OBJECTIVE: To establish physical activity level, environment and social interaction in routine stroke rehabilitation practice. DESIGN: Prospective observational study using behavioural mapping. METHODS: Patients at 4 hospital stroke rehabilitation units in Sweden at least 7 days post-stroke were observed over 1 week-day at 10 min intervals between 08.00 h and 17.00 h. At each observation, physical activity, location and people present were ascertained. RESULTS: Patients (n = 104) had a mean age of 70.3 (standard deviation (SD) 14.4) years. Median time since stroke was 19 (range 7-142) days. Patients were alone for 52% of the day, during this time 7% was spent in standing/walking activities. While with a physiotherapist patients were standing/walking for 43% of the time. Using median regression it was found that the median percentage of time spent in standing/walking was associated with gait independence and age. Gait independence increased the median percentage of time spent in standing/walking by 16.5% (95% confidence interval (CI) 12.1-20.9, p < 0.001), while an increase of 1 year of age reduced the median percentage of time spent in standing/walking by 0.16% (95% CI -0.31 to -0.01, p < 0.05). CONCLUSION: Patients had low levels of physical activity and social interaction. This study suggests that there is a huge potential to increase patients' activity level and augment social interaction above current levels.
OBJECTIVE: To establish physical activity level, environment and social interaction in routine stroke rehabilitation practice. DESIGN: Prospective observational study using behavioural mapping. METHODS:Patients at 4 hospital stroke rehabilitation units in Sweden at least 7 days post-stroke were observed over 1 week-day at 10 min intervals between 08.00 h and 17.00 h. At each observation, physical activity, location and people present were ascertained. RESULTS:Patients (n = 104) had a mean age of 70.3 (standard deviation (SD) 14.4) years. Median time since stroke was 19 (range 7-142) days. Patients were alone for 52% of the day, during this time 7% was spent in standing/walking activities. While with a physiotherapist patients were standing/walking for 43% of the time. Using median regression it was found that the median percentage of time spent in standing/walking was associated with gait independence and age. Gait independence increased the median percentage of time spent in standing/walking by 16.5% (95% confidence interval (CI) 12.1-20.9, p < 0.001), while an increase of 1 year of age reduced the median percentage of time spent in standing/walking by 0.16% (95% CI -0.31 to -0.01, p < 0.05). CONCLUSION:Patients had low levels of physical activity and social interaction. This study suggests that there is a huge potential to increase patients' activity level and augment social interaction above current levels.
Authors: Anna Palumbo; Viswanath Aluru; Jessica Battaglia; Daniel Geller; Alan Turry; Marc Ross; Adrian Cristian; Caitlin Balagula; Gbenga Ogedegbe; Latika Khatri; Moses V Chao; Robert C Froemke; Jacek K Urbanek; Preeti Raghavan Journal: Am J Phys Med Rehabil Date: 2021-12-06 Impact factor: 3.412
Authors: Matthew W McDonald; Kathryn S Hayward; Ingrid C M Rosbergen; Matthew S Jeffers; Dale Corbett Journal: Front Behav Neurosci Date: 2018-07-11 Impact factor: 3.558
Authors: David J Clarke; Sarah Tyson; Helen Rodgers; Avril Drummond; Rebecca Palmer; Matthew Prescott; Pippa Tyrrell; Louisa Burton; Katie Grenfell; Lianne Brkic; Anne Forster Journal: BMJ Open Date: 2015-08-25 Impact factor: 2.692