OBJECTIVE: To investigate how physical activity changes over the first 6 months after stroke, and how activity is related to function. DESIGN: A longitudinal study with an initial assessment within 14 days after stroke (in hospital) and follow-up assessments 1, 3 and 6 months later (in-patient rehabilitation or at home). SUBJECTS: Patients with acute stroke. METHODS: An accelerometer with a switch tilt was used to measure activity over a period of 24 h on each occasion. The Barthel Index (BI) and Berg Balance Scale (BBS) were applied as functional measures. RESULTS: A total of 28 out of 44 recruited patients were included in the analysis (15 men (53.6%), mean age 79 years). The median time in the upright position increased from 92 min at baseline to 144 min 6 months later. A generalized least-square regression models showed that time in the upright position increased by 2.0 min for every day from baseline to 1 month later (p = 0.003). A single point increase on the BBS was associated with an extra 4.3 min in the upright position (p < 0.001), while a single point increase on the BI was associated with an extra 2.1 min in the upright position (p < 0.001). CONCLUSION: Activity levels are very low during the first 6 months after stroke. However, time in the upright position was found to increase as function improved.
OBJECTIVE: To investigate how physical activity changes over the first 6 months after stroke, and how activity is related to function. DESIGN: A longitudinal study with an initial assessment within 14 days after stroke (in hospital) and follow-up assessments 1, 3 and 6 months later (in-patient rehabilitation or at home). SUBJECTS:Patients with acute stroke. METHODS: An accelerometer with a switch tilt was used to measure activity over a period of 24 h on each occasion. The Barthel Index (BI) and Berg Balance Scale (BBS) were applied as functional measures. RESULTS: A total of 28 out of 44 recruited patients were included in the analysis (15 men (53.6%), mean age 79 years). The median time in the upright position increased from 92 min at baseline to 144 min 6 months later. A generalized least-square regression models showed that time in the upright position increased by 2.0 min for every day from baseline to 1 month later (p = 0.003). A single point increase on the BBS was associated with an extra 4.3 min in the upright position (p < 0.001), while a single point increase on the BI was associated with an extra 2.1 min in the upright position (p < 0.001). CONCLUSION: Activity levels are very low during the first 6 months after stroke. However, time in the upright position was found to increase as function improved.
Authors: Margit Alt Murphy; Filip Bergquist; Bengt Hagström; Niina Hernández; Dongni Johansson; Fredrik Ohlsson; Leif Sandsjö; Jan Wipenmyr; Kristina Malmgren Journal: BMC Biomed Eng Date: 2019-01-30
Authors: Pierce Boyne; Darcy Reisman; Michael Brian; Brian Barney; Ava Franke; Daniel Carl; Jane Khoury; Kari Dunning Journal: Top Stroke Rehabil Date: 2016-07-25 Impact factor: 2.119
Authors: Valerie A J Block; Erica Pitsch; Peggy Tahir; Bruce A C Cree; Diane D Allen; Jeffrey M Gelfand Journal: PLoS One Date: 2016-04-28 Impact factor: 3.240
Authors: Hanneke E M Braakhuis; Monique A M Berger; Ruben G R H Regterschot; Erwin E H van Wegen; Ruud W Selles; Gerard M Ribbers; Johannes B J Bussmann Journal: J Neuroeng Rehabil Date: 2021-12-11 Impact factor: 4.262