKEAHA.121.034557. Epub 2021 May 6. No abstract available.
- Kramer SF, Hung SH, Brodtmann A. The Impact of Physical Activity Before and After Stroke on Stroke Risk and Recovery: a Narrative Review. Curr Neurol Neurosci Rep. 2019 Apr 22;19(6):28. doi: 10.1007/s11910-019-0949-4.
- Larsen RT, Wagner V, Korfitsen CB, Keller C, Juhl CB, Langberg H, Christensen J. Effectiveness of physical activity monitors in adults: systematic review and meta-analysis. BMJ. 2022 Jan 26;376:e068047. doi: 10.1136/bmj-2021-068047.
- Nielsen JB, Willerslev-Olsen M, Christiansen L, Lundbye-Jensen J, Lorentzen J. Science-based neurorehabilitation: recommendations for neurorehabilitation from basic science. J Mot Behav. 2015;47(1):7-17. doi: 10.1080/00222895.2014.931273.
- Okely AD, Kontsevaya A, Ng J, Abdeta C. 2020 WHO guidelines on physical activity and sedentary behavior. Sports Med Health Sci. 2021 May 14;3(2):115-118. doi: 10.1016/j.smhs.2021.05.001. eCollection 2021 Jun.
- Pedersen BS, Kristensen MT, Josefsen CO, Lykkegaard KL, Jonsson LR, Pedersen MM. Validation of Two Activity Monitors in Slow and Fast Walking Hospitalized Patients. Rehabil Res Pract. 2022 May 16;2022:9230081. doi: 10.1155/2022/9230081. eCollection 2022.
- Riberholt CG, Wagner V, Lindschou J, Gluud C, Mehlsen J, Moller K. Early head-up mobilisation versus standard care for patients with severe acquired brain injury: A systematic review with meta-analysis and Trial Sequential Analysis. PLoS One. 2020 Aug 13;15(8):e0237136. doi: 10.1371/journal.pone.0237136. eCollection 2020.
- Vandenbroucke JP, von Elm E, Altman DG, Gotzsche PC, Mulrow CD, Pocock SJ, Poole C, Schlesselman JJ, Egger M; STROBE Initiative. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): explanation and elaboration. Epidemiology. 2007 Nov;18(6):805-35. doi: 10.1097/EDE.0b013e3181577511.
- von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP; STROBE Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008 Apr;61(4):344-9. doi: 10.1016/j.jclinepi.2007.11.008.
- Whitehead AL, Julious SA, Cooper CL, Campbell MJ. Estimating the sample size for a pilot randomised trial to minimise the overall trial sample size for the external pilot and main trial for a continuous outcome variable. Stat Methods Med Res. 2016 Jun;25(3):1057-73. doi: 10.1177/0962280215588241. Epub 2015 Jun 19.
- Zeiler SR, Krakauer JW. The interaction between training and plasticity in the poststroke brain. Curr Opin Neurol. 2013 Dec;26(6):609-16. doi: 10.1097/WCO.0000000000000025.
- H-22031667