BACKGROUND: Low mobility and low level of physical activity is common after stroke. The objective of this study was to relate these outcomes to physical, psychological, and demographic determinants. METHODS: In this cross-sectional cohort study, a consecutive sample of 195 community-living individuals, 65-85 years of age (74±5 years, 71% men) with a previous stroke was included. Exclusion criteria were severe aphasia and severe cognitive dysfunction. Mobility status was measured by the Short Physical Performance Battery (SPPB, 0-12 points), and physical activity was measured using the Physical Activity Scale for the Elderly (PASE). RESULTS: Mobility (SPPB, median 9 points) and level of physical activity were low (mean PASE 97±66 points), and walking speed was slow (1.10±.86 m/s), in relation to a healthy population-based sample. In multiple regression analyses, age (P=.001), physical activity (P<.001), fall-related self-efficacy (P=.001), and health-related quality of life (HRQoL) (P=.02) were associated with mobility (SPPB). Mobility (P<.001), HRQoL (P=.014), and fall-related self-efficacy (P=.031) were likewise associated with self-reported physical activity as the dependent variable. The regression models described 42% and 31% of the variance in mobility and physical activity, respectively. CONCLUSIONS: Individuals perceived disabilities that are partly potentially modifiable 1-3 years after stroke. Future poststroke rehabilitation studies need to evaluate if actions to improve fall-related self-efficacy and mobility could promote the physical activity level in this patient population.
BACKGROUND: Low mobility and low level of physical activity is common after stroke. The objective of this study was to relate these outcomes to physical, psychological, and demographic determinants. METHODS: In this cross-sectional cohort study, a consecutive sample of 195 community-living individuals, 65-85 years of age (74±5 years, 71% men) with a previous stroke was included. Exclusion criteria were severe aphasia and severe cognitive dysfunction. Mobility status was measured by the Short Physical Performance Battery (SPPB, 0-12 points), and physical activity was measured using the Physical Activity Scale for the Elderly (PASE). RESULTS: Mobility (SPPB, median 9 points) and level of physical activity were low (mean PASE 97±66 points), and walking speed was slow (1.10±.86 m/s), in relation to a healthy population-based sample. In multiple regression analyses, age (P=.001), physical activity (P<.001), fall-related self-efficacy (P=.001), and health-related quality of life (HRQoL) (P=.02) were associated with mobility (SPPB). Mobility (P<.001), HRQoL (P=.014), and fall-related self-efficacy (P=.031) were likewise associated with self-reported physical activity as the dependent variable. The regression models described 42% and 31% of the variance in mobility and physical activity, respectively. CONCLUSIONS: Individuals perceived disabilities that are partly potentially modifiable 1-3 years after stroke. Future poststroke rehabilitation studies need to evaluate if actions to improve fall-related self-efficacy and mobility could promote the physical activity level in this patient population.
Authors: Katharina Scholz; Johanna Geritz; Jennifer Kudelka; Marten Rogalski; Katharina Niemann; Corina Maetzler; Julius Welzel; Michael Drey; Tino Prell; Walter Maetzler Journal: Front Med (Lausanne) Date: 2022-06-21
Authors: Elizabeth Regan; Addie Middleton; Jill C Stewart; Sara Wilcox; Joseph Lee Pearson; Stacy Fritz Journal: Top Stroke Rehabil Date: 2019-10-17 Impact factor: 2.119